Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KY › BEREA › SAINT JOSEPH HEALTH SYSTEM, INC

SAINT JOSEPH HEALTH SYSTEM, INC

NPI: 1740488386 · BEREA, KY 40403 · Critical Access Hospital · NPI assigned 07/05/2007

$29.77M
Total Medicaid Paid
588,017
Total Claims
412,552
Beneficiaries
251
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialZIMMERMAN, DOROTHY (SENIOR DIRECTOR)
Parent OrganizationSAINT JOSEPH HEALTH SYSTEM, INC
NPI Enumeration Date07/05/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 89,430 $4.55M
2019 92,657 $4.25M
2020 84,466 $3.66M
2021 91,170 $4.32M
2022 81,705 $4.20M
2023 81,663 $4.42M
2024 66,926 $4.38M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 20,694 15,312 $4.45M
99283 Emergency department visit for the evaluation and management, moderate severity 27,337 23,217 $3.51M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 10,909 7,169 $2.56M
74176 Computed tomography, abdomen and pelvis; without contrast material 5,544 4,483 $1.49M
96375 Therapeutic injection; each additional sequential IV push 11,884 9,253 $952K
80053 Comprehensive metabolic panel 27,324 22,058 $906K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 14,983 4,644 $853K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 19,160 10,470 $766K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,529 2,208 $761K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,804 7,001 $560K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,343 1,103 $511K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 12,125 3,106 $506K
70450 Computed tomography, head or brain; without contrast material 3,392 2,785 $495K
36415 Collection of venous blood by venipuncture 73,211 34,179 $494K
71046 Radiologic examination, chest; 2 views 8,127 6,719 $482K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,988 3,532 $460K
71045 Radiologic examination, chest; single view 9,839 7,596 $439K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 25,964 21,328 $425K
96361 Intravenous infusion, hydration; each additional hour 13,489 5,240 $388K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 9,215 5,182 $307K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 795 323 $301K
96376 3,449 2,308 $268K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 4,253 3,717 $261K
74018 4,544 3,444 $238K
87086 Culture, bacterial; quantitative colony count, urine 10,561 8,020 $236K
83690 9,116 7,572 $218K
84484 7,837 6,304 $208K
73564 2,106 1,649 $195K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,113 1,007 $187K
77067 Screening mammography, bilateral, including computer-aided detection 2,380 2,283 $185K
81001 15,525 12,995 $174K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,302 3,589 $174K
84443 Thyroid stimulating hormone (TSH) 5,217 4,594 $170K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,173 4,019 $161K
73630 2,368 2,043 $158K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,240 697 $157K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4,892 4,495 $154K
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 2,954 2,211 $149K
73610 1,978 1,637 $143K
73030 2,012 1,529 $139K
72100 1,893 1,567 $138K
73130 1,763 1,494 $134K
83880 1,644 1,429 $120K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 4,532 3,057 $119K
81025 6,526 5,702 $113K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,840 1,585 $112K
87040 2,430 1,812 $110K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,848 1,636 $108K
80061 Lipid panel 4,044 3,613 $103K
83520 1,787 1,447 $102K
83735 4,701 3,651 $101K
80048 Basic metabolic panel (calcium, ionized) 6,757 5,319 $101K
52356 105 80 $96K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 4,414 3,410 $96K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,426 776 $91K
71275 Computed tomographic angiography, chest, with contrast material 382 323 $89K
85027 6,885 5,431 $88K
83605 3,619 2,873 $86K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography 185 167 $79K
J1212 Injection, dmso, dimethyl sulfoxide, 50%, 50 ml 204 156 $78K
73110 1,105 897 $75K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 4,370 1,188 $66K
71271 433 393 $66K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,041 610 $66K
87186 2,348 1,971 $63K
84145 686 589 $60K
71250 466 384 $59K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,170 2,241 $59K
87081 3,005 2,225 $58K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 1,560 1,224 $57K
85610 3,903 3,006 $55K
97162 803 746 $52K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,113 779 $51K
84439 2,673 2,416 $48K
G0378 Hospital observation service, per hour 292 178 $47K
85379 1,853 1,675 $46K
76536 252 223 $42K
76000 816 628 $41K
93017 389 345 $41K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,809 2,833 $41K
93971 182 161 $39K
83036 Hemoglobin; glycosylated (A1C) 2,269 2,008 $39K
72125 Computed tomography, cervical spine; without contrast material 249 221 $38K
G0410 Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes 532 77 $38K
29125 428 388 $37K
86140 2,494 2,198 $35K
73502 528 401 $35K
72040 434 347 $32K
12001 200 173 $32K
88305 Level IV - Surgical pathology, gross and microscopic examination 233 208 $32K
82150 1,617 1,354 $31K
80074 366 325 $31K
C1769 Guide wire 678 478 $28K
J1885 Injection, ketorolac tromethamine, per 15 mg 7,766 6,472 $26K
84481 973 911 $24K
82962 2,115 1,420 $23K
81003 4,959 4,026 $23K
82607 986 887 $23K
87522 Neg quan hep c or qual rna 210 183 $23K
85730 845 748 $22K
82570 1,400 1,166 $21K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 264 207 $21K
72131 125 107 $20K
71260 Computed tomography, thorax, diagnostic; with contrast material 72 65 $19K
52332 26 24 $19K
J7030 Infusion, normal saline solution , 1000 cc 4,008 3,156 $19K
