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

ST Elizabeth Medical Center, INC

ST Elizabeth Medical Center, INC was paid $45.99M by Medicaid between Jan 2018 and Dec 2024, across 268 billing codes. Its largest line is 99283, emergency room visit (moderate) — 16% of everything it billed.

33Billing provider infoST ELIZABETH MEDICAL CENTER, INC
FORT THOMAS, KY 41075
33aNPI1740221795assigned 06/09/2006
28Total paid$45.99M
24GClaims696,134
24DCodes billed268
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Kentucky

Rank by total paid#2 of 28
Median peer was paid$2.73M
This provider vs. median17×

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$1.0M2018201920202021202220232024
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
2018117,869$6.11M
2019110,102$6.42M
202077,818$4.89M
202188,206$5.46M
202294,872$6.34M
2023117,897$9.92M
2024incomplete89,370$6.85M
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 16% 31,851 27,965 $7.47M
41899 Unlisted procedure, dentoalveolar structures 15% 2,504 2,318 $7.11M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 15% 19,658 15,931 $6.85M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 9.7% 11,534 7,111 $4.48M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3.5% 18,169 11,701 $1.63M
G0378 Hospital observation service, per hour 3.2% 7,725 2,984 $1.47M
74177 Computed tomography, abdomen and pelvis; with contrast material 3.1% 6,889 6,177 $1.45M
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.6% 8,028 7,489 $1.21M
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2.6% 5,301 2,211 $1.20M
J3490 Unclassified drugs 2.1% 53,469 11,615 $985K
96361 Intravenous infusion, hydration; each additional hour 1.5% 15,164 8,051 $670K
64493 <1% 415 281 $453K
256 more codes
71046 Radiologic examination, chest; 2 views <1% 10,247 $445K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 6,216 $442K
70450 Computed tomography, head or brain; without contrast material <1% 5,209 $403K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,250 $346K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 14,722 $316K
96375 Therapeutic injection; each additional sequential IV push <1% 8,903 $311K
36415 Collection of venous blood by venipuncture <1% 65,743 $302K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 4,513 $282K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 7,416 $277K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,916 $273K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 10,894 $271K
62323 <1% 580 $266K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 4,070 $254K
64635 <1% 130 $250K
71045 Radiologic examination, chest; single view <1% 5,661 $244K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 2,479 $243K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 1,129 $239K
77067 Screening mammography, bilateral, including computer-aided detection <1% 3,009 $228K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 2,815 $198K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,437 $179K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,155 $176K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,714 $175K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,230 $165K
96376 <1% 4,792 $163K
76830 Ultrasound, transvaginal <1% 1,682 $153K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 5,111 $147K
64494 <1% 303 $144K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 353 $136K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 212 $129K
80053 Comprehensive metabolic panel <1% 17,853 $114K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 26,228 $113K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 3,634 $112K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 197 $102K
72100 <1% 2,113 $95K
11043 <1% 306 $94K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 547 $88K
73630 <1% 2,374 $85K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 2,268 $84K
94726 <1% 543 $83K
73564 <1% 1,919 $79K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,619 $78K
80048 Basic metabolic panel (calcium, ionized) <1% 18,482 $78K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 286 $76K
10060 <1% 378 $68K
71271 <1% 847 $67K
73130 <1% 1,884 $65K
84484 <1% 10,961 $62K
73610 <1% 2,117 $61K
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% 1,024 $60K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 11,344 $58K
