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

Avita Ontario Hospital

Avita Ontario Hospital was paid $19.73M by Medicaid between Jan 2018 and Dec 2024, across 321 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 26% of everything it billed.

33Billing provider infoAVITA ONTARIO HOSPITAL
ONTARIO, OH 44906
33aNPI1790131050assigned 05/05/2016
28Total paid$19.73M
24GClaims560,027
24DCodes billed321
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Ohio

Rank by total paid#53 of 101
Median peer was paid$22.32M
This provider vs. median0.9×

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

$0$250K$500K$750K2018201920202021202220232024
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
201835,821$1.20M
201947,369$1.62M
202036,132$2.02M
202146,982$2.42M
202255,193$2.40M
2023185,583$5.42M
2024incomplete152,947$4.65M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 26% 62,023 53,688 $5.05M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 17% 35,011 32,264 $3.34M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 12% 22,596 20,181 $2.29M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.3% 9,633 8,207 $1.04M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.6% 9,338 8,633 $708K
96361 Intravenous infusion, hydration; each additional hour 2.9% 2,029 1,493 $577K
74176 Computed tomography, abdomen and pelvis; without contrast material 2.3% 1,859 1,509 $461K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.2% 6,074 5,518 $433K
74177 Computed tomography, abdomen and pelvis; with contrast material 2.0% 1,613 1,270 $386K
20610 1.7% 3,117 2,369 $336K
70450 Computed tomography, head or brain; without contrast material 1.7% 1,447 1,195 $334K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.6% 3,418 3,177 $318K
309 more codes
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.3% 741 $259K
31231 1.3% 1,015 $253K
80053 Comprehensive metabolic panel <1% 20,817 $196K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 1,341 $174K
52000 <1% 341 $161K
97803 <1% 1,960 $149K
99214 Doctor's office visit, returning patient (more involved) <1% 1,842 $148K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 5,323 $140K
90791 Psychiatric diagnostic evaluation <1% 919 $136K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 8,053 $135K
71275 Computed tomographic angiography, chest, with contrast material <1% 564 $133K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 707 $133K
G0378 Hospital observation service, per hour <1% 2,132 $132K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 511 $113K
59025 Fetal non-stress test <1% 798 $107K
31575 <1% 428 $89K
84443 Thyroid stimulating hormone (TSH) <1% 6,312 $85K
97804 <1% 973 $73K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 426 $70K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 3,551 $64K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 31,058 $62K
80061 Lipid panel <1% 6,106 $59K
96130 <1% 645 $58K
71250 <1% 729 $57K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 306 $54K
83036 Hemoglobin; glycosylated (A1C) <1% 5,313 $50K
36415 Collection of venous blood by venipuncture <1% 36,038 $47K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 640 $42K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 580 $40K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 10,517 $39K
96131 <1% 221 $38K
81003 <1% 5,182 $32K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 8,366 $29K
86140 <1% 3,821 $28K
71046 Radiologic examination, chest; 2 views <1% 3,681 $27K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 191 $27K
43235 <1% 75 $26K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 96 $26K
76770 <1% 190 $24K
92557 <1% 465 $24K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 2,019 $24K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 137 $23K
94060 <1% 269 $22K
82607 <1% 1,597 $22K
93971 <1% 381 $20K
77063 Screening digital breast tomosynthesis, bilateral <1% 463 $18K
80069 <1% 1,258 $16K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 741 $16K
94664 <1% 1,014 $15K
93017 <1% 230 $14K
84439 <1% 1,083 $14K
72125 Computed tomography, cervical spine; without contrast material <1% 477 $14K
20611 <1% 75 $14K
70551 Magnetic resonance imaging, brain; without contrast material <1% 98 $14K
J3490 Unclassified drugs <1% 1,583 $14K
85027 <1% 2,280 $14K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 240 $13K
86850 <1% 706 $13K
80048 Basic metabolic panel (calcium, ionized) <1% 1,517 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,294 $12K
