Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Blanchard Valley Regional Health Center

Blanchard Valley Regional Health Center was paid $24.72M by Medicaid between Jan 2018 and Dec 2024, across 373 billing codes. Its largest line is 99284, emergency room visit (serious) — 16% of everything it billed.

33Billing provider infoBLANCHARD VALLEY REGIONAL HEALTH CENTER
FINDLAY, OH 45840
33aNPI1710920327assigned 06/13/2006
28Total paid$24.72M
24GClaims726,381
24DCodes billed373
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Ohio

Rank by total paid#48 of 101
Median peer was paid$22.32M
This provider vs. median1.1×

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

$0$500K$1.0M$1.5M2018201920202021202220232024
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
YearClaimsPaid
201850,201$1.58M
201950,100$1.47M
202044,213$1.99M
202162,944$2.58M
202271,222$2.80M
2023272,462$9.19M
2024incomplete175,239$5.11M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 16% 33,607 29,024 $4.01M
96361 Intravenous infusion, hydration; each additional hour 14% 12,258 9,450 $3.57M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 13% 31,005 27,933 $3.28M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 6.3% 12,804 10,929 $1.56M
74177 Computed tomography, abdomen and pelvis; with contrast material 3.2% 3,242 2,437 $790K
70450 Computed tomography, head or brain; without contrast material 2.5% 2,876 2,280 $627K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2.2% 2,477 1,630 $545K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1.9% 6,483 5,532 $462K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.6% 5,190 1,763 $401K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1.6% 5,204 2,005 $391K
64483 1.5% 889 797 $359K
80053 Comprehensive metabolic panel 1.4% 42,908 35,002 $348K
361 more codes
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.1% 2,689 $270K
99213 Doctor's office visit, returning patient (routine) 1.1% 3,621 $263K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.1% 1,044 $263K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.1% 810 $262K
84443 Thyroid stimulating hormone (TSH) 1.1% 14,206 $262K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 3,206 $241K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 5,793 $241K
80061 Lipid panel <1% 11,523 $218K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 3,641 $217K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,730 $206K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 60,674 $192K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,102 $177K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 1,945 $164K
G0378 Hospital observation service, per hour <1% 4,035 $160K
64635 <1% 407 $158K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 748 $156K
71275 Computed tomographic angiography, chest, with contrast material <1% 778 $155K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 5,679 $142K
64493 <1% 350 $137K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 5,776 $133K
90839 <1% 1,418 $126K
83036 Hemoglobin; glycosylated (A1C) <1% 9,788 $107K
59025 Fetal non-stress test <1% 676 $100K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 322 $99K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 152 $96K
87081 <1% 4,626 $93K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,514 $91K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,317 $88K
36415 Collection of venous blood by venipuncture <1% 33,097 $86K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 502 $83K
64494 <1% 404 $83K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 390 $80K
64636 <1% 436 $70K
85027 <1% 6,543 $69K
71046 Radiologic examination, chest; 2 views <1% 3,109 $69K
93975 <1% 470 $63K
82607 <1% 3,567 $63K
27096 <1% 163 $63K