84443 Thyroid stimulating hormone (TSH) <1% 4,553 $57K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,432 $56K
97162 <1% 1,162 $51K
84702 <1% 7,363 $50K
73030 <1% 1,584 $48K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,291 $46K
72125 Computed tomography, cervical spine; without contrast material <1% 937 $46K
80061 Lipid panel <1% 4,189 $44K
12001 <1% 410 $42K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,815 $41K
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% 533 $40K
64636 <1% 64 $40K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,836 $40K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,820 $40K
96367 <1% 901 $40K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,885 $39K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 31 $39K
73110 <1% 1,184 $35K
29125 <1% 347 $35K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 307 $34K
85027 <1% 9,630 $34K
82962 <1% 8,788 $33K
83690 <1% 8,552 $30K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 8,624 $30K
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg <1% 1,227 $29K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 2,855 $29K
71250 <1% 451 $29K
93971 <1% 339 $25K
77066 Tomosynthesis, mammo <1% 323 $25K
93017 <1% 235 $25K
83880 <1% 1,375 $23K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,101 $22K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 984 $22K
82565 <1% 1,825 $22K
83036 Hemoglobin; glycosylated (A1C) <1% 2,671 $22K
94729 <1% 374 $21K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 727 $20K
80076 <1% 3,902 $20K
90853 Group psychotherapy (other than of a multiple-family group) <1% 926 $19K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 2,337 $19K
76642 <1% 340 $18K
87631 <1% 185 $18K
J2270 Injection, morphine sulfate, up to 10 mg <1% 7,598 $17K
85610 <1% 6,996 $17K
81025 <1% 1,149 $17K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 3,947 $17K
99219 <1% 316 $17K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 16,051 $16K
82077 <1% 1,937 $16K
81001 <1% 8,079 $16K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 632 $16K
70496 <1% 130 $16K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 4,616 $15K
73502 <1% 481 $15K
90715 <1% 834 $14K
76770 <1% 193 $14K
87086 Culture, bacterial; quantitative colony count, urine <1% 3,415 $14K
85379 <1% 2,613 $13K
70498 <1% 156 $13K
70551 Magnetic resonance imaging, brain; without contrast material <1% 72 $13K
74018 <1% 306 $13K
83605 <1% 2,312 $13K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 173 $13K
36591 <1% 218 $11K
82607 <1% 690 $10K
84703 <1% 2,517 $10K
76536 <1% 122 $10K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 13 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 353 $10K
87522 Neg quan hep c or qual rna <1% 273 $10K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 6,829 $9K
77080 <1% 177 $9K
86900 <1% 682 $9K
73080 <1% 276 $9K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,737 $9K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 793 $9K
87430 <1% 1,499 $9K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 3,202 $9K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 6,854 $8K
83735 <1% 2,169 $8K
84145 <1% 566 $8K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 536 $8K
84439 <1% 975 $8K
71101 <1% 185 $8K
81003 <1% 4,423 $7K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 36 $7K
72050 <1% 127 $7K
87077 <1% 1,206 $7K
82803 <1% 527 $7K
88304 <1% 333 $6K
86140 <1% 1,540 $6K
J1650 Injection, enoxaparin sodium, 10 mg <1% 3,005 $6K
12002 <1% 39 $6K
J1815 Injection, insulin, per 5 units <1% 2,970 $6K
94761 <1% 434 $5K
70491 <1% 42 $5K
70486 <1% 72 $5K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 130 $5K
C9290 Injection, bupivacaine liposome, 1 mg <1% 48 $5K
97161 <1% 146 $5K
87040 <1% 685 $4K
J0690 Injection, cefazolin sodium, 500 mg <1% 2,071 $4K
J0780 Injection, prochlorperazine, up to 10 mg <1% 408 $4K
87186 <1% 994 $4K
80074 <1% 199 $4K
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 1,037 $3K
82570 <1% 725 $3K
94060 <1% 17 $3K
76942 <1% 40 $3K
82728 <1% 310 $3K
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 249 $3K
85652 <1% 1,494 $3K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 1,414 $3K
82746 <1% 230 $3K
80143 <1% 340 $3K
