Hospital
Saint Thomas West Hospital
Saint Thomas West Hospital was paid $3.68M by Medicaid between Jan 2018 and Jun 2020, across 58 billing codes. Its largest line is 99284, emergency room visit (serious) — 43% of everything it billed.
33Billing provider infoSAINT THOMAS WEST HOSPITAL
NASHVILLE, TN 37236
NASHVILLE, TN 37236
33aNPI1780778969assigned 10/03/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$3.68M
24GClaims69,417
24DCodes billed58
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other General Acute Care Hospital providers in Tennessee
Rank by total paid#50 of 71
Median peer was paid$6.96M
This provider vs. median0.5×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official DAVIS, LISA controls 12+ related entities in our dataset. Read more
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 | 30,381 | $1.67M | |
| 2019 | 28,099 | $1.47M | |
| 2020 | 10,937 | $544K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 43% | 11,710 | 10,548 | $1.58M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 27% | 9,963 | 9,207 | $980K |
| G0378 | Hospital observation service, per hour | 11% | 2,089 | 1,585 | $413K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 4.8% | 930 | 825 | $177K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 3.8% | 4,076 | 3,673 | $140K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 3.4% | 2,029 | 911 | $126K |
| 59025 | Fetal non-stress test | 3.1% | 1,577 | 1,229 | $113K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 214 | 201 | $15K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,467 | 1,346 | $15K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 1,403 | 888 | $14K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 959 | 853 | $13K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 413 | 390 | $9K |
46 more codes
| 97597 | <1% | 366 | $9K | |
| 85027 | <1% | 4,328 | $9K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,743 | $8K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 4,796 | $8K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 6,924 | $7K |
| 36415 | Collection of venous blood by venipuncture | <1% | 424 | $7K |
| 29581 | <1% | 286 | $6K | |
| 84484 | <1% | 1,124 | $6K | |
| 77336 | <1% | 69 | $4K | |
| 80053 | Comprehensive metabolic panel | <1% | 1,760 | $3K |
| 71045 | Radiologic examination, chest; single view | <1% | 306 | $3K |
| 81001 | <1% | 2,818 | $1K | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 485 | $1K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 86 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 452 | $983.54 |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 85 | $825.98 |
| 81025 | <1% | 779 | $753.61 | |
| 86850 | <1% | 92 | $734.77 | |
| 83690 | <1% | 484 | $692.29 | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 16 | $597.36 |
| 17250 | <1% | 56 | $595.73 | |
| 83880 | <1% | 123 | $515.90 | |
| 86900 | <1% | 94 | $449.93 | |
| 85610 | <1% | 431 | $387.15 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 48 | $363.46 |
| 86901 | <1% | 94 | $269.35 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 39 | $232.85 |
| 11045 | <1% | 86 | $226.89 | |
| 84703 | <1% | 85 | $131.67 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 66 | $99.85 |
| 82570 | <1% | 15 | $54.20 | |
| 81003 | <1% | 154 | $40.00 | |
| 87070 | <1% | 79 | $36.07 | |
| 84156 | <1% | 15 | $22.20 | |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 68 | $17.44 |
| 84134 | <1% | 32 | $16.21 | |
| J1170 | Injection, hydromorphone, up to 4 mg | <1% | 16 | $7.80 |
| 86140 | <1% | 50 | $5.75 | |
| 85651 | <1% | 35 | $4.38 | |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 13 | $2.70 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 358 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 40 | $0.00 |
| J2704 | Injection, propofol, 10 mg | 0% | 47 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 34 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 74 | $0.00 |
| 80076 | 0% | 12 | $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 officialDAVIS, LISA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Saint Thomas River Park Hospital, LLC | Mcminnville, TN | $8.41M |
| Saint Thomas West Hospital | Nashville, TN | $7.14M |
| Meeting Milestones Early Intervention Services, LLC | Gaffney, SC | $6.63M |
| Saint Thomas Highlands Hospital, LLC | Sparta, TN | $3.33M |
| Public Health Solutions | Brooklyn, NY | $2.10M |
| Nursing and Therapy Services of Colorado INC | Colorado Springs, CO | $1.05M |
| Saint Thomas Hickman Hospital | Centerville, TN | $924K |
| Saint Thomas Stones River Hospital, LLC | Woodbury, TN | $554K |
| Metro Anesthesia, PLLC | Ridgeland, MS | $261K |
| Talking Toddlers LLC | Simpsonville, SC | $16K |
| Royal Paradise Cente LLC | West Palm Beach, FL | $4K |
| Lisa A. Davis, M.D., P.A. | San Antonio, TX | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.