Medicaid Provider Spending

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

SALEM MEMORIAL HOSPITAL

NPI: 1821243981 · SALEM, MO 65560 · Rural Health Clinic/Center · NPI assigned 11/17/2008

$1.79M
Total Medicaid Paid
21,489
Total Claims
16,362
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRYOR, DENNIS (HOSPITAL ADMINISTRATOR)
Parent OrganizationSALEM MEMORIAL HOSPITAL
NPI Enumeration Date11/17/2008

Related Entities

Other providers sharing the same authorized official: PRYOR, DENNIS

ProviderCityStateTotal Paid
SALEM MEMORIAL HOSPITAL SALEM MO $7.58M
SALEM MEMORIAL HOSPITAL SALEM MO $64K
SALEM MEMORIAL HOSPITAL SALEM MO $35K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,442 $278K
2019 4,302 $375K
2020 2,983 $261K
2021 2,915 $265K
2022 2,812 $178K
2023 3,046 $227K
2024 1,989 $207K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,338 8,443 $1.13M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,894 6,903 $590K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 466 355 $22K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 136 127 $17K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 68 63 $11K
99215 Prolong outpt/office vis 68 55 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 79 78 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 13 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $1K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 61 57 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 316 230 $815.42
J1885 Injection, ketorolac tromethamine, per 15 mg 37 26 $28.30