Medicaid Provider Spending

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

PONTOTOC HEALTH SERVICES, INC.

NPI: 1821103516 · PONTOTOC, MS 38863 · Critical Access Hospital · NPI assigned 08/20/2006

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

Authorized official TOPPIN, BRUCE controls 20+ related entities in our dataset. Read more

$11.55M
Total Medicaid Paid
200,531
Total Claims
150,717
Beneficiaries
115
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTOPPIN, BRUCE (CORPORATE SECRETARY)
Parent OrganizationPONTOTOC HEALTH SERVICES, INC.
NPI Enumeration Date08/20/2006

Related Entities

Other providers sharing the same authorized official: TOPPIN, BRUCE

ProviderCityStateTotal Paid
NORTH MISSISSIPPI MEDICAL CENTER, INC. TUPELO MS $117.67M
NORTH MISSISSIPPI MEDICAL CLINICS INC TUPELO MS $16.92M
MONROE HEALTH SERVICES, INC. AMORY MS $16.44M
CLAY COUNTY MEDICAL CORPORATION WEST POINT MS $16.13M
NORTH MISSISSIPPI MEDICAL CENTER INC. TUPELO MS $7.71M
CLAY COUNTY MEDICAL CORPORATION WEST POINT MS $7.30M
WEBSTER HEALTH SERVICES, INC. EUPORA MS $6.05M
MARION REGIONAL MEDICAL CENTER, INC. HAMILTON AL $5.48M
NORTH MISSISSIPPI MEDICAL CENTER INC. TUPELO MS $2.95M
WEBSTER HEALTH SERVICES, INC. EUPORA MS $2.84M
WEBSTER HEALTH SERVICES, INC. EUPORA MS $2.53M
NORTH MISSISSIPPI MEDICAL CENTER INC. SALTILLO MS $1.48M
NORTH MISSISSIPPI MEDICAL CENTER, INC. TUPELO MS $1.25M
NORTH MISSISSIPPI FACULTY PRACTICE PLAN LLC TUPELO MS $1.14M
NORTH MISSISSIPPI MEDICAL CENTER, INC TUPELO MS $995K
NORTH MISSISSIPPI EMERGENCY SERVICES, INC. TUPELO MS $958K
PONTOTOC HEALTH SERVICES, INC. NEW ALBANY MS $912K
PONTOTOC HEALTH SERVICES, INC. PONTOTOC MS $835K
NORTH MISSISSIPPI MEDICAL CENTER, INC. TUPELO MS $799K
NORTH MISSISSIPPI MEDICAL CENTER TUPELO MS $798K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24,103 $1.49M
2019 26,864 $1.90M
2020 24,469 $1.45M
2021 24,894 $1.54M
2022 29,280 $1.70M
2023 39,684 $1.99M
2024 31,237 $1.48M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 14,794 11,782 $3.15M
99283 Emergency department visit for the evaluation and management, moderate severity 12,868 9,705 $1.70M
90853 Group psychotherapy (other than of a multiple-family group) 11,364 1,557 $1.50M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,165 2,678 $928K
87428 7,906 6,786 $401K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,153 2,774 $377K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 5,588 1,419 $278K
70450 Computed tomography, head or brain; without contrast material 2,428 2,168 $276K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,752 4,798 $264K
71045 Radiologic examination, chest; single view 5,167 4,451 $257K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,464 1,091 $239K
74177 Computed tomography, abdomen and pelvis; with contrast material 753 675 $237K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,156 2,580 $195K
71046 Radiologic examination, chest; 2 views 2,811 2,492 $138K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,161 798 $133K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4,065 3,455 $126K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,023 900 $123K
74176 Computed tomography, abdomen and pelvis; without contrast material 446 397 $119K
96375 Therapeutic injection; each additional sequential IV push 2,661 2,249 $109K
96361 Intravenous infusion, hydration; each additional hour 2,098 1,731 $102K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14,255 11,558 $81K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,455 5,588 $81K