80048 Basic metabolic panel (calcium, ionized) <1% 13,394 $60K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 4,782 $59K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 4,593 $53K
87088 <1% 5,050 $50K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 555 $49K
97161 <1% 769 $49K
87506 <1% 428 $46K
70551 Magnetic resonance imaging, brain; without contrast material <1% 314 $44K
93971 <1% 547 $41K
78264 <1% 196 $41K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 14,221 $39K
88142 <1% 1,853 $39K
76642 <1% 347 $38K
84466 <1% 2,224 $37K
86140 <1% 2,558 $37K
64479 <1% 114 $37K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 825 $36K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 103 $36K
82746 <1% 3,025 $35K
76536 <1% 305 $34K
84439 <1% 3,123 $34K
96367 <1% 515 $33K
77067 Screening mammography, bilateral, including computer-aided detection <1% 673 $33K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,152 $32K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r <1% 201 $32K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 1,087 $31K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 1,580 $30K
76981 <1% 323 $30K
72131 <1% 319 $30K
73630 <1% 1,155 $29K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 450 $29K
70498 <1% 148 $28K
86900 <1% 1,505 $27K
86803 <1% 1,590 $27K
83655 <1% 909 $27K
94729 <1% 305 $26K
82728 <1% 2,506 $26K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 7,086 $25K
93017 <1% 327 $25K
71250 <1% 359 $25K
80076 <1% 3,210 $25K
83540 <1% 2,479 $24K
72141 <1% 210 $24K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 352 $24K
70486 <1% 315 $23K
84702 <1% 1,275 $22K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 433 $22K
87340 <1% 1,511 $22K
74018 <1% 693 $21K
83735 <1% 7,781 $21K
J1756 Injection, iron sucrose, 1 mg <1% 626 $21K
71045 Radiologic examination, chest; single view <1% 8,827 $21K
72100 <1% 669 $21K
90840 <1% 130 $20K
99204 Doctor's office visit, new patient (more involved) <1% 267 $19K
86780 <1% 988 $19K
87186 <1% 1,739 $18K
94060 <1% 301 $18K
94726 <1% 238 $17K
86850 <1% 1,481 $17K
83970 <1% 710 $17K
99215 Doctor's office visit, returning patient (complex) <1% 360 $17K
87660 <1% 832 $16K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,232 $16K
93970 <1% 110 $16K
64484 <1% 62 $16K
86762 <1% 552 $15K
81001 <1% 25,144 $15K
97165 <1% 305 $15K
86901 <1% 1,639 $15K
87150 <1% 544 $15K
87077 <1% 2,299 $15K
84484 <1% 7,646 $15K
47562 <1% 16 $15K
85651 <1% 1,789 $14K
64634 <1% 72 $14K
74183 <1% 61 $14K
86592 <1% 563 $14K
73560 <1% 701 $13K
97162 <1% 218 $13K
73030 <1% 661 $13K
87522 Neg quan hep c or qual rna <1% 287 $13K
80069 <1% 867 $13K
95811 <1% 33 $13K
J3490 Unclassified drugs <1% 2,530 $13K
82570 <1% 1,696 $12K
82805 <1% 423 $12K
86038 <1% 741 $12K
72125 Computed tomography, cervical spine; without contrast material <1% 925 $12K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 1,422 $12K
73610 <1% 778 $11K
86364 <1% 591 $11K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 778 $11K
70491 <1% 40 $11K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 64 $11K
88307 <1% 93 $11K
88342 <1% 689 $10K
84153 <1% 642 $10K
73130 <1% 671 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 8,501 $10K
84403 <1% 426 $9K
73502 <1% 415 $9K
86706 <1% 557 $9K
84550 <1% 1,134 $9K
72110 <1% 211 $8K
87086 Culture, bacterial; quantitative colony count, urine <1% 1,565 $8K
83525 <1% 436 $8K
82105 <1% 506 $8K
76770 <1% 66 $8K
93880 <1% 118 $8K
87631 <1% 142 $8K
73562 <1% 148 $7K
87480 <1% 832 $7K
86431 <1% 347 $7K
85610 <1% 7,134 $7K
87510 <1% 832 $7K
12001 <1% 44 $7K
77063 Screening digital breast tomosynthesis, bilateral <1% 648 $7K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 151 $7K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 1,439 $7K
84100 <1% 1,209 $7K
87070 <1% 712 $6K
99203 Doctor's office visit, new patient (routine) <1% 76 $6K
J8501 Aprepitant, oral, 5 mg <1% 485 $6K
