Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ATRIUM MEDICAL CENTER

NPI: 1700950060 · FRANKLIN, OH 45005 · General Acute Care Hospital · NPI assigned 11/20/2006

$27.62M
Total Medicaid Paid
626,124
Total Claims
475,692
Beneficiaries
265
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHELTON, SCOTT (VP FINANCE)
NPI Enumeration Date11/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 80,931 $3.11M
2019 61,882 $2.48M
2020 46,000 $2.93M
2021 30,177 $1.96M
2022 39,626 $2.36M
2023 221,051 $8.94M
2024 146,457 $5.83M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 30,366 26,788 $3.87M
96361 Intravenous infusion, hydration; each additional hour 12,710 9,865 $3.65M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 32,525 26,651 $3.47M
99283 Emergency department visit for the evaluation and management, moderate severity 28,585 26,072 $3.33M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 17,722 15,464 $2.47M
70450 Computed tomography, head or brain; without contrast material 4,644 3,712 $1.12M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 9,241 2,508 $716K
11043 2,238 1,225 $671K
74177 Computed tomography, abdomen and pelvis; with contrast material 3,011 2,282 $658K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 4,724 3,869 $567K
95810 Polysomnography; sleep staging with 4 or more additional parameters 678 570 $470K
G0378 Hospital observation service, per hour 6,742 2,461 $440K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,692 1,607 $406K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,834 3,338 $375K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 3,508 1,752 $355K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,211 937 $287K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 696 579 $286K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,425 1,073 $278K
59025 Fetal non-stress test 1,758 1,000 $272K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,052 878 $253K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,520 4,966 $226K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,197 1,606 $221K
80048 Basic metabolic panel (calcium, ionized) 29,153 23,027 $204K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,091 519 $190K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,204 930 $178K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 665 537 $171K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 5,904 1,769 $158K
90791 Psychiatric diagnostic evaluation 574 447 $117K
70496 475 369 $113K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 4,431 1,379 $97K
80053 Comprehensive metabolic panel 12,952 10,631 $87K
76705 Ultrasound, abdominal, real time with image documentation; limited 968 788 $84K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography 402 345 $83K
95811 116 101 $81K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 714 591 $76K
76830 Ultrasound, transvaginal 742 605 $72K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,151 3,527 $69K
76642 546 441 $65K
93017 776 651 $63K
77063 Screening digital breast tomosynthesis, bilateral 1,311 1,098 $61K
93970 468 382 $60K
84484 17,112 9,713 $56K
93971 718 595 $48K
97161 1,142 945 $48K
72131 722 580 $41K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 213 207 $40K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 274 238 $39K
71046 Radiologic examination, chest; 2 views 1,801 1,594 $39K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,756 735 $38K
71250 452 384 $35K
71045 Radiologic examination, chest; single view 18,522 15,915 $27K
70551 Magnetic resonance imaging, brain; without contrast material 191 156 $25K
97116 1,251 539 $25K
72125 Computed tomography, cervical spine; without contrast material 2,177 1,684 $24K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 20,281 16,760 $24K
80320 2,329 1,831 $23K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 98 81 $22K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 42,847 35,962 $21K
87400 1,054 531 $21K
97162 711 543 $21K
93458 16 12 $20K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 54 40 $20K
95819 128 107 $18K
