Hospital
Mount Carmel Health System
Mount Carmel Health System was paid $14K by Medicaid between Jun 2018 and Dec 2024, across 28 billing codes. Its largest line is 97116, — 42% of everything it billed.
33Billing provider infoMOUNT CARMEL HEALTH SYSTEM
NEW ALBANY, OH 43054
NEW ALBANY, OH 43054
33aNPI1770668568assigned 10/27/2006
33bProvider typeSpecial Hospital
28Total paid$14K
24GClaims7,855
24DCodes billed28
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Special Hospital providers in Ohio
Rank by total paid#5 of 5
Median peer was paid$7.30M
This provider vs. median0.0×
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 | 49 | $445.63 | |
| 2022 | 62 | $7.46 | |
| 2023 | 4,845 | $10K | |
| 2024incomplete | 2,899 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97116 | 42% | 156 | 96 | $6K | |
| 64447 | 14% | 26 | 12 | $2K | |
| 36415 | Collection of venous blood by venipuncture | 10% | 582 | 476 | $1K |
| 97161 | 9.7% | 100 | 68 | $1K | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 9.0% | 15 | 15 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 5.2% | 94 | 78 | $718.23 |
| 94762 | 4.8% | 66 | 29 | $664.37 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 1.9% | 34 | 29 | $266.95 |
| 80053 | Comprehensive metabolic panel | <1% | 13 | 13 | $138.37 |
| 85730 | <1% | 12 | 12 | $78.89 | |
| J0690 | Injection, cefazolin sodium, 500 mg | <1% | 832 | 483 | $53.20 |
| 85610 | <1% | 12 | 12 | $39.41 |
16 more codes
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 748 | $27.34 |
| J1170 | Injection, hydromorphone, up to 4 mg | <1% | 347 | $15.25 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 536 | $12.57 |
| J2704 | Injection, propofol, 10 mg | <1% | 808 | $11.34 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 601 | $5.56 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 636 | $1.56 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 586 | $1.08 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 85 | $0.00 |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 0% | 140 | $0.00 |
| J3370 | Injection, vancomycin hcl, 500 mg | 0% | 231 | $0.00 |
| J3371 | Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg | 0% | 16 | $0.00 |
| C1776 | Joint device (implantable) | 0% | 232 | $0.00 |
| J0171 | Injection, adrenalin, epinephrine, 0.1 mg | 0% | 323 | $0.00 |
| J1171 | Injection, hydromorphone, 0.1 mg | 0% | 22 | $0.00 |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | 0% | 562 | $0.00 |
| J2370 | Injection, phenylephrine hcl, up to 1 ml | 0% | 40 | $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 officialPRIDAY, ANDREW (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Mount Carmel Health System | Columbus, OH | $66.65M |
| Mount Carmel Health System | Westerville, OH | $42.48M |
| Mount Carmel Health System | Grove City, OH | $14.42M |
| Diley Ridge Medical Center | Canal Winchester, OH | $6.17M |
| Mount Carmel Health System | Columbus, OH | $5.23M |
| Mount Carmel Health System | Columbus, OH | $403K |
| Mount Carmel Health System | Columbus, OH | $318K |
| Mount Carmel Health System | Grove City, OH | $180K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.