84550 <1% 2,047 $12K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 3,503 $11K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 65 $11K
82728 <1% 947 $10K
84484 <1% 5,560 $10K
82570 <1% 1,290 $10K
72131 <1% 132 $10K
83540 <1% 1,439 $9K
51798 <1% 1,021 $9K
94727 <1% 258 $9K
83970 <1% 406 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 6,120 $9K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 81 $9K
86900 <1% 824 $8K
73564 <1% 1,168 $8K
90832 Psychotherapy session, about 30 minutes <1% 129 $8K
71045 Radiologic examination, chest; single view <1% 4,199 $8K
94729 <1% 259 $8K
87086 Culture, bacterial; quantitative colony count, urine <1% 3,512 $8K
72110 <1% 511 $8K
82746 <1% 1,327 $8K
76830 Ultrasound, transvaginal <1% 270 $8K
94618 <1% 107 $8K
73502 <1% 664 $8K
80076 <1% 2,697 $7K
86431 <1% 390 $7K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,116 $7K
83735 <1% 4,572 $7K
74018 <1% 422 $7K
97802 <1% 108 $7K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 158 $7K
81001 <1% 10,612 $7K
73030 <1% 828 $6K
83550 <1% 1,091 $6K
82550 <1% 1,090 $6K
90686 <1% 517 $6K
12001 <1% 45 $6K
87340 <1% 560 $5K
77067 Screening mammography, bilateral, including computer-aided detection <1% 461 $5K
92567 <1% 671 $5K
87150 <1% 803 $5K
85610 <1% 2,951 $5K
82565 <1% 6,744 $5K
92551 <1% 101 $5K
84702 <1% 551 $5K
76536 <1% 70 $5K
86803 <1% 656 $5K
87070 <1% 3,265 $5K
85652 <1% 2,414 $5K
90715 <1% 413 $5K
83605 <1% 3,171 $5K
86701 <1% 346 $4K
82043 <1% 757 $4K
90648 <1% 585 $4K
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% 450 $4K
80051 <1% 6,327 $4K
86038 <1% 359 $4K
86901 <1% 817 $4K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 839 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,119 $4K
73130 <1% 603 $4K
84425 <1% 588 $4K
73110 <1% 553 $4K
73630 <1% 706 $4K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 1,348 $3K
86704 <1% 361 $3K
82784 <1% 476 $3K
73562 <1% 701 $3K
80344 <1% 293 $3K
84153 <1% 373 $3K
96375 Therapeutic injection; each additional sequential IV push <1% 6,885 $3K
72100 <1% 243 $3K
86706 <1% 411 $3K
84403 <1% 270 $3K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 17 $3K
82652 <1% 396 $3K
70486 <1% 29 $3K
73221 <1% 14 $3K
84300 <1% 681 $3K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 35 $3K
93975 <1% 31 $3K
73610 <1% 694 $3K
84156 <1% 786 $3K
72050 <1% 104 $3K
86708 <1% 358 $3K
96376 <1% 1,351 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 343 $2K
85018 <1% 412 $2K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 374 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,234 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 7,509 $2K
96137 <1% 602 $2K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 1,471 $2K
10060 <1% 19 $2K
72114 <1% 57 $2K
90670 <1% 157 $2K
84590 <1% 292 $2K
84450 <1% 513 $2K
84446 <1% 283 $2K
86160 <1% 145 $2K
85730 <1% 1,338 $2K
69210 <1% 551 $2K
72070 <1% 85 $2K
92526 <1% 39 $2K
83516 <1% 200 $2K
31579 <1% 12 $2K
82947 <1% 6,369 $2K
0064A <1% 63 $2K
90472 Immunization administration, each additional vaccine (list separately) <1% 762 $2K
84460 <1% 523 $2K
81025 <1% 3,535 $2K
83880 <1% 723 $1K
84520 <1% 6,437 $1K
80305 <1% 537 $1K
86255 <1% 123 $1K
86320 <1% 162 $1K
90723 <1% 452 $1K
G0483 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; 22 or more drug class(es), including metabolite(s) if performed <1% 108 $1K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 75 $1K
83690 <1% 5,265 $1K
83520 <1% 209 $1K
82948 <1% 1,806 $1K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 12 $1K
87186 <1% 963 $1K
84630 <1% 68 $962.24
87088 <1% 790 $961.07
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 285 $941.19
J1170 Injection, hydromorphone, up to 4 mg <1% 1,408 $915.99
84207 <1% 117 $915.76
97535 Self-care/home management training, each 15 minutes <1% 65 $901.36
J1040 Injection, methylprednisolone acetate, 80 mg <1% 135 $815.24
85651 <1% 397 $802.83
86430 <1% 134 $794.71
96101 <1% 16 $746.48
82164 <1% 51 $704.83
90656 <1% 60 $702.87
87040 <1% 918 $664.72
92552 <1% 12 $637.49
J0500 Injection, dicyclomine hcl, up to 20 mg <1% 82 $633.33
82247 <1% 146 $629.45
84703 <1% 935 $616.60
97116 <1% 69 $609.57
J7030 Infusion, normal saline solution , 1000 cc <1% 4,117 $601.04
90633 <1% 75 $598.93
99203 Doctor's office visit, new patient (routine) <1% 14 $518.25
84165 <1% 184 $491.97
77080 <1% 12 $489.55
93242 <1% 14 $471.32
90681 <1% 161 $455.81
96136 <1% 591 $453.25
