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

Cedar County Memorial Hospital

Cedar County Memorial Hospital was paid $1.03M by Medicaid between Jan 2018 and Nov 2024, across 34 billing codes. Its largest line is 99283, emergency room visit (moderate) — 45% of everything it billed.

33Billing provider infoCEDAR COUNTY MEMORIAL HOSPITAL
EL DORADO SPRINGS, MO 64744
33aNPI1720039605assigned 05/15/2006
33bProvider typeCritical Access Hospital
28Total paid$1.03M
24GClaims15,839
24DCodes billed34
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Critical Access Hospital providers in Missouri

Rank by total paid#20 of 33
Median peer was paid$2.24M
This provider vs. median0.5×

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$20K$40K2018201920202021202220232024
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
20181,648$140K
2019922$133K
2020982$90K
20211,306$50K
20222,935$166K
20234,909$245K
2024incomplete3,137$202K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 45% 3,591 3,011 $461K
99282 Emergency department visit for the evaluation and management, low to moderate severity 11% 1,323 1,190 $117K
90853 Group psychotherapy (other than of a multiple-family group) 10% 661 74 $107K
Y7506 7.6% 961 792 $78K
X4011 State-specific procedure code 5.8% 256 181 $59K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2.9% 434 392 $30K
80053 Comprehensive metabolic panel 2.5% 1,745 1,480 $26K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.5% 2,305 1,929 $25K
71045 Radiologic examination, chest; single view 2.1% 474 415 $21K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.9% 575 484 $19K
J3490 Unclassified drugs 1.7% 213 132 $18K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.7% 620 551 $17K
22 more codes
87631 1.1% 111 $11K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1.0% 175 $11K
36415 Collection of venous blood by venipuncture <1% 1,053 $4K
96375 Therapeutic injection; each additional sequential IV push <1% 128 $4K
J7140 <1% 104 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 12 $2K
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 <1% 21 $2K
84484 <1% 302 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 31 $1K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 28 $1K
70450 Computed tomography, head or brain; without contrast material <1% 14 $1K
81001 <1% 381 $644.99
G0482 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; 15-21 drug class(es), including metabolite(s) if performed <1% 13 $600.00
80048 Basic metabolic panel (calcium, ionized) <1% 106 $577.99
83690 <1% 98 $405.01
71046 Radiologic examination, chest; 2 views <1% 16 $225.97
84443 Thyroid stimulating hormone (TSH) <1% 15 $224.43
84439 <1% 15 $102.33
83605 <1% 12 $90.64
82043 <1% 15 $52.28
82570 <1% 15 $46.84
A9270 Non-covered item or service <1% 16 $6.26

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 officialGILBERT, CARLA (INTERIM CEO AND CFO)
Same official

Other billing entities under GILBERT, CARLA

Full network →
ProviderLocationPaid
Cedar County Memorial HospitalEl Dorado Springs, MO$273K
Cedar County Memorial HospitalEl Dorado Springs, MO$102K
Cedar County Memorial HospitalStockton, MO$24K
Cedar County Memorial HospitalEl Dorado Springs, MO$1K

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