Medicaid Provider Spending

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

MERCY HEALTH-ALLEN HOSPITAL LLC

NPI: 1801825997 · OBERLIN, OH 44074 · Critical Access Hospital · NPI assigned 07/01/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official RALSTON, KIMBERLY controls 20+ related entities in our dataset. Read more

$8.61M
Total Medicaid Paid
215,971
Total Claims
177,480
Beneficiaries
132
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRALSTON, KIMBERLY (VP REIMBURSEMENT)
Parent OrganizationMERCY HEALTH LORAIN LLC
NPI Enumeration Date07/01/2006

Related Entities

Other providers sharing the same authorized official: RALSTON, KIMBERLY

ProviderCityStateTotal Paid
BON SECOURS ST. MARY'S HOSPITAL OF RICHMOND LLC RICHMOND VA $83.03M
MARYVIEW HOSPITAL LLC PORTSMOUTH VA $75.03M
BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC RICHMOND VA $57.21M
BON SECOURS ST FRANCIS MEDICAL CENTER LLC MIDLOTHIAN VA $44.86M
MERCY HEALTH YOUNGSTOWN LLC WARREN OH $43.63M
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC MECHANICSVILLE VA $42.02M
MERCY HEALTH YOUNGSTOWN LLC YOUNGSTOWN OH $36.60M
MERCY HEALTH - FAIRFIELD HOSPITAL LLC FAIRFIELD OH $25.17M
MARY IMMACULATE HOSPITAL LLC NEWPORT NEWS VA $24.51M
ST FRANCIS HOSPITAL INC GREENVILLE SC $17.81M
NWO INTEGRATED LABORATORIES MERCY LLC TOLEDO OH $13.47M
HOSPICE OF THE VALLEY, INC. GIRARD OH $13.33M
MERCY HEALTH - TIFFIN HOSPITAL LLC TIFFIN OH $12.99M
MERCY HEALTH - DEFIANCE HOSPITAL LLC DEFIANCE OH $11.90M
BON SECOURS DEPAUL MEDICAL CENTER LLC NORFOLK VA $11.59M
COMMUNITY MERCY HEALTH PARTNERS URBANA OH $8.81M
CHESAPEAKE HOSPITAL LLC KILMARNOCK VA $6.00M
MARYVIEW HOSPITAL, LLC SUFFOLK VA $3.48M
ROPER ST FRANCIS ANCILLARY SERVICES LADSON SC $3.33M
MERCY HEALTH YOUNGSTOWN LLC YOUNGSTOWN OH $3.23M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,756 $536K
2019 19,321 $574K
2020 13,984 $667K
2021 20,736 $992K
2022 25,107 $1.02M
2023 71,351 $2.48M
2024 47,716 $2.34M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 23,914 21,883 $2.98M
99284 Emergency department visit for the evaluation and management, high severity 13,707 11,538 $1.85M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,203 3,396 $615K
96361 Intravenous infusion, hydration; each additional hour 1,457 977 $556K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,470 4,278 $479K
74177 Computed tomography, abdomen and pelvis; with contrast material 935 682 $329K
74176 Computed tomography, abdomen and pelvis; without contrast material 826 612 $282K
70450 Computed tomography, head or brain; without contrast material 860 691 $269K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,307 853 $233K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,054 833 $135K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 6,150 5,243 $133K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,451 354 $100K
80053 Comprehensive metabolic panel 12,507 10,566 $96K
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 461 447 $91K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14,791 12,348 $30K
0202U Oncology (prostate), multianalyte, gene expression profiling 134 133 $28K
80061 Lipid panel 1,140 1,059 $25K
84443 Thyroid stimulating hormone (TSH) 1,540 1,374 $20K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 71 36 $16K
36415 Collection of venous blood by venipuncture 15,498 12,757 $16K
97530 Therapeutic activities, direct patient contact, each 15 minutes 524 260 $16K
84439 707 647 $16K
83036 Hemoglobin; glycosylated (A1C) 1,052 944 $14K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 697 174 $14K
71046 Radiologic examination, chest; 2 views 1,374 1,220 $14K
87070 669 560 $13K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 527 492 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,177 730 $11K
80048 Basic metabolic panel (calcium, ionized) 1,944 1,553 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,075 997 $9K
77067 Screening mammography, bilateral, including computer-aided detection 160 134 $9K