82803 <1% 302 $437.60
86480 <1% 15 $436.66
84145 <1% 83 $436.25
85378 <1% 1,134 $419.93
86618 <1% 55 $407.80
97162 <1% 59 $367.80
73080 <1% 49 $362.64
87449 <1% 117 $347.00
J7120 Ringers lactate infusion, up to 1000 cc <1% 3,927 $288.96
84100 <1% 160 $266.17
82248 <1% 84 $234.79
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,041 $228.03
82010 <1% 214 $215.57
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% 2,917 $209.63
J1650 Injection, enoxaparin sodium, 10 mg <1% 448 $194.72
86592 <1% 25 $176.89
72202 <1% 13 $143.76
77073 <1% 89 $141.93
J1010 Injection, methylprednisolone acetate, 1 mg <1% 211 $140.39
86200 <1% 61 $140.32
82525 <1% 13 $140.06
83525 <1% 12 $138.79
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 3,739 $136.50
87077 <1% 144 $128.88
90710 <1% 34 $125.04
C9113 Injection, pantoprazole sodium, per vial <1% 208 $124.09
86308 <1% 70 $114.03
85045 <1% 42 $108.95
82310 <1% 50 $108.85
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 6,700 $108.76
85014 <1% 45 $101.50
90734 <1% 12 $100.00
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg <1% 575 $95.41
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 405 $94.72
73590 <1% 14 $92.22
84075 <1% 53 $91.43
74022 <1% 19 $88.14
J2470 Injection, pantoprazole sodium, 40 mg <1% 145 $79.84
87210 <1% 29 $75.35
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 250 $72.80
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 3,063 $71.01
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 792 $70.19
86780 <1% 13 $66.82
85049 <1% 12 $66.23
87220 <1% 28 $65.50
J3475 Injection, magnesium sulfate, per 500 mg <1% 235 $61.99
73100 <1% 15 $59.90
G0009 Administration of pneumococcal vaccine <1% 12 $53.54
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 22 $52.19
J2704 Injection, propofol, 10 mg <1% 3,673 $49.10
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 376 $48.99
84155 <1% 30 $43.14
90694 <1% 19 $42.66
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,705 $42.38
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 825 $39.22
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 61 $38.78
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,800 $37.76
J1956 Injection, levofloxacin, 250 mg <1% 176 $37.56
73120 <1% 13 $35.94
J7510 Prednisolone oral, per 5 mg <1% 96 $32.90
J3480 Injection, potassium chloride, per 2 meq <1% 22 $32.20
J1644 Injection, heparin sodium, per 1000 units <1% 32 $30.53
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,187 $29.12
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 1,179 $27.23
82747 <1% 30 $26.25
87205 <1% 100 $22.07
J3370 Injection, vancomycin hcl, 500 mg <1% 139 $21.08
87493 <1% 40 $20.69
73140 <1% 22 $13.47
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 58 $10.65
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 199 $8.19
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,615 $6.54
J1171 Injection, hydromorphone, 0.1 mg <1% 75 $2.25
J1920 Injection, labetalol hydrochloride, 5 mg <1% 21 $1.36
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 746 $0.98
J2060 Injection, lorazepam, 2 mg <1% 59 $0.85
91306 <1% 63 $0.60
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 28 $0.27
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 87 $0.00
76937 0% 107 $0.00
92504 0% 152 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 0% 143 $0.00
90662 0% 14 $0.00
88313 0% 44 $0.00
J1240 Injection, dimenhydrinate, up to 50 mg 0% 33 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 29 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 0% 31 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 44 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 69 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 39 $0.00
94761 0% 273 $0.00
36000 0% 15 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 123 $0.00
G0008 Administration of influenza virus vaccine 0% 55 $0.00
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 0% 17 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 84 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 25 $0.00
A9270 Non-covered item or service 0% 55 $0.00
82150 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 officialDRAIME, DONALD (CFO)
Parent organizationAVITA HEALTH SYSTEM
Same official

Other billing entities under DRAIME, DONALD

Full network →
ProviderLocationPaid
Galion Community HospitalGalion, OH$25.15M
Galion Community HospitalGalion, OH$80K

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