Hospital
Providence Medical Center
Providence Medical Center was paid $593K by Medicaid between Jan 2018 and Sep 2024, across 35 billing codes. Its largest line is 99283, emergency room visit (moderate) — 36% of everything it billed.
33Billing provider infoPROVIDENCE MEDICAL CENTER
WAYNE, NE 68787
WAYNE, NE 68787
33aNPI1801867494assigned 01/31/2006
33bProvider typeCritical Access Hospital
28Total paid$593K
24GClaims10,228
24DCodes billed35
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Critical Access Hospital providers in Nebraska
Rank by total paid#27 of 53
Median peer was paid$593K
This provider vs. median1.0×
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
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 | 634 | $41K | |
| 2019 | 1,077 | $72K | |
| 2020 | 796 | $34K | |
| 2021 | 3,660 | $209K | |
| 2022 | 3,099 | $180K | |
| 2023 | 846 | $45K | |
| 2024incomplete | 116 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 36% | 1,343 | 1,129 | $211K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 16% | 312 | 267 | $94K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 11% | 855 | 205 | $65K |
| 80053 | Comprehensive metabolic panel | 5.6% | 789 | 622 | $33K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 5.1% | 1,166 | 918 | $30K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 3.1% | 62 | 51 | $18K |
| J3490 | Unclassified drugs | 3.0% | 908 | 394 | $18K |
| 36415 | Collection of venous blood by venipuncture | 2.8% | 1,790 | 1,317 | $17K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 387 | 357 | $14K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.7% | 121 | 113 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 175 | 165 | $10K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.4% | 171 | 148 | $8K |
23 more codes
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.2% | 56 | $7K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1.1% | 58 | $6K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 67 | $5K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 85 | $5K |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | <1% | 656 | $5K |
| 81001 | <1% | 324 | $5K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 116 | $4K |
| 81003 | <1% | 247 | $4K | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 142 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 124 | $4K |
| 84145 | <1% | 20 | $2K | |
| 87400 | <1% | 16 | $2K | |
| A0427 | Emergency ambulance ride, advanced life support | <1% | 14 | $2K |
| 71045 | Radiologic examination, chest; single view | <1% | 32 | $2K |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 34 | $2K |
| A0425 | Ground mileage, per statute mile | <1% | 18 | $1K |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 33 | $777.77 |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 20 | $760.00 |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 14 | $748.45 |
| 84484 | <1% | 13 | $676.67 | |
| Q3014 | Telehealth originating site facility fee | <1% | 14 | $648.24 |
| 86140 | <1% | 19 | $526.48 | |
| A9150 | Non-prescription drugs | 0% | 27 | $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 officialHAGLUND, NICOLE (CEO)