86850 1,134 826 $18K
36415 Collection of venous blood by venipuncture 16,208 12,573 $18K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 493 435 $15K
77067 Screening mammography, bilateral, including computer-aided detection 1,299 1,104 $15K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 240 233 $15K
70486 540 427 $14K
97535 Self-care/home management training, each 15 minutes 536 334 $14K
90715 940 743 $14K
74018 414 332 $13K
76536 101 90 $13K
88341 477 202 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12,542 9,369 $12K
86900 1,246 938 $12K
97597 109 66 $12K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 988 826 $11K
72100 339 282 $10K
0002A 312 302 $10K
78815 Positron emission tomography (PET) for limited area imaging 15 13 $10K
0001A 338 325 $10K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 17,763 15,187 $8K
97166 280 205 $8K
73560 613 456 $8K
77065 Tomosynthesis, mammo 283 221 $8K
J3490 Unclassified drugs 4,387 2,338 $8K
73030 814 586 $8K
85027 2,908 1,482 $8K
72128 337 266 $8K
81001 19,874 17,664 $7K
87070 1,566 1,226 $7K
74178 64 40 $7K
12001 54 39 $7K
96376 3,028 1,324 $6K
77066 Tomosynthesis, mammo 350 303 $6K
70491 19 12 $6K
73610 657 538 $6K
73630 894 731 $5K
96367 164 104 $5K
73130 759 600 $5K
70498 464 364 $5K
96375 Therapeutic injection; each additional sequential IV push 12,915 10,031 $5K
81025 10,811 9,226 $4K
80076 445 413 $4K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 269 242 $4K
85610 3,706 2,747 $4K
97113 97 29 $4K
76700 Ultrasound, abdominal, real time with image documentation; complete 16 12 $3K
73562 328 255 $3K
95886 14 13 $3K
73502 300 226 $3K
82565 415 348 $3K
76775 40 36 $3K
C1889 Implantable/insertable device, not otherwise classified 40 27 $3K
J2270 Injection, morphine sulfate, up to 10 mg 4,012 2,662 $3K
87086 Culture, bacterial; quantitative colony count, urine 4,430 3,913 $3K
82248 7,060 5,548 $3K
80061 Lipid panel 505 373 $3K
83036 Hemoglobin; glycosylated (A1C) 659 553 $3K
80055 118 108 $3K
83735 2,359 1,616 $3K
87040 1,723 706 $3K
12011 14 13 $2K
71271 14 13 $2K
84443 Thyroid stimulating hormone (TSH) 733 540 $2K
J1170 Injection, hydromorphone, up to 4 mg 2,460 1,215 $2K
H1002 Prenatal care, at risk enhanced service; care coordination 546 491 $2K
G0475 Hiv antigen/antibody, combination assay, screening 122 111 $2K
73110 311 260 $2K
88142 128 115 $2K
86901 1,246 938 $2K
85730 2,761 2,008 $2K
84439 427 323 $2K
J2800 Injection, methocarbamol, up to 10 ml 516 343 $1K
J1650 Injection, enoxaparin sodium, 10 mg 2,810 1,139 $1K
83690 8,008 6,643 $1K
97163 81 59 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 10,952 8,928 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 985 818 $1K
73590 338 242 $1K
83880 1,277 991 $1K
83605 1,795 1,124 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 987 777 $1K
90686 33 31 $1K
72141 17 12 $1K
82550 711 445 $991.89
82950 133 128 $990.74
76937 16 12 $978.57
85379 1,390 1,106 $895.48
87430 1,483 1,274 $866.14
72040 22 14 $861.95
99281 Emergency department visit for the evaluation and management, self-limited or minor 12 12 $814.34
J7030 Infusion, normal saline solution , 1000 cc 7,914 5,088 $813.17
97167 87 53 $805.86
82803 1,201 900 $801.76
81000 2,759 2,225 $782.67
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 755 681 $748.51
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test 30 26 $739.91
87088 2,378 2,006 $724.05
84100 448 225 $719.14
84702 698 548 $715.66
81003 2,077 1,613 $684.95
87147 524 361 $681.35
J3010 Injection, fentanyl citrate, 0.1 mg 4,865 3,194 $651.79
J2405 Injection, ondansetron hydrochloride, per 1 mg 11,731 8,597 $640.73
J0500 Injection, dicyclomine hcl, up to 20 mg 48 39 $640.24
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 177 64 $565.42
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,663 844 $542.68
85014 379 189 $524.34
72110 14 13 $493.39
87077 1,218 796 $469.64
J1050 Injection, medroxyprogesterone acetate, 1 mg 180 156 $451.72
72170 440 329 $404.11
C9113 Injection, pantoprazole sodium, per vial 441 145 $389.82
J1815 Injection, insulin, per 5 units 586 175 $358.09