J2405 Injection, ondansetron hydrochloride, per 1 mg 10,176 7,417 $18K
99281 Emergency department visit for the evaluation and management, self-limited or minor 338 310 $18K
85652 550 512 $17K
85651 1,526 1,350 $17K
52260 47 39 $17K
90715 594 548 $17K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 104 82 $15K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 239 74 $15K
97535 Self-care/home management training, each 15 minutes 292 149 $15K
0240U 647 458 $15K
87420 517 471 $15K
80050 General health panel 346 316 $14K
86701 259 239 $14K
96367 168 128 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 674 613 $13K
J1170 Injection, hydromorphone, up to 4 mg 4,057 2,158 $13K
52224 14 14 $13K
82805 324 235 $12K
J2704 Injection, propofol, 10 mg 3,199 2,427 $12K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 369 345 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 604 567 $11K
95806 53 51 $11K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,493 3,019 $11K
87070 519 398 $11K
0202U Oncology (prostate), multianalyte, gene expression profiling 76 46 $10K
82043 378 330 $10K
87077 467 386 $10K
J2270 Injection, morphine sulfate, up to 10 mg 2,876 1,773 $10K
C2617 Stent, non-coronary, temporary, without delivery system 138 81 $10K
73080 220 157 $9K
Q3014 Telehealth originating site facility fee 648 561 $9K
76700 Ultrasound, abdominal, real time with image documentation; complete 46 41 $8K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,376 1,081 $8K
97161 116 105 $8K
83540 467 431 $8K
G0297 Low dose ct scan (ldct) for lung cancer screening 61 56 $8K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 14 12 $8K
29515 105 102 $8K
71101 100 76 $8K
10060 81 71 $8K
52214 12 12 $7K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 47 45 $6K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 553 462 $6K
74022 65 63 $6K
73090 86 76 $6K
82550 300 246 $6K
77063 Screening digital breast tomosynthesis, bilateral 244 213 $6K
J2550 Injection, promethazine hcl, up to 50 mg 2,917 2,002 $6K
J3010 Injection, fentanyl citrate, 0.1 mg 2,124 1,481 $6K
J3490 Unclassified drugs 438 138 $6K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 84 81 $5K
78227 27 15 $5K
76830 Ultrasound, transvaginal 25 25 $5K
83550 267 252 $5K
82140 135 105 $5K
82728 150 138 $5K
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 1,406 1,015 $4K
80076 215 195 $4K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 15 12 $4K
J2785 Injection, regadenoson, 0.1 mg 29 25 $4K
J2250 Injection, midazolam hydrochloride, per 1 mg 1,520 1,016 $4K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 48 12 $4K
J3370 Injection, vancomycin hcl, 500 mg 289 182 $4K
C9113 Injection, pantoprazole sodium, per vial 934 747 $3K
J3475 Injection, magnesium sulfate, per 500 mg 376 262 $3K
87486 137 98 $3K
72072 45 41 $3K
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 184 153 $3K
94760 274 182 $3K
84702 71 63 $3K
J0561 Injection, penicillin g benzathine, 100,000 units 29 25 $3K
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,207 1,028 $2K
86038 90 83 $2K
93000 92 84 $2K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,144 829 $2K
J2060 Injection, lorazepam, 2 mg 759 496 $2K
87581 83 80 $2K
36416 247 179 $2K
36600 96 73 $2K
82948 355 209 $2K
82947 542 404 $2K
72110 24 24 $2K
73562 32 27 $2K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 83 80 $2K
73590 32 25 $2K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 636 516 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 36 28 $2K
J2765 Injection, metoclopramide hcl, up to 10 mg 625 550 $2K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 14 12 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 36 28 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 43 36 $1K
97116 31 13 $1K
83516 26 24 $1K
82803 13 12 $1K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 111 96 $1K
84153 25 25 $983.10
J2720 Injection, protamine sulfate, per 10 mg 49 40 $972.19
J0131 Injection, acetaminophen, not otherwise specified,10 mg 26 25 $859.16
97163 12 12 $815.51
86200 27 25 $808.46
29505 14 14 $764.13
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13 13 $758.65
86431 56 54 $754.11
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 68 61 $711.04
84550 53 37 $673.79
80320 14 13 $635.07
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 358 293 $581.74
82553 22 14 $536.19
82746 30 25 $535.63
80143 13 12 $519.51
J7120 Ringers lactate infusion, up to 1000 cc 98 87 $461.29
51702 13 12 $429.84
84100 18 16 $388.19
81015 375 306 $383.85
82507 17 12 $285.64
82131 17 12 $275.64
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 12 12 $271.01
J0780 Injection, prochlorperazine, up to 10 mg 33 32 $264.10
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 18 14 $262.46
83945 17 12 $253.65
J7050 Infusion, normal saline solution, 250 cc 87 70 $240.16
82248 14 12 $238.69
83935 17 12 $233.70
86430 14 12 $195.85
C1758 Catheter, ureteral 38 28 $178.40
82340 30 24 $168.52
82009 14 13 $153.96
J1630 Injection, haloperidol, up to 5 mg 45 42 $153.04
J2470 Injection, pantoprazole sodium, 40 mg 27 25 $151.84
84133 17 12 $149.82
J1650 Injection, enoxaparin sodium, 10 mg 31 13 $147.22
84300 17 12 $143.82
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 229 202 $138.39
80069 23 15 $129.24
82436 17 12 $127.82
84560 17 12 $121.82
94664 93 82 $110.69
84105 17 12 $103.83
84392 17 12 $83.88
J0690 Injection, cefazolin sodium, 500 mg 16 13 $72.80
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 16 13 $35.06
J2003 Injection, lidocaine hydrochloride, 1 mg 46 43 $35.04
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 12 12 $3.05
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 332 289 $0.63
A9270 Non-covered item or service 45 24 $0.00