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

Pomerene Hospital

Pomerene Hospital was paid $4.66M by Medicaid between Jan 2018 and Dec 2024, across 105 billing codes. Its largest line is 99283, emergency room visit (moderate) — 22% of everything it billed.

33Billing provider infoPOMERENE HOSPITAL
MILLERSBURG, OH 44654
33aNPI1770957185assigned 11/23/2015
28Total paid$4.66M
24GClaims144,604
24DCodes billed105
24AFirst – last monthJan 2018 – Dec 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
201814,960$430K
201912,367$364K
202010,078$386K
202112,836$530K
202215,011$477K
202352,003$1.63M
2024incomplete27,349$843K
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 22% 17,538 14,339 $1.02M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 22% 9,749 8,332 $1.01M
96361 Intravenous infusion, hydration; each additional hour 10% 1,534 1,094 $470K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 9.7% 3,890 3,063 $451K
74177 Computed tomography, abdomen and pelvis; with contrast material 5.9% 988 670 $273K
70450 Computed tomography, head or brain; without contrast material 3.6% 678 529 $169K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2.9% 1,084 1,039 $137K
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 2.7% 676 586 $126K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2.6% 689 416 $121K
80053 Comprehensive metabolic panel 2.5% 11,156 8,925 $116K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.1% 1,266 330 $98K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.5% 2,126 1,908 $71K
93 more codes
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1.4% 39 $63K
71260 Computed tomography, thorax, diagnostic; with contrast material 1.3% 380 $62K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.1% 13,559 $52K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1.1% 603 $49K
80061 Lipid panel 1.0% 1,979 $47K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 162 $32K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 128 $29K
36415 Collection of venous blood by venipuncture <1% 17,346 $29K
84443 Thyroid stimulating hormone (TSH) <1% 1,484 $27K
G0378 Hospital observation service, per hour <1% 406 $23K
83036 Hemoglobin; glycosylated (A1C) <1% 1,312 $19K
80048 Basic metabolic panel (calcium, ionized) <1% 1,429 $17K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 153 $17K
84439 <1% 699 $16K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 604 $14K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 238 $12K
71046 Radiologic examination, chest; 2 views <1% 881 $9K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 3,347 $8K
87088 <1% 783 $8K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 28 $6K
86140 <1% 1,310 $6K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 238 $6K
81001 <1% 4,539 $3K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 266 $3K
84484 <1% 2,348 $3K
71045 Radiologic examination, chest; single view <1% 1,399 $3K
0002A <1% 86 $3K
85027 <1% 324 $3K
0001A <1% 78 $2K
83880 <1% 663 $2K
87400 <1% 100 $2K
85610 <1% 390 $2K
82607 <1% 112 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 722 $2K
83735 <1% 326 $2K
83690 <1% 1,471 $1K
83605 <1% 826 $1K
72125 Computed tomography, cervical spine; without contrast material <1% 118 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 2,178 $1K
82570 <1% 115 $927.27
84703 <1% 1,058 $908.55
80164 <1% 56 $828.34
85379 <1% 539 $750.35
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 1,441 $741.05
00160 <1% 34 $708.74
87040 <1% 751 $689.52
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 3,364 $567.78
82948 <1% 433 $484.12
96375 Therapeutic injection; each additional sequential IV push <1% 2,760 $470.35
87070 <1% 62 $407.63
J1170 Injection, hydromorphone, up to 4 mg <1% 1,090 $379.56
80076 <1% 58 $317.36
82043 <1% 43 $298.78
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 688 $297.07
96376 <1% 448 $284.30
85651 <1% 61 $262.94
82728 <1% 14 $262.25
83540 <1% 27 $255.82
84702 <1% 18 $242.70
J7030 Infusion, normal saline solution , 1000 cc <1% 3,753 $239.67
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 55 $213.27
87807 <1% 208 $200.64
82746 <1% 13 $162.83
J7120 Ringers lactate infusion, up to 1000 cc <1% 1,457 $126.48
87430 <1% 153 $120.77
73110 <1% 17 $109.58
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,651 $107.93
87486 <1% 40 $106.62
87581 <1% 40 $106.62
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 638 $105.21
85730 <1% 43 $100.43
J2270 Injection, morphine sulfate, up to 10 mg <1% 456 $98.93
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 79 $93.07
87081 <1% 44 $68.54
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 25 $55.48
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 2,990 $46.19
J7050 Infusion, normal saline solution, 250 cc <1% 1,192 $37.22
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 808 $21.10
C9113 Injection, pantoprazole sodium, per vial <1% 44 $20.86
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 47 $11.31
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 559 $10.94
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 82 $5.85
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,207 $3.56
J2060 Injection, lorazepam, 2 mg <1% 58 $2.19
91300 <1% 167 $1.37
J2704 Injection, propofol, 10 mg <1% 956 $0.19
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 0% 127 $0.00
00170 Anesthesia for intraoral procedures, including biopsy 0% 41 $0.00
G8598 Aspirin or another antiplatelet therapy used 0% 33 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 13 $0.00
73610 0% 16 $0.00
C1726 Catheter, balloon dilatation, non-vascular 0% 73 $0.00
80320 0% 31 $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 officialCERNAVA, TIA (CFO)