73140 <1% 139 $3K
87070 <1% 563 $2K
93880 <1% 25 $2K
29515 <1% 13 $2K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 118 $2K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 37 $2K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 1,107 $2K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 1,124 $2K
36416 <1% 211 $2K
V2632 Posterior chamber intraocular lens <1% 58 $2K
87210 <1% 944 $2K
93923 <1% 38 $2K
C9113 Injection, pantoprazole sodium, per vial <1% 783 $2K
93970 <1% 12 $2K
87205 <1% 787 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 26 $2K
95886 <1% 13 $2K
J2060 Injection, lorazepam, 2 mg <1% 1,331 $2K
80069 <1% 244 $2K
85730 <1% 528 $2K
J2785 Injection, regadenoson, 0.1 mg <1% 37 $2K
97010 <1% 206 $2K
J1170 Injection, hydromorphone, up to 4 mg <1% 1,878 $2K
80179 <1% 243 $2K
88307 <1% 12 $2K
86850 <1% 233 $2K
73590 <1% 60 $1K
73090 <1% 28 $1K
83540 <1% 296 $1K
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% 2,359 $1K
88738 <1% 152 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 12 $1K
86901 <1% 675 $1K
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose <1% 129 $1K
J1790 Injection, droperidol, up to 5 mg <1% 895 $1K
86780 <1% 128 $1K
93225 <1% 17 $1K
94010 <1% 13 $1K
83550 <1% 166 $998.63
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 579 $990.45
87340 <1% 110 $949.96
83970 <1% 24 $885.04
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 144 $880.03
77065 Tomosynthesis, mammo <1% 15 $877.80
86481 <1% 12 $855.95
96415 <1% 14 $852.35
72072 <1% 15 $834.01
97116 <1% 62 $792.82
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 526 $785.54
93226 <1% 15 $745.47
82550 <1% 176 $671.51
J1980 Injection, hyoscyamine sulfate, up to 0.25 mg <1% 53 $571.51
J1030 Injection, methylprednisolone acetate, 40 mg <1% 147 $551.45
J2550 Injection, promethazine hcl, up to 50 mg <1% 585 $519.84
P9612 Catheterization for collection of specimen, single patient, all places of service <1% 48 $507.79
86803 <1% 41 $492.74
87808 <1% 46 $479.16
84100 <1% 138 $447.17
J0697 Injection, sterile cefuroxime sodium, per 750 mg <1% 122 $441.48
G0008 Administration of influenza virus vaccine <1% 13 $365.30
82805 <1% 47 $326.64
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 74 $297.70
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 92 $295.59
97535 Self-care/home management training, each 15 minutes <1% 16 $275.00
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 61 $266.53
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 23 $225.23
82043 <1% 38 $183.79
A9270 Non-covered item or service <1% 495 $175.52
90686 <1% 18 $169.32
87807 <1% 67 $158.08
82977 <1% 128 $153.22
J3475 Injection, magnesium sulfate, per 500 mg <1% 69 $132.04
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 100 $130.72
87088 <1% 28 $122.25
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 64 $62.23
84550 <1% 13 $56.78
J1596 Injection, glycopyrrolate, 0.1 mg <1% 136 $50.95
99152 <1% 14 $48.63
J3360 Injection, diazepam, up to 5 mg <1% 15 $45.71
J1171 Injection, hydromorphone, 0.1 mg <1% 25 $28.18
J2470 Injection, pantoprazole sodium, 40 mg <1% 25 $25.33
J1836 Injection, metronidazole, 10 mg <1% 31 $23.34
Q0177 Hydroxyzine pamoate, 25 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% 697 $17.52
J3370 Injection, vancomycin hcl, 500 mg <1% 86 $15.69
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 40 $7.33
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 12 $0.46
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 72 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 0% 68 $0.00
80305 0% 13 $0.00
00142 0% 107 $0.00
Q0164 Prochlorperazine maleate, 5 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 0% 35 $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 officialRITCHEY-BALDWIN, LORI (CFO (INTERIM))
Same official

Other billing entities under RITCHEY-BALDWIN, LORI

Full network →
ProviderLocationPaid
ST Elizabeth Medical Center, INCEdgewood, KY$188.25M
ST Elizabeth Medical Center, INCFlorence, KY$65.44M
ST Elizabeth Medical Center, INCWilliamstown, KY$35.42M
ST Elizabeth Medical Center, INCLawrenceburg, IN$4.66M
ST Elizabeth Medical Center, INCErlanger, KY$3.75M
ST Elizabeth Medical Center, INCEdgewood, KY$2.95M
ST. Elizabeth Medical Center, INC.Edgewood, KY$438.18

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