Medicaid Provider Spending

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

AVITA ONTARIO HOSPITAL

NPI: 1790131050 · ONTARIO, OH 44906 · General Acute Care Hospital · NPI assigned 05/05/2016

$19.73M
Total Medicaid Paid
560,027
Total Claims
469,525
Beneficiaries
321
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDRAIME, DONALD (CFO)
Parent OrganizationAVITA HEALTH SYSTEM
NPI Enumeration Date05/05/2016

Related Entities

Other providers sharing the same authorized official: DRAIME, DONALD

ProviderCityStateTotal Paid
GALION COMMUNITY HOSPITAL GALION OH $25.15M
GALION COMMUNITY HOSPITAL GALION OH $80K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 35,821 $1.20M
2019 47,369 $1.62M
2020 36,132 $2.02M
2021 46,982 $2.42M
2022 55,193 $2.40M
2023 185,583 $5.42M
2024 152,947 $4.65M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 62,023 53,688 $5.05M
99283 Emergency department visit for the evaluation and management, moderate severity 35,011 32,264 $3.34M
99284 Emergency department visit for the evaluation and management, high severity 22,596 20,181 $2.29M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 9,633 8,207 $1.04M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,338 8,633 $708K
96361 Intravenous infusion, hydration; each additional hour 2,029 1,493 $577K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,859 1,509 $461K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,074 5,518 $433K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,613 1,270 $386K
20610 3,117 2,369 $336K
70450 Computed tomography, head or brain; without contrast material 1,447 1,195 $334K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,418 3,177 $318K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 741 589 $259K
31231 1,015 935 $253K
80053 Comprehensive metabolic panel 20,817 17,789 $196K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,341 1,025 $174K
52000 341 323 $161K
97803 1,960 1,649 $149K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,842 1,742 $148K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 5,323 4,734 $140K
90791 Psychiatric diagnostic evaluation 919 876 $136K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 8,053 7,053 $135K
71275 Computed tomographic angiography, chest, with contrast material 564 450 $133K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 707 436 $133K
G0378 Hospital observation service, per hour 2,132 806 $132K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 511 472 $113K
59025 Fetal non-stress test 798 482 $107K
31575 428 398 $89K
84443 Thyroid stimulating hormone (TSH) 6,312 5,817 $85K
97804 973 877 $73K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 426 353 $70K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,551 3,320 $64K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 31,058 25,538 $62K
80061 Lipid panel 6,106 5,692 $59K
96130 645 612 $58K
71250 729 653 $57K
96110 Developmental screening, with scoring and documentation, per standardized instrument 306 272 $54K
83036 Hemoglobin; glycosylated (A1C) 5,313 4,922 $50K
36415 Collection of venous blood by venipuncture 36,038 29,518 $47K
76705 Ultrasound, abdominal, real time with image documentation; limited 640 542 $42K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 580 332 $40K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 10,517 9,298 $39K
96131 221 214 $38K
81003 5,182 4,358 $32K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,366 6,918 $29K
86140 3,821 2,821 $28K
71046 Radiologic examination, chest; 2 views 3,681 3,283 $27K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 191 174 $27K
43235 75 65 $26K
J0585 Injection, onabotulinumtoxina, 1 unit 96 41 $26K
76770 190 175 $24K
92557 465 431 $24K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 2,019 1,835 $24K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 137 122 $23K
94060 269 239 $22K
82607 1,597 1,442 $22K
93971 381 334 $20K
77063 Screening digital breast tomosynthesis, bilateral 463 418 $18K
80069 1,258 975 $16K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 741 633 $16K
94664 1,014 795 $15K
93017 230 207 $14K
84439 1,083 973 $14K
72125 Computed tomography, cervical spine; without contrast material 477 397 $14K
20611 75 71 $14K
70551 Magnetic resonance imaging, brain; without contrast material 98 87 $14K
J3490 Unclassified drugs 1,583 745 $14K
85027 2,280 2,071 $14K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 240 101 $13K
