Medicaid Provider Spending

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

MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC

NPI: 1811595192 · SISTERSVILLE, WV 26175 · Critical Access Hospital · NPI assigned 10/09/2020

$2.72M
Total Medicaid Paid
24,140
Total Claims
20,232
Beneficiaries
52
Codes Billed
2021-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWESTBROCK, PAUL (VP, LEGAL AFFIARS)
NPI Enumeration Date10/09/2020

Related Entities

Other providers sharing the same authorized official: WESTBROCK, PAUL

ProviderCityStateTotal Paid
MARIETTA MEMORIAL HOSPITAL MARIETTA OH $102.25M
MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC SAINT MARYS WV $1.50M
MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC SISTERSVILLE WV $956K
MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC MIDDLEBOURNE WV $196K
MARIETTA MEMORIAL HOSPITAL MARIETTA OH $69K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 2,340 $194K
2022 4,757 $466K
2023 9,363 $1.19M
2024 7,680 $871K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 4,895 4,169 $1.25M
99284 Emergency department visit for the evaluation and management, high severity 1,089 844 $335K
80053 Comprehensive metabolic panel 2,859 2,394 $247K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 967 883 $167K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 384 270 $122K
99282 Emergency department visit for the evaluation and management, low to moderate severity 613 553 $82K
71046 Radiologic examination, chest; 2 views 385 341 $60K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 397 323 $50K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 417 348 $34K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 357 287 $33K
84443 Thyroid stimulating hormone (TSH) 517 469 $32K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 555 467 $30K
86140 386 332 $24K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,115 1,766 $24K
A0425 Ground mileage, per statute mile 594 441 $23K
80048 Basic metabolic panel (calcium, ionized) 310 266 $19K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 113 78 $18K
84484 447 290 $14K
80061 Lipid panel 583 536 $13K
85027 606 533 $13K
71045 Radiologic examination, chest; single view 153 122 $12K
83690 236 201 $10K
36415 Collection of venous blood by venipuncture 2,036 1,702 $9K
85610 310 251 $9K
83605 191 164 $8K
96375 Therapeutic injection; each additional sequential IV push 183 146 $8K
70450 Computed tomography, head or brain; without contrast material 12 12 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 57 48 $7K
80076 80 67 $6K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 30 25 $5K
85730 176 153 $5K
96361 Intravenous infusion, hydration; each additional hour 91 76 $5K
83036 Hemoglobin; glycosylated (A1C) 339 316 $5K
94761 53 45 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 36 32 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 40 37 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 33 31 $3K
J7030 Infusion, normal saline solution , 1000 cc 486 325 $3K
84439 54 53 $2K
85652 63 56 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 41 41 $2K
81001 523 471 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 16 13 $752.98
83735 47 39 $674.15
J2405 Injection, ondansetron hydrochloride, per 1 mg 76 53 $428.89
87086 Culture, bacterial; quantitative colony count, urine 28 26 $398.69
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $335.18
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 23 12 $248.64
82570 14 13 $204.30
81003 76 68 $201.52
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 18 16 $74.88
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 18 16 $36.17