Supplier
Susan B. Allen Memorial Hospital
Susan B. Allen Memorial Hospital was paid $672K by Medicaid between Jan 2018 and Nov 2024, across 66 billing codes. Its largest line is 99282, Emergency department visit for the evaluation and management, low to moderate severity — 37% of everything it billed.
33Billing provider infoSUSAN B. ALLEN MEMORIAL HOSPITAL
EL DORADO, KS 67042
EL DORADO, KS 67042
33aNPI1700994977assigned 08/28/2006
33bProvider typePharmacy
28Total paid$672K
24GClaims41,528
24DCodes billed66
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pharmacy providers in Kansas
Rank by total paid#3 of 42
Median peer was paid$114.59
This provider vs. median5,866×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 11,161 | $166K | |
| 2019 | 3,895 | $74K | |
| 2020 | 5,584 | $90K | |
| 2021 | 7,941 | $131K | |
| 2022 | 5,356 | $101K | |
| 2023 | 5,174 | $69K | |
| 2024incomplete | 2,417 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 37% | 6,815 | 6,432 | $248K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 25% | 4,617 | 4,282 | $167K |
| 80053 | Comprehensive metabolic panel | 6.3% | 4,579 | 3,957 | $42K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 6.2% | 1,056 | 970 | $41K |
| 87631 | 3.4% | 240 | 228 | $23K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 3.4% | 5,942 | 4,967 | $23K |
| 96361 | Intravenous infusion, hydration; each additional hour | 2.2% | 524 | 439 | $15K |
| 96375 | Therapeutic injection; each additional sequential IV push | 2.1% | 453 | 396 | $14K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 2.1% | 826 | 752 | $14K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.9% | 679 | 593 | $13K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.9% | 349 | 336 | $13K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 1.8% | 409 | 342 | $12K |
54 more codes
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.4% | 313 | $10K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 156 | $6K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 286 | $3K |
| 71045 | Radiologic examination, chest; single view | <1% | 416 | $3K |
| 81003 | <1% | 2,296 | $3K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 207 | $2K |
| 87503 | <1% | 123 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 202 | $2K |
| 80305 | <1% | 128 | $1K | |
| 84484 | <1% | 144 | $1K | |
| 80061 | Lipid panel | <1% | 112 | $1K |
| 83690 | <1% | 178 | $1K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 32 | $959.30 |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 12 | $880.92 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 50 | $778.59 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 89 | $734.38 |
| 87400 | <1% | 124 | $616.73 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 341 | $600.64 |
| 81025 | <1% | 76 | $587.79 | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 15 | $508.98 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 46 | $493.57 |
| 86850 | <1% | 57 | $419.27 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 40 | $417.82 |
| 73610 | <1% | 21 | $415.70 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,868 | $375.02 |
| 72100 | <1% | 16 | $314.70 | |
| 73130 | <1% | 16 | $290.68 | |
| G0378 | Hospital observation service, per hour | <1% | 54 | $288.23 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 26 | $248.91 |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 367 | $180.86 |
| 87186 | <1% | 17 | $167.13 | |
| 96376 | <1% | 14 | $166.96 | |
| 83735 | <1% | 33 | $165.84 | |
| J3490 | Unclassified drugs | <1% | 53 | $122.91 |
| 87088 | <1% | 13 | $120.09 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 1,047 | $119.60 |
| 85027 | <1% | 12 | $113.62 | |
| J2704 | Injection, propofol, 10 mg | <1% | 249 | $94.52 |
| J2550 | Injection, promethazine hcl, up to 50 mg | <1% | 29 | $91.70 |
| 85651 | <1% | 12 | $68.34 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 166 | $67.34 |
| J1170 | Injection, hydromorphone, up to 4 mg | <1% | 28 | $60.89 |
| 84100 | <1% | 15 | $58.18 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 38 | $46.92 |
| 85610 | <1% | 17 | $46.60 | |
| J2274 | Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg | <1% | 16 | $41.19 |
| A9150 | Non-prescription drugs | <1% | 85 | $38.85 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 29 | $6.91 |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 81 | $5.75 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 20 | $0.02 |
| A9270 | Non-covered item or service | 0% | 183 | $0.00 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 0% | 12 | $0.00 |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | 0% | 44 | $0.00 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 15 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHALL, MELISSA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Munising Memorial Hospital | Munising, MI | $1.14M |
| Susan B. Allen Memorial Hospital | El Dorado, KS | $175K |
| Susan B. Allen Memorial Hospital | El Dorado, KS | $162K |
| Susan B. Allen Memorial Hospital | El Dorado, KS | $49K |
| Susan B. Allen Memorial Hospital | El Dorado, KS | $29K |
| Susan B. Allen Memorial Hospital | El Dorado, KS | $27K |
| Susan B. Allen Memorial Hospital | Augusta, KS | $909.98 |
| Susan B Allen Memorial Hospital | El Dorado, KS | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.