83874 <1% 4,884 $6K
78815 Positron emission tomography (PET) for limited area imaging <1% 15 $6K
72050 <1% 221 $6K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 18,827 $6K
82784 <1% 503 $6K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 73 $6K
76830 Ultrasound, transvaginal <1% 328 $6K
86704 <1% 338 $5K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 698 $5K
84480 <1% 137 $5K
82043 <1% 799 $5K
73110 <1% 374 $5K
82565 <1% 922 $5K
77336 <1% 30 $4K
87449 <1% 380 $4K
87641 <1% 290 $4K
83880 <1% 1,479 $4K
87338 <1% 236 $4K
86376 <1% 234 $4K
88304 <1% 431 $4K
83993 <1% 198 $4K
78227 <1% 19 $4K
36591 <1% 914 $4K
85730 <1% 5,152 $4K
96376 <1% 1,668 $4K
Q3014 Telehealth originating site facility fee <1% 326 $4K
84146 <1% 467 $4K
0352U <1% 271 $4K
77066 Tomosynthesis, mammo <1% 89 $4K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 19 $4K
84156 <1% 1,025 $4K
83615 <1% 673 $3K
82947 <1% 600 $3K
83001 <1% 228 $3K
82248 <1% 392 $3K
83690 <1% 7,704 $3K
87420 <1% 116 $3K
82951 <1% 173 $3K
87324 <1% 337 $3K
86708 <1% 134 $3K
72072 <1% 117 $3K
70496 <1% 90 $3K
29580 <1% 36 $3K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 4,955 $3K
82962 <1% 5,303 $3K
96375 Therapeutic injection; each additional sequential IV push <1% 11,908 $2K
J0735 Injection, clonidine hydrochloride, 1 mg <1% 255 $2K
64633 <1% 72 $2K
01936 <1% 180 $2K
86705 <1% 108 $2K
74019 <1% 43 $2K
80074 <1% 114 $2K
84703 <1% 2,507 $2K
84520 <1% 389 $2K
72220 <1% 89 $2K
86480 <1% 52 $2K
J7030 Infusion, normal saline solution , 1000 cc <1% 10,093 $2K
85045 <1% 250 $2K
83605 <1% 1,304 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 157 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,043 $2K
80321 <1% 2,865 $2K
J2805 Injection, sincalide, 5 micrograms <1% 19 $2K
87329 <1% 121 $1K
73590 <1% 130 $1K
77062 <1% 89 $1K
82670 <1% 103 $1K
73700 <1% 14 $1K
81025 <1% 3,952 $1K
84145 <1% 566 $1K
88341 <1% 18 $1K
71101 <1% 69 $1K
87328 <1% 121 $1K
72146 <1% 13 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 3,538 $1K
73080 <1% 98 $1K
84481 <1% 40 $1K
82550 <1% 387 $1K
92523 <1% 13 $1K
93226 <1% 12 $1K
96415 <1% 15 $988.56
82378 <1% 185 $954.62
87209 <1% 61 $948.38
85379 <1% 1,101 $870.33
84436 <1% 581 $775.89
86701 <1% 70 $764.62
87040 <1% 725 $761.74
J1815 Injection, insulin, per 5 units <1% 305 $741.77
87075 <1% 147 $731.19
87071 <1% 185 $716.88
A4649 Surgical supply; miscellaneous <1% 466 $689.79
87177 <1% 61 $681.65
86200 <1% 36 $672.51
72040 <1% 27 $653.20
82375 <1% 429 $637.64
82247 <1% 63 $604.33
80349 <1% 52 $604.26
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 336 $584.66
J1650 Injection, enoxaparin sodium, 10 mg <1% 751 $584.48
74022 <1% 148 $532.40
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 788 $524.45
86800 <1% 21 $517.86
83002 <1% 41 $509.77
93225 <1% 12 $489.21
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,872 $489.01
J1170 Injection, hydromorphone, up to 4 mg <1% 2,152 $485.82
87205 <1% 99 $476.92
84402 <1% 34 $446.78
84144 <1% 20 $430.15
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring <1% 39 $427.38
82652 <1% 20 $417.36
84165 <1% 37 $401.28
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,686 $393.06
83630 <1% 22 $385.46
83050 <1% 421 $383.51
73521 <1% 12 $353.38
J2060 Injection, lorazepam, 2 mg <1% 467 $351.22
86308 <1% 16 $339.02
J7120 Ringers lactate infusion, up to 1000 cc <1% 2,580 $297.98
86235 <1% 27 $287.88
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 772 $285.02
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes <1% 39 $270.92
85018 <1% 54 $267.22
73620 <1% 14 $264.63
83721 <1% 38 $257.04
99219 <1% 67 $241.56
82103 <1% 18 $222.75
J3010 Injection, fentanyl citrate, 0.1 mg <1% 2,850 $222.26
A9270 Non-covered item or service <1% 3,181 $218.19
J3475 Injection, magnesium sulfate, per 500 mg <1% 393 $200.86
