Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TROY HOSPITAL HEALTH CARE AUTHORITY

NPI: 1770814626 · TROY, AL 36081 · Rural Acute Care Hospital · NPI assigned 01/15/2010

$2.16M
Total Medicaid Paid
104,524
Total Claims
87,938
Beneficiaries
64
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCLAFLIN, DEBRA (REVENUE CYCLE DIRECTOR)
NPI Enumeration Date01/15/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,107 $213K
2019 16,595 $232K
2020 11,563 $183K
2021 13,891 $257K
2022 14,204 $298K
2023 18,241 $553K
2024 13,923 $424K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 19,449 17,195 $718K
99284 Emergency department visit for the evaluation and management, high severity 7,157 6,134 $404K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,804 1,664 $191K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,065 3,326 $147K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 576 471 $119K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 11,450 9,795 $89K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 2,729 2,434 $83K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 724 236 $77K
80053 Comprehensive metabolic panel 7,388 6,319 $70K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,193 2,620 $28K
74177 Computed tomography, abdomen and pelvis; with contrast material 203 167 $28K
80048 Basic metabolic panel (calcium, ionized) 2,548 2,199 $22K
83735 3,461 2,874 $19K
81001 4,937 4,246 $14K
71045 Radiologic examination, chest; single view 3,166 2,676 $13K
70450 Computed tomography, head or brain; without contrast material 174 144 $13K
87430 818 754 $11K
81025 3,151 2,798 $10K
80061 Lipid panel 591 574 $10K
87400 2,088 1,812 $10K
84484 1,809 1,274 $9K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 404 384 $9K
87086 Culture, bacterial; quantitative colony count, urine 751 634 $7K
87070 635 580 $6K
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 118 115 $6K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 88 82 $5K
80306 428 375 $4K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 138 84 $4K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 36 12 $4K
83036 Hemoglobin; glycosylated (A1C) 186 180 $3K
84443 Thyroid stimulating hormone (TSH) 128 123 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 298 292 $2K
83690 382 330 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 493 415 $2K
99281 Emergency department visit for the evaluation and management, self-limited or minor 46 44 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,745 1,497 $2K
71046 Radiologic examination, chest; 2 views 173 158 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 38 38 $2K
87210 349 334 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material 32 25 $2K
86803 43 42 $969.93
83880 54 37 $778.47
81003 449 391 $669.90
84439 54 52 $666.00
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 13 13 $570.44
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 85 82 $448.69
85610 152 124 $363.51
86141 30 28 $321.20
J0696 Injection, ceftriaxone sodium, per 250 mg 225 187 $296.31
86318 30 27 $234.74
J0780 Injection, prochlorperazine, up to 10 mg 34 29 $205.43
87420 13 12 $176.44
85730 136 112 $169.36
74018 16 15 $158.76
J2405 Injection, ondansetron hydrochloride, per 1 mg 554 485 $144.72
80076 14 13 $99.36
85027 28 24 $91.29
85007 28 24 $86.19
82043 14 14 $80.04
96361 Intravenous infusion, hydration; each additional hour 31 12 $78.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 28 27 $16.32
J1200 Injection, diphenhydramine hcl, up to 50 mg 13 12 $10.30
36415 Collection of venous blood by venipuncture 14,414 10,651 $8.97
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 117 111 $0.00