Clinic
Community Memorial Hospital
Community Memorial Hospital was paid $2.32M by Medicaid between Jan 2018 and May 2024, across 63 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoCOMMUNITY MEMORIAL HOSPITAL
HICKSVILLE, OH 43526
HICKSVILLE, OH 43526
33aNPI1730145392assigned 04/24/2006
33bProvider typeRural Health Clinic/Center
28Total paid$2.32M
24GClaims66,088
24DCodes billed63
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Ohio
Rank by total paid#2 of 58
Median peer was paid$70K
This provider vs. median33×
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 | 9,845 | $359K | |
| 2019 | 10,205 | $361K | |
| 2020 | 8,568 | $322K | |
| 2021 | 8,034 | $304K | |
| 2022 | 10,319 | $307K | |
| 2023 | 16,445 | $564K | |
| 2024incomplete | 2,672 | $107K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 21,165 | 17,438 | $775K |
| 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 | 28% | 12,908 | 10,627 | $640K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 15% | 4,801 | 3,899 | $348K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 5.6% | 1,376 | 1,024 | $130K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 3.4% | 1,559 | 1,369 | $79K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.8% | 887 | 193 | $66K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 2.3% | 3,644 | 2,239 | $52K |
| 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 | 1.7% | 767 | 471 | $39K |
| 80053 | Comprehensive metabolic panel | 1.0% | 1,586 | 1,200 | $24K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.0% | 1,580 | 1,404 | $24K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 86 | 44 | $21K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 507 | 395 | $12K |
51 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 5,429 | $11K |
| 99285 | Emergency room visit (most serious) | <1% | 113 | $11K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 256 | $10K |
| 80305 | <1% | 503 | $10K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,012 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 323 | $8K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 361 | $7K |
| 97035 | <1% | 66 | $7K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 133 | $6K |
| 80061 | Lipid panel | <1% | 368 | $5K |
| 87088 | <1% | 210 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 108 | $3K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 152 | $3K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 290 | $3K |
| 73630 | <1% | 43 | $3K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 54 | $2K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 250 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 33 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 228 | $1K |
| 84439 | <1% | 22 | $850.12 | |
| 73130 | <1% | 16 | $810.32 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 82 | $373.27 |
| 81001 | <1% | 340 | $359.47 | |
| 93000 | <1% | 30 | $308.98 | |
| 87400 | <1% | 28 | $265.53 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 169 | $191.23 |
| 83690 | <1% | 43 | $164.48 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 35 | $140.02 |
| 83735 | <1% | 70 | $138.50 | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 200 | $115.27 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 14 | $83.16 |
| 84484 | <1% | 28 | $56.96 | |
| 87428 | <1% | 263 | $54.46 | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 50 | $47.28 |
| 81003 | <1% | 17 | $45.92 | |
| 84703 | <1% | 23 | $17.31 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 16 | $16.17 |
| 97161 | <1% | 19 | $6.24 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 211 | $1.18 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 198 | $0.09 |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 1,524 | $0.00 |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 53 | $0.00 |
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | 0% | 526 | $0.00 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 0% | 73 | $0.00 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 12 | $0.00 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 0% | 26 | $0.00 |
| 87070 | 0% | 12 | $0.00 | |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | 0% | 18 | $0.00 |
| J2704 | Injection, propofol, 10 mg | 0% | 61 | $0.00 |
| 94760 | 0% | 99 | $0.00 | |
| J0690 | Injection, cefazolin sodium, 500 mg | 0% | 12 | $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 officialZACHRICH, JANE (CEO)