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 5,537 $195.99
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,125 $193.71
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 9,139 $191.72
82525 <1% 17 $187.38
82533 <1% 15 $179.06
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 657 $174.15
84238 <1% 12 $172.20
86015 <1% 12 $168.15
85014 <1% 89 $136.97
J0690 Injection, cefazolin sodium, 500 mg <1% 1,586 $126.12
J2469 Injection, palonosetron hcl, 25 mcg <1% 24 $124.34
J3370 Injection, vancomycin hcl, 500 mg <1% 213 $116.51
84460 <1% 15 $113.69
J1030 Injection, methylprednisolone acetate, 40 mg <1% 901 $111.60
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 1,474 $102.52
J1644 Injection, heparin sodium, per 1000 units <1% 874 $89.88
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 353 $72.84
73140 <1% 21 $70.40
86318 <1% 12 $67.70
J1040 Injection, methylprednisolone acetate, 80 mg <1% 596 $56.54
73090 <1% 46 $52.83
A6021 Collagen dressing, sterile, size 16 sq. in. or less, each <1% 137 $51.46
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 77 $49.44
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,389 $47.21
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 567 $46.09
82040 <1% 25 $44.80
C9113 Injection, pantoprazole sodium, per vial <1% 27 $35.74
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 592 $30.80
82140 <1% 23 $30.28
99232 Hospital visit by a doctor, follow-up day <1% 97 $28.18
A6199 Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches <1% 136 $27.25
J0780 Injection, prochlorperazine, up to 10 mg <1% 179 $26.47
J0360 Injection, hydralazine hcl, up to 20 mg <1% 72 $25.68
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg <1% 62 $20.45
J2704 Injection, propofol, 10 mg <1% 4,161 $20.28
J7060 5% dextrose/water (500 ml = 1 unit) <1% 56 $18.96
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 188 $16.84
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 254 $12.96
J1171 Injection, hydromorphone, 0.1 mg <1% 114 $11.09
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 491 $9.12
J3480 Injection, potassium chloride, per 2 meq <1% 170 $8.78
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 1,419 $5.71
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 717 $3.31
J1940 Injection, furosemide, up to 20 mg <1% 17 $1.82
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 185 $0.92
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 48 $0.70
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 266 $0.09
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 0% 2,982 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 0% 289 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 1,894 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 0% 198 $0.00
88312 0% 70 $0.00
99233 Hospital visit by a doctor, follow-up day (complex) 0% 21 $0.00
00840 0% 58 $0.00
99408 0% 29 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 0% 30 $0.00
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 0% 39 $0.00
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 0% 108 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 0% 59 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 329 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 166 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 17 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 117 $0.00
J1790 Injection, droperidol, up to 5 mg 0% 30 $0.00
A4217 Sterile water/saline, 500 ml 0% 12 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 67 $0.00
00790 0% 17 $0.00
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 0% 12 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 0% 22 $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 officialCYTLAK, DAVE (VP MANAGED CARE)
Same official

Other billing entities under CYTLAK, DAVE

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.