Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › GROVE CITY › MOUNT CARMEL HEALTH SYSTEM

MOUNT CARMEL HEALTH SYSTEM

NPI: 1710067376 · GROVE CITY, OH 43123 · General Acute Care Hospital · NPI assigned 10/17/2006

$14.42M
Total Medicaid Paid
434,447
Total Claims
396,417
Beneficiaries
161
Codes Billed
2018-01
First Month
2020-06
Last Month

Provider Details

Authorized OfficialPRIDAY, ANDREW (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date10/17/2006

Related Entities

Other providers sharing the same authorized official: PRIDAY, ANDREW

ProviderCityStateTotal Paid
MOUNT CARMEL HEALTH SYSTEM COLUMBUS OH $66.65M
MOUNT CARMEL HEALTH SYSTEM WESTERVILLE OH $42.48M
DILEY RIDGE MEDICAL CENTER CANAL WINCHESTER OH $6.17M
MOUNT CARMEL HEALTH SYSTEM COLUMBUS OH $5.23M
MOUNT CARMEL HEALTH SYSTEM COLUMBUS OH $403K
MOUNT CARMEL HEALTH SYSTEM COLUMBUS OH $318K
MOUNT CARMEL HEALTH SYSTEM GROVE CITY OH $180K
MOUNT CARMEL HEALTH SYSTEM NEW ALBANY OH $14K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 271,837 $8.63M
2019 152,794 $5.25M
2020 9,816 $535K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 37,112 35,336 $3.49M
99284 Emergency department visit for the evaluation and management, high severity 30,169 28,343 $3.15M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 12,422 11,441 $1.42M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 17,109 14,351 $1.35M
99282 Emergency department visit for the evaluation and management, low to moderate severity 13,034 12,608 $1.06M
96361 Intravenous infusion, hydration; each additional hour 6,438 5,779 $1.02M
80048 Basic metabolic panel (calcium, ionized) 38,128 34,172 $642K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,664 3,561 $379K
59025 Fetal non-stress test 2,173 987 $199K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3,385 2,903 $182K
G0378 Hospital observation service, per hour 2,941 1,263 $155K
70450 Computed tomography, head or brain; without contrast material 655 616 $115K
84484 6,743 5,167 $110K
80053 Comprehensive metabolic panel 6,516 6,149 $93K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,327 1,221 $60K
80061 Lipid panel 4,695 4,487 $52K
80076 5,329 4,955 $49K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,621 1,538 $44K
36415 Collection of venous blood by venipuncture 56,201 51,872 $38K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,797 1,707 $38K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 458 222 $36K
84443 Thyroid stimulating hormone (TSH) 3,077 2,937 $35K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 37,106 33,914 $35K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 224 208 $33K
62323 133 121 $33K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 151 114 $33K
83036 Hemoglobin; glycosylated (A1C) 3,171 3,079 $32K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,369 1,257 $31K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 827 688 $31K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 344 289 $31K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 467 431 $25K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 362 105 $23K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,047 959 $22K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 158 131 $22K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,633 1,550 $19K
71046 Radiologic examination, chest; 2 views 14,951 14,071 $19K
82607 1,053 982 $16K
87536 313 297 $15K
76820 562 353 $14K
84146 469 438 $14K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 733 650 $13K
86780 691 665 $13K
87086 Culture, bacterial; quantitative colony count, urine 1,344 1,214 $12K
74177 Computed tomography, abdomen and pelvis; with contrast material 54 50 $12K
64493 27 25 $11K
76801 213 204 $10K
86360 292 277 $10K
85027 2,640 2,404 $9K
84439 918 860 $9K
81001 18,832 17,636 $8K
86140 604 544 $7K
80050 General health panel 510 503 $7K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 15,884 14,243 $7K
86701 582 529 $7K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 37 36 $7K
82746 364 330 $5K
90715 259 251 $5K
80320 242 217 $5K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 227 210 $5K
82728 430 414 $4K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 226 198 $4K
81025 14,356 13,602 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 123 112 $3K
86480 51 46 $3K
83735 749 656 $3K
83540 502 472 $3K
74280 27 27 $3K
76818 60 38 $2K
82043 575 548 $2K
86762 210 191 $2K
87340 231 223 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 26 26 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 9,751 9,075 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 48 41 $2K
82947 309 284 $2K
20610 15 13 $2K
86803 207 191 $2K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 23 15 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18 15 $2K
86787 158 140 $2K
86900 181 158 $2K
87040 78 41 $1K
86850 193 170 $1K
83605 63 52 $1K
59430 15 15 $1K
83013 35 30 $1K
73130 127 108 $1K
86901 184 161 $967.00
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 54 42 $964.46
84207 66 59 $956.55
83721 76 73 $852.73
83690 3,223 2,986 $836.46
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 112 108 $785.82
76819 Fetal biophysical profile; without non-stress testing 29 26 $781.70
J7030 Infusion, normal saline solution , 1000 cc 9,207 8,185 $777.10
84425 60 53 $761.24
86735 52 51 $751.79
73630 94 77 $613.92
73110 94 78 $584.89
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 9,386 8,757 $575.56
86765 53 52 $548.83
85652 155 137 $548.21
83970 39 39 $544.71
77067 Screening mammography, bilateral, including computer-aided detection 13 13 $511.28
86706 49 43 $509.87
87210 503 485 $506.21
82248 122 114 $423.19
86200 28 24 $412.83
88305 Level IV - Surgical pathology, gross and microscopic examination 257 202 $357.41
81003 1,416 1,331 $347.19
00731 110 84 $346.63
86141 16 16 $342.02
86431 26 25 $316.49
84153 24 24 $307.94
80329 25 25 $298.38
86696 18 14 $279.62
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 807 717 $277.16
86038 25 24 $267.93
85379 13 13 $255.52
J1170 Injection, hydromorphone, up to 4 mg 2,063 1,819 $242.76
90658 28 28 $230.06
73610 381 312 $216.01
84703 26 25 $204.72
84550 98 92 $204.10
86695 18 14 $196.39
J1885 Injection, ketorolac tromethamine, per 15 mg 4,512 4,231 $173.44
87186 52 49 $167.22
84460 40 40 $146.38
87081 13 13 $135.59
J2704 Injection, propofol, 10 mg 348 272 $132.68
73560 324 291 $107.49
82565 62 52 $103.11
84520 48 40 $91.86
80051 36 28 $82.15
83880 16 12 $75.82
71045 Radiologic examination, chest; single view 114 100 $54.00
85610 42 25 $53.16
85007 29 27 $32.90
83550 19 15 $29.52
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,683 1,559 $29.37
84100 14 13 $21.36
81002 15 12 $18.10
87205 14 13 $16.81
84156 12 12 $15.44
J8597 Antiemetic drug, oral, not otherwise specified 189 176 $13.47
87070 14 13 $8.41
87176 14 13 $8.41
J7120 Ringers lactate infusion, up to 1000 cc 76 72 $5.20
96375 Therapeutic injection; each additional sequential IV push 4,259 3,809 $2.28
J2550 Injection, promethazine hcl, up to 50 mg 30 27 $2.28
J1200 Injection, diphenhydramine hcl, up to 50 mg 30 26 $1.90
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12 12 $1.16
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 25 24 $0.00
96376 176 102 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 12 12 $0.00
90657 65 65 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 23 17 $0.00
64494 14 13 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 247 224 $0.00
H1000 Prenatal care, at-risk assessment 332 317 $0.00
73030 12 12 $0.00