J0171 Injection, adrenalin, epinephrine, 0.1 mg 51 26 $298.26
J0696 Injection, ceftriaxone sodium, per 250 mg 1,431 818 $296.95
85018 384 189 $289.18
87186 1,186 804 $282.10
J3535 Drug administered through a metered dose inhaler 318 81 $256.09
73552 84 65 $255.31
J0360 Injection, hydralazine hcl, up to 20 mg 246 139 $247.96
J7120 Ringers lactate infusion, up to 1000 cc 3,257 2,049 $236.39
80069 21 12 $217.84
J0780 Injection, prochlorperazine, up to 10 mg 825 601 $181.07
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 158 132 $174.11
80143 380 275 $172.05
J0690 Injection, cefazolin sodium, 500 mg 1,961 1,189 $167.27
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 35 16 $150.96
J1644 Injection, heparin sodium, per 1000 units 1,492 520 $147.52
82010 204 132 $145.70
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 230 153 $137.14
84703 137 117 $136.92
88305 Level IV - Surgical pathology, gross and microscopic examination 984 634 $128.68
90656 12 12 $123.67
88342 621 380 $117.86
82140 117 71 $112.94
J2919 Injection, methylprednisolone sodium succinate, 5 mg 163 126 $107.96
J3370 Injection, vancomycin hcl, 500 mg 185 82 $107.45
J3360 Injection, diazepam, up to 5 mg 121 85 $102.14
J2060 Injection, lorazepam, 2 mg 834 526 $99.57
G0008 Administration of influenza virus vaccine 12 12 $76.59
82330 49 26 $72.71
J3480 Injection, potassium chloride, per 2 meq 375 153 $71.79
87210 121 102 $71.02
J3372 Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg 117 70 $70.17
73080 13 12 $67.89
J2704 Injection, propofol, 10 mg 3,015 2,190 $59.75
80179 335 253 $57.33
J2550 Injection, promethazine hcl, up to 50 mg 794 469 $55.31
86140 30 25 $52.80
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,399 956 $50.96
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,169 2,019 $45.00
87075 53 42 $43.73
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,286 918 $42.49
73090 150 98 $37.77
J1790 Injection, droperidol, up to 5 mg 324 223 $32.33
J2250 Injection, midazolam hydrochloride, per 1 mg 3,300 2,219 $31.50
84132 39 25 $30.52
J1171 Injection, hydromorphone, 0.1 mg 92 58 $23.95
J2795 Injection, ropivacaine hydrochloride, 1 mg 122 89 $22.79
J3475 Injection, magnesium sulfate, per 500 mg 105 58 $16.52
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 40 26 $15.81
85652 69 54 $13.83
87205 24 12 $12.04
87176 16 13 $9.43
J2360 Injection, orphenadrine citrate, up to 60 mg 118 78 $9.30
J2175 Injection, meperidine hydrochloride, per 100 mg 60 40 $7.60
J8499 Prescription drug, oral, non chemotherapeutic, nos 69 38 $7.52
91300 590 548 $5.13
J2765 Injection, metoclopramide hcl, up to 10 mg 217 155 $4.79
J1596 Injection, glycopyrrolate, 0.1 mg 212 170 $2.54
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 154 86 $2.36
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 768 477 $2.20
J1940 Injection, furosemide, up to 20 mg 63 33 $2.01
J0330 Injection, succinylcholine chloride, up to 20 mg 24 12 $1.95
J7050 Infusion, normal saline solution, 250 cc 651 367 $0.48
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,604 4,261 $0.00
Q9956 Injection, octafluoropropane microspheres, per ml 175 150 $0.00
H1000 Prenatal care, at-risk assessment 109 101 $0.00
94060 16 14 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 234 177 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 893 741 $0.00
00840 32 26 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 72 38 $0.00
94726 16 14 $0.00
94729 16 14 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 14 12 $0.00
73070 13 12 $0.00
99078 29 24 $0.00
00731 14 13 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 14 13 $0.00
88304 215 134 $0.00
J2785 Injection, regadenoson, 0.1 mg 557 464 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 30 16 $0.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 789 636 $0.00
A9270 Non-covered item or service 124 76 $0.00
94761 15 14 $0.00
82607 17 14 $0.00
C1769 Guide wire 280 204 $0.00
H1001 Prenatal care, at-risk enhanced service; antepartum management 45 27 $0.00
82746 15 12 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 39 39 $0.00
81015 12 12 $0.00