86850 706 601 $13K
80048 Basic metabolic panel (calcium, ionized) 1,517 1,265 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,294 2,053 $12K
84550 2,047 1,892 $12K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,503 3,018 $11K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 65 53 $11K
82728 947 850 $10K
84484 5,560 4,222 $10K
82570 1,290 1,124 $10K
72131 132 107 $10K
83540 1,439 1,298 $9K
51798 1,021 910 $9K
94727 258 230 $9K
83970 406 368 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,120 4,607 $9K
99281 Emergency department visit for the evaluation and management, self-limited or minor 81 72 $9K
86900 824 682 $8K
73564 1,168 1,038 $8K
90832 Psychotherapy, 30 minutes with patient 129 128 $8K
71045 Radiologic examination, chest; single view 4,199 3,555 $8K
94729 259 231 $8K
87086 Culture, bacterial; quantitative colony count, urine 3,512 2,958 $8K
72110 511 452 $8K
82746 1,327 1,197 $8K
76830 Ultrasound, transvaginal 270 218 $8K
94618 107 96 $8K
73502 664 581 $8K
80076 2,697 2,259 $7K
86431 390 369 $7K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,116 1,001 $7K
83735 4,572 3,377 $7K
74018 422 356 $7K
97802 108 105 $7K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 158 134 $7K
81001 10,612 9,157 $7K
73030 828 669 $6K
83550 1,091 985 $6K
82550 1,090 921 $6K
90686 517 459 $6K
12001 45 39 $6K
87340 560 481 $5K
77067 Screening mammography, bilateral, including computer-aided detection 461 418 $5K
92567 671 632 $5K
87150 803 651 $5K
85610 2,951 2,216 $5K
82565 6,744 5,699 $5K
92551 101 87 $5K
84702 551 399 $5K
76536 70 68 $5K
86803 656 576 $5K
87070 3,265 2,760 $5K
85652 2,414 1,886 $5K
90715 413 346 $5K
83605 3,171 2,397 $5K
86701 346 313 $4K
82043 757 687 $4K
90648 585 514 $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 450 365 $4K
80051 6,327 5,332 $4K
86038 359 304 $4K
86901 817 680 $4K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 839 776 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,119 1,004 $4K
73130 603 505 $4K
84425 588 530 $4K
73110 553 452 $4K
73630 706 602 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 1,348 749 $3K
86704 361 311 $3K
82784 476 245 $3K
73562 701 615 $3K
80344 293 285 $3K
84153 373 339 $3K
96375 Therapeutic injection; each additional sequential IV push 6,885 4,999 $3K
72100 243 216 $3K
86706 411 354 $3K
84403 270 250 $3K
J0561 Injection, penicillin g benzathine, 100,000 units 17 16 $3K
82652 396 366 $3K
70486 29 26 $3K
73221 14 13 $3K
84300 681 624 $3K
J1050 Injection, medroxyprogesterone acetate, 1 mg 35 28 $3K
93975 31 25 $3K
73610 694 568 $3K
84156 786 662 $3K
72050 104 93 $3K
86708 358 309 $3K
96376 1,351 710 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 343 340 $2K
85018 412 334 $2K
J1030 Injection, methylprednisolone acetate, 40 mg 374 305 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,234 939 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 7,509 6,214 $2K
96137 602 571 $2K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 1,471 1,244 $2K
10060 19 13 $2K
72114 57 52 $2K
90670 157 146 $2K
84590 292 253 $2K
84450 513 394 $2K
84446 283 246 $2K
86160 145 77 $2K
85730 1,338 1,090 $2K
69210 551 500 $2K
72070 85 79 $2K
92526 39 28 $2K
83516 200 150 $2K
31579 12 12 $2K
82947 6,369 5,361 $2K
0064A 63 62 $2K
90472 Immunization administration, each additional vaccine (list separately) 762 699 $2K
84460 523 402 $2K
81025 3,535 2,940 $2K
83880 723 553 $1K
84520 6,437 5,422 $1K
80305 537 385 $1K
86255 123 71 $1K
86320 162 153 $1K
90723 452 391 $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 108 106 $1K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 75 25 $1K
83690 5,265 4,254 $1K
83520 209 110 $1K
82948 1,806 985 $1K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 12 12 $1K
87186 963 749 $1K
84630 68 64 $962.24
87088 790 633 $961.07
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 285 273 $941.19
J1170 Injection, hydromorphone, up to 4 mg 1,408 951 $915.99
84207 117 111 $915.76
97535 Self-care/home management training, each 15 minutes 65 25 $901.36
J1040 Injection, methylprednisolone acetate, 80 mg 135 119 $815.24
85651 397 372 $802.83
86430 134 118 $794.71
96101 16 13 $746.48
82164 51 47 $704.83
90656 60 59 $702.87
87040 918 496 $664.72
92552 12 12 $637.49
J0500 Injection, dicyclomine hcl, up to 20 mg 82 56 $633.33
82247 146 93 $629.45
84703 935 731 $616.60
97116 69 37 $609.57
