Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NH › Plymouth › NPI 1760496376
Clinic

Speare Memorial Hospital

Speare Memorial Hospital was paid $9.20M by Medicaid between Jan 2018 and Nov 2024, across 159 billing codes. Its largest line is 99283, emergency room visit (moderate) — 21% of everything it billed.

33Billing provider infoSPEARE MEMORIAL HOSPITAL
PLYMOUTH, NH 03264
33aNPI1760496376assigned 07/28/2006
28Total paid$9.20M
24GClaims198,457
24DCodes billed159
24AFirst – last monthJan 2018 – Nov 2024
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
201830,019$1.01M
201939,501$1.66M
202038,401$1.80M
202147,557$2.31M
202227,193$1.41M
20239,706$508K
2024incomplete6,080$500K
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 21% 13,369 9,613 $1.93M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 16% 10,629 6,734 $1.50M
74177 Computed tomography, abdomen and pelvis; with contrast material 7.9% 958 751 $724K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 7.3% 3,871 2,182 $669K
99282 Emergency department visit for the evaluation and management, low to moderate severity 7.1% 5,352 4,145 $655K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4.3% 4,321 1,170 $395K
G0378 Hospital observation service, per hour 3.9% 1,458 500 $363K
70450 Computed tomography, head or brain; without contrast material 3.8% 1,233 902 $348K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2.9% 2,658 1,633 $264K
96375 Therapeutic injection; each additional sequential IV push 2.1% 2,527 1,762 $192K
96361 Intravenous infusion, hydration; each additional hour 2.0% 2,459 1,643 $188K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1.6% 2,145 618 $148K
147 more codes
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.6% 2,765 $143K
71046 Radiologic examination, chest; 2 views 1.5% 1,928 $140K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1.4% 2,922 $129K
J3490 Unclassified drugs 1.2% 14,971 $114K
71045 Radiologic examination, chest; single view 1.2% 2,152 $112K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 758 $71K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 3,867 $69K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 2,743 $63K
80053 Comprehensive metabolic panel <1% 11,104 $60K
J7030 Infusion, normal saline solution , 1000 cc <1% 3,340 $56K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,623 $54K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 13,044 $51K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,050 $38K
J7050 Infusion, normal saline solution, 250 cc <1% 2,773 $34K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 62 $33K
77067 Screening mammography, bilateral, including computer-aided detection <1% 159 $30K
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% 984 $29K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 672 $29K
59025 Fetal non-stress test <1% 198 $28K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 537 $27K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 289 $26K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,123 $23K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,120 $23K
84443 Thyroid stimulating hormone (TSH) <1% 2,302 $22K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 427 $20K
J2704 Injection, propofol, 10 mg <1% 987 $19K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 2,568 $17K
J7120 Ringers lactate infusion, up to 1000 cc <1% 826 $16K
76830 Ultrasound, transvaginal <1% 71 $16K
84484 <1% 3,433 $14K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 153 $14K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed <1% 203 $11K
87086 Culture, bacterial; quantitative colony count, urine <1% 2,420 $10K
99213 Doctor's office visit, returning patient (routine) <1% 832 $9K
83735 <1% 2,681 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 246 $9K
80048 Basic metabolic panel (calcium, ionized) <1% 1,892 $9K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,953 $8K
36415 Collection of venous blood by venipuncture <1% 17,759 $8K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 133 $8K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,566 $8K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 2,066 $8K
83880 <1% 626 $8K
83690 <1% 2,084 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 917 $7K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 49 $7K
80061 Lipid panel <1% 743 $7K
87660 <1% 452 $7K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 295 $6K
87510 <1% 456 $6K
87480 <1% 456 $6K
72125 Computed tomography, cervical spine; without contrast material <1% 16 $6K
86850 <1% 741 $6K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 1,077 $6K
81025 <1% 1,278 $6K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 113 $5K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 350 $5K
87081 <1% 1,049 $5K
J1170 Injection, hydromorphone, up to 4 mg <1% 776 $5K
97161 <1% 54 $5K
83605 <1% 1,011 $4K
77063 Screening digital breast tomosynthesis, bilateral <1% 159 $4K
87186 <1% 882 $4K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 44 $4K
87040 <1% 745 $4K
85027 <1% 799 $4K
81003 <1% 3,372 $3K
85610 <1% 1,762 $3K
81001 <1% 2,017 $3K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 14 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 117 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 14 $3K
86140 <1% 876 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 631 $3K
87088 <1% 985 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 126 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 99 $2K
99214 Doctor's office visit, returning patient (more involved) <1% 560 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 292 $2K
99406 <1% 75 $2K
J3475 Injection, magnesium sulfate, per 500 mg <1% 216 $2K
82947 <1% 1,310 $2K
85730 <1% 651 $2K
85379 <1% 279 $2K
73564 <1% 14 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 245 $2K
73030 <1% 18 $2K
72100 <1% 16 $1K
82728 <1% 142 $1K
85652 <1% 736 $1K
73630 <1% 14 $1K
73610 <1% 18 $1K
96376 <1% 184 $1K
86901 <1% 532 $1K
86900 <1% 513 $1K
87449 <1% 141 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 59 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 97 $1K
84703 <1% 200 $1K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 42 $889.44
87077 <1% 122 $882.28
92551 <1% 165 $797.00
82550 <1% 142 $663.24
86803 <1% 57 $592.86
82607 <1% 73 $577.29
86317 <1% 47 $509.92
84439 <1% 76 $450.61
99217 <1% 15 $431.55
J0690 Injection, cefazolin sodium, 500 mg <1% 30 $410.13
86762 <1% 38 $404.84
87205 <1% 153 $389.65
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 347 $386.70
82805 <1% 17 $351.20
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 99 $344.71
87340 <1% 42 $326.62
J1790 Injection, droperidol, up to 5 mg <1% 42 $282.82
87070 <1% 46 $260.76
86592 <1% 71 $220.18
83540 <1% 40 $199.83
90472 Immunization administration, each additional vaccine (list separately) <1% 169 $195.25
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 129 $174.00
80050 General health panel <1% 26 $173.25
86618 <1% 15 $138.67
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% 20 $133.25
J3010 Injection, fentanyl citrate, 0.1 mg <1% 13 $103.76
84100 <1% 44 $101.87
83550 <1% 12 $96.47
82375 <1% 17 $94.95
80354 <1% 202 $79.00
82950 <1% 18 $74.23
A9270 Non-covered item or service <1% 73 $73.28
99173 <1% 124 $66.00
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 15 $62.72
85018 <1% 33 $44.43
85014 <1% 33 $44.43
81015 <1% 93 $39.32
90474 <1% 46 $21.00
90723 0% 50 $0.00
90680 0% 48 $0.00
90686 0% 47 $0.00
90648 0% 82 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 0% 121 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 0% 19 $0.00
90670 0% 99 $0.00
90685 0% 34 $0.00
90710 0% 19 $0.00
90633 0% 13 $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 officialMCEWEN, MICHELLE (PRESIDENT/CFO)
Parent organizationSPEARE MEMORIAL HOSPITAL
Same official

Other billing entities under MCEWEN, MICHELLE

Full network →
ProviderLocationPaid
Speare Memorial HospitalPlymouth, NH$6.40M
Speare Memorial HospitalPlymouth, NH$1.07M
Speare Memorial HospitalPlymouth, NH$817K
Speare Health Ventures, INC.Plymouth, NH$388K
Speare Memorial HospitalPlymouth, NH$84K
Speare Memorial HospitalPlymouth, NH$27K
Speare Memorial HospitalPlymouth, NH$20K

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