87086 Culture, bacterial; quantitative colony count, urine 2,571 2,178 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 6,478 5,526 $8K
71275 Computed tomographic angiography, chest, with contrast material 36 29 $8K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4,569 3,702 $7K
71045 Radiologic examination, chest; single view 3,155 2,684 $6K
82607 308 266 $6K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 436 384 $6K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 35 27 $5K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 336 271 $5K
96375 Therapeutic injection; each additional sequential IV push 6,019 4,810 $5K
76705 Ultrasound, abdominal, real time with image documentation; limited 44 39 $4K
73030 346 280 $4K
45380 Colonoscopy, flexible; with biopsy, single or multiple 12 12 $4K
83605 1,545 999 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 32 27 $4K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 242 238 $4K
72110 219 173 $4K
81001 7,226 6,090 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,902 4,875 $4K
72125 Computed tomography, cervical spine; without contrast material 83 62 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4,341 3,709 $3K
76801 29 28 $3K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 7,380 6,165 $3K
73630 509 418 $3K
85027 392 311 $3K
81003 3,190 2,692 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 335 270 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 14 14 $3K
73610 374 325 $3K
84484 1,916 1,332 $2K
77063 Screening digital breast tomosynthesis, bilateral 154 132 $2K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 60 52 $2K
G0378 Hospital observation service, per hour 28 12 $2K
73564 157 125 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 100 87 $2K
83690 2,615 1,971 $2K
84703 4,899 4,156 $2K
83735 2,926 2,348 $2K
73110 258 216 $2K
73130 279 229 $2K
97162 50 41 $2K
87186 357 221 $2K
86803 48 41 $1K
82746 126 105 $1K
87040 1,220 473 $1K
93975 15 15 $1K
87210 72 49 $1K
80306 725 576 $1K
96376 663 360 $1K
86592 46 38 $1K
87634 1,117 928 $1K
90715 68 54 $1K
85610 1,185 896 $1K
76830 Ultrasound, transvaginal 12 12 $938.17
74018 243 180 $883.54
73560 57 53 $687.67
82728 28 28 $678.78
87420 24 24 $671.06
86403 896 442 $626.12
83880 314 238 $572.14
74022 103 73 $568.55
73502 29 24 $554.89
J8540 Dexamethasone, oral, 0.25 mg 1,569 1,374 $504.50
82570 42 38 $456.33
86140 14 12 $405.31
84702 43 29 $385.77
83540 30 30 $365.86
82043 42 38 $342.72
82150 1,142 900 $303.56
J2270 Injection, morphine sulfate, up to 10 mg 1,310 769 $266.74
87077 83 52 $259.13
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,386 1,043 $244.02
83550 30 30 $226.25
80074 14 13 $201.34
J1885 Injection, ketorolac tromethamine, per 15 mg 5,541 4,532 $180.93
85379 463 354 $163.80
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 74 54 $122.87
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 129 124 $121.93
72050 12 12 $113.93
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,184 3,185 $108.13
87808 32 27 $96.96
73140 12 12 $91.02
82077 226 158 $80.69
J1170 Injection, hydromorphone, up to 4 mg 318 263 $75.44
87081 521 489 $66.07
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 347 271 $61.25
85730 87 75 $37.88
82550 17 12 $37.46
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,436 1,126 $35.73
J2360 Injection, orphenadrine citrate, up to 60 mg 524 399 $34.18
J2765 Injection, metoclopramide hcl, up to 10 mg 851 573 $32.10
J1200 Injection, diphenhydramine hcl, up to 50 mg 814 589 $29.31
J0696 Injection, ceftriaxone sodium, per 250 mg 725 488 $26.57
J2060 Injection, lorazepam, 2 mg 212 156 $20.28
88305 Level IV - Surgical pathology, gross and microscopic examination 23 15 $4.35
J2919 Injection, methylprednisolone sodium succinate, 5 mg 18 13 $2.47
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 189 163 $0.60
J2704 Injection, propofol, 10 mg 52 36 $0.48
J1010 Injection, methylprednisolone acetate, 1 mg 50 42 $0.00
94664 66 66 $0.00
87075 13 12 $0.00