J7030 Infusion, normal saline solution , 1000 cc 4,117 2,843 $601.04
90633 75 66 $598.93
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 12 $518.25
84165 184 170 $491.97
77080 12 12 $489.55
93242 14 13 $471.32
90681 161 132 $455.81
96136 591 560 $453.25
82803 302 250 $437.60
86480 15 12 $436.66
84145 83 65 $436.25
85378 1,134 920 $419.93
86618 55 41 $407.80
97162 59 44 $367.80
73080 49 43 $362.64
87449 117 74 $347.00
J7120 Ringers lactate infusion, up to 1000 cc 3,927 3,028 $288.96
84100 160 99 $266.17
82248 84 53 $234.79
J2270 Injection, morphine sulfate, up to 10 mg 1,041 707 $228.03
82010 214 153 $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 2,917 2,248 $209.63
J1650 Injection, enoxaparin sodium, 10 mg 448 230 $194.72
86592 25 25 $176.89
72202 13 13 $143.76
77073 89 83 $141.93
J1010 Injection, methylprednisolone acetate, 1 mg 211 189 $140.39
86200 61 59 $140.32
82525 13 12 $140.06
83525 12 12 $138.79
J1885 Injection, ketorolac tromethamine, per 15 mg 3,739 2,800 $136.50
87077 144 108 $128.88
90710 34 30 $125.04
C9113 Injection, pantoprazole sodium, per vial 208 150 $124.09
86308 70 56 $114.03
85045 42 36 $108.95
82310 50 36 $108.85
J2405 Injection, ondansetron hydrochloride, per 1 mg 6,700 4,918 $108.76
85014 45 41 $101.50
90734 12 12 $100.00
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 575 404 $95.41
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 405 281 $94.72
73590 14 12 $92.22
84075 53 36 $91.43
74022 19 13 $88.14
J2470 Injection, pantoprazole sodium, 40 mg 145 101 $79.84
87210 29 25 $75.35
J2919 Injection, methylprednisolone sodium succinate, 5 mg 250 169 $72.80
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,063 2,465 $71.01
J0696 Injection, ceftriaxone sodium, per 250 mg 792 543 $70.19
86780 13 13 $66.82
85049 12 12 $66.23
87220 28 25 $65.50
J3475 Injection, magnesium sulfate, per 500 mg 235 153 $61.99
73100 15 14 $59.90
G0009 Administration of pneumococcal vaccine 12 12 $53.54
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 22 15 $52.19
J2704 Injection, propofol, 10 mg 3,673 2,990 $49.10
J2360 Injection, orphenadrine citrate, up to 60 mg 376 282 $48.99
84155 30 24 $43.14
90694 19 19 $42.66
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,705 1,282 $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 825 560 $39.22
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 61 57 $38.78
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,800 1,303 $37.76
J1956 Injection, levofloxacin, 250 mg 176 68 $37.56
73120 13 13 $35.94
J7510 Prednisolone oral, per 5 mg 96 68 $32.90
J3480 Injection, potassium chloride, per 2 meq 22 12 $32.20
J1644 Injection, heparin sodium, per 1000 units 32 12 $30.53
J2765 Injection, metoclopramide hcl, up to 10 mg 1,187 859 $29.12
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,179 894 $27.23
82747 30 30 $26.25
87205 100 76 $22.07
J3370 Injection, vancomycin hcl, 500 mg 139 61 $21.08
87493 40 38 $20.69
73140 22 14 $13.47
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 58 32 $10.65
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 199 156 $8.19
J3010 Injection, fentanyl citrate, 0.1 mg 1,615 1,226 $6.54
J1171 Injection, hydromorphone, 0.1 mg 75 65 $2.25
J1920 Injection, labetalol hydrochloride, 5 mg 21 14 $1.36
J2250 Injection, midazolam hydrochloride, per 1 mg 746 580 $0.98
J2060 Injection, lorazepam, 2 mg 59 38 $0.85
91306 63 62 $0.60
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 28 18 $0.27
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 87 69 $0.00
76937 107 90 $0.00
92504 152 145 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 143 122 $0.00
90662 14 13 $0.00
88313 44 39 $0.00
J1240 Injection, dimenhydrinate, up to 50 mg 33 29 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 29 14 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 31 28 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 44 39 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 69 66 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 39 29 $0.00
94761 273 107 $0.00
36000 15 13 $0.00
J0690 Injection, cefazolin sodium, 500 mg 123 102 $0.00
G0008 Administration of influenza virus vaccine 55 52 $0.00
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 17 17 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 84 82 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 25 13 $0.00
A9270 Non-covered item or service 55 12 $0.00
82150 12 12 $0.00