80053 Comprehensive metabolic panel 9,775 8,278 $74K
72125 Computed tomography, cervical spine; without contrast material 358 322 $59K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,462 1,832 $54K
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 879 757 $49K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,724 1,169 $46K
80048 Basic metabolic panel (calcium, ionized) 4,896 3,965 $31K
84443 Thyroid stimulating hormone (TSH) 2,262 2,053 $27K
80061 Lipid panel 2,502 2,284 $27K
83880 1,194 1,048 $26K
84484 3,339 2,643 $26K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed 322 270 $25K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,529 1,335 $23K
83036 Hemoglobin; glycosylated (A1C) 2,535 2,337 $21K
36415 Collection of venous blood by venipuncture 6,840 5,067 $14K
87081 2,484 2,226 $14K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 104 91 $14K
87807 1,267 1,098 $13K
83690 2,317 2,043 $11K
81001 4,193 3,657 $11K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 537 487 $10K
87040 1,513 771 $10K
87086 Culture, bacterial; quantitative colony count, urine 1,684 1,481 $9K
81025 1,153 1,026 $8K
73630 162 136 $8K
80076 1,083 1,003 $7K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,467 1,270 $6K
82728 677 590 $6K
J7030 Infusion, normal saline solution , 1000 cc 2,651 2,211 $5K
73030 89 80 $5K
81003 2,403 2,143 $5K
Q3014 Telehealth originating site facility fee 352 311 $5K
87077 775 662 $4K
87186 748 646 $4K
82607 446 401 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,959 1,669 $4K
83605 669 535 $4K
83735 940 762 $4K
73562 75 70 $3K
83550 582 513 $3K
84703 587 502 $3K
85027 542 453 $3K
83540 701 623 $3K
74018 67 61 $3K
90832 Psychotherapy, 30 minutes with patient 45 30 $3K
96376 220 166 $3K
72100 46 39 $3K
97161 15 14 $2K
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 34 33 $2K
73610 46 38 $2K
87400 82 73 $2K
80305 129 123 $1K
92526 33 12 $1K
85610 587 298 $1K
86140 329 279 $1K
A9270 Non-covered item or service 1,518 1,160 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 46 38 $1K
82550 187 150 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 796 656 $1K
82553 102 92 $987.65
97165 29 28 $962.92
85379 91 84 $774.08
J1885 Injection, ketorolac tromethamine, per 15 mg 2,190 1,911 $702.81
82962 258 176 $582.39
82570 69 61 $534.94
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 14 12 $519.01
82044 35 30 $381.47
86308 57 42 $359.61
73502 16 12 $332.70
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 12 12 $316.76
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 12 12 $316.76
82948 79 45 $295.10
99305 12 12 $271.04
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 357 315 $262.36
86738 21 20 $254.41
90715 46 38 $237.34
J2270 Injection, morphine sulfate, up to 10 mg 1,064 877 $209.17
J1100 Injection, dexamethasone sodium phosphate, 1 mg 304 267 $203.61
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 77 67 $176.08
99307 23 13 $157.89
J7050 Infusion, normal saline solution, 250 cc 109 83 $151.16
82150 32 30 $129.95
84145 377 335 $126.11
J1170 Injection, hydromorphone, up to 4 mg 126 82 $103.66
83615 19 14 $76.21
82043 17 16 $59.42
85652 27 24 $43.84
J1171 Injection, hydromorphone, 0.1 mg 35 29 $43.40
J2060 Injection, lorazepam, 2 mg 22 12 $7.75
J2919 Injection, methylprednisolone sodium succinate, 5 mg 37 27 $4.48
J2550 Injection, promethazine hcl, up to 50 mg 92 75 $0.00
J7510 Prednisolone oral, per 5 mg 66 63 $0.00
36416 198 167 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 16 12 $0.00