Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KY › MANCHESTER › MEMORIAL HOSPITAL, INC.

MEMORIAL HOSPITAL, INC.

NPI: 1831150119 · MANCHESTER, KY 40962 · Addiction (Substance Use Disorder) Counselor · NPI assigned 03/28/2006

$2.68M
Total Medicaid Paid
199,345
Total Claims
161,576
Beneficiaries
132
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJACOB, SISSEL (CEO)
NPI Enumeration Date03/28/2006

Related Entities

Other providers sharing the same authorized official: JACOB, SISSEL

ProviderCityStateTotal Paid
MEMORIAL HOSPITAL INC. MANCHESTER KY $12.43M
MEMORIAL HOSPITAL, INC. BEVERLY KY $480K
MEMORIAL HOSPITAL, INC. ONEIDA KY $399K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 30,762 $822K
2019 17,002 $354K
2020 34,964 $468K
2021 28,148 $330K
2022 65,556 $493K
2023 21,769 $185K
2024 1,144 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33,777 27,527 $885K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,235 11,185 $468K
99283 Emergency department visit for the evaluation and management, moderate severity 6,201 5,801 $223K
99284 Emergency department visit for the evaluation and management, high severity 4,212 3,797 $218K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,288 2,036 $124K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,026 1,800 $80K
99232 Subsequent hospital care, per day, moderate complexity 7,505 2,630 $57K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 698 637 $49K
T2023 Targeted case management; per month 318 229 $47K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5,619 4,677 $32K
59025 Fetal non-stress test 1,445 735 $32K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 752 650 $30K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,649 625 $28K
90853 Group psychotherapy (other than of a multiple-family group) 2,780 1,470 $27K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,746 1,379 $23K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,195 994 $22K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,063 1,015 $21K
99233 Prolong inpt eval add15 m 1,455 547 $19K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,315 1,272 $18K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 287 246 $18K
80305 2,017 1,114 $18K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 153 134 $14K
74177 Computed tomography, abdomen and pelvis; with contrast material 237 211 $13K
74176 Computed tomography, abdomen and pelvis; without contrast material 265 230 $12K
93016 774 689 $11K
93458 57 52 $10K
99238 Hospital discharge day management, 30 minutes or less 814 639 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 574 541 $10K
93018 776 691 $9K
70450 Computed tomography, head or brain; without contrast material 386 318 $8K
99442 241 220 $7K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 141 122 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 578 531 $6K
71045 Radiologic examination, chest; single view 1,559 1,091 $6K
87428 160 153 $6K
99222 Initial hospital care, per day, moderate complexity 320 242 $6K
87631 55 53 $6K
93000 409 361 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 131 88 $5K
H0038 Self-help/peer services, per 15 minutes 922 388 $5K
97597 655 172 $4K
99490 Ccm add 20min 901 808 $4K
90472 Immunization administration, each additional vaccine (list separately) 331 255 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 76 75 $3K
99441 362 260 $3K
99219 144 103 $3K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 23 19 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 144 124 $3K
99243 35 34 $3K
71046 Radiologic examination, chest; 2 views 466 397 $3K
76705 Ultrasound, abdominal, real time with image documentation; limited 136 121 $3K
99217 154 119 $2K
77067 Screening mammography, bilateral, including computer-aided detection 83 79 $2K
90671 16 15 $2K
71250 98 77 $2K
99308 Subsequent nursing facility care, per day, straightforward 1,658 1,369 $2K
99220 47 37 $2K
36415 Collection of venous blood by venipuncture 375 220 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 442 194 $2K
72100 296 257 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 41 38 $2K
J2785 Injection, regadenoson, 0.1 mg 13 12 $2K
72125 Computed tomography, cervical spine; without contrast material 61 49 $1K
99244 Office or other outpatient consultation, moderate to high complexity 14 14 $1K
99215 Prolong outpt/office vis 54 50 $1K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 18 16 $1K
99307 617 360 $1K
73562 198 151 $1K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 87 83 $939.70
73630 182 146 $900.71
99223 Prolong inpt eval add15 m 75 42 $878.32
73030 183 145 $867.96
99281 Emergency department visit for the evaluation and management, self-limited or minor 65 62 $862.71
J0696 Injection, ceftriaxone sodium, per 250 mg 174 162 $855.08
00731 20 16 $848.84
72040 123 114 $829.68
99406 121 82 $781.43
73130 131 107 $733.56
73610 126 106 $668.28
72148 Magnetic resonance imaging, lumbar spine; without contrast material 12 12 $646.12
99221 61 48 $644.25
93015 14 13 $601.50
46930 17 14 $576.41
91035 13 12 $569.70
90674 28 28 $564.60
90715 20 19 $535.43
0001A 12 12 $490.00
73502 102 79 $478.01
90688 32 27 $419.56
72131 16 13 $401.28
96110 Developmental screening, with scoring and documentation, per standardized instrument 12 12 $372.00
76830 Ultrasound, transvaginal 15 13 $369.70
99173 57 37 $350.00
93272 13 13 $328.29
99239 Hospital discharge day management, more than 30 minutes 61 39 $295.72
83036 Hemoglobin; glycosylated (A1C) 45 45 $293.88
90756 15 13 $286.02
93307 14 12 $279.84
90670 26 26 $270.89
74018 62 47 $253.05
71275 Computed tomographic angiography, chest, with contrast material 13 12 $238.97
72072 24 22 $190.83
73110 35 30 $174.93
J1100 Injection, dexamethasone sodium phosphate, 1 mg 203 186 $111.94
99318 30 25 $111.76
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 16 12 $107.62
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 68 60 $102.97
74019 21 13 $93.03
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 14 13 $89.47
81002 164 154 $49.17
0298T 13 12 $47.77
81003 246 202 $43.03
99000 123 100 $18.23
3074F 13,513 11,239 $0.00
3008F 8,796 7,856 $0.00
3080F 2,139 1,828 $0.00
3079F 7,939 6,833 $0.00
1036F 8,071 6,897 $0.00
3075F 3,841 3,404 $0.00
1035F 101 87 $0.00
1125F 61 56 $0.00
90680 12 12 $0.00
90686 13 13 $0.00
99309 Subsequent nursing facility care, per day, low to moderate complexity 27 26 $0.00
90723 12 12 $0.00
3077F 5,368 4,554 $0.00
3078F 12,499 10,383 $0.00
1159F 12,155 10,709 $0.00
3725F 1,559 1,441 $0.00
1160F 12,695 11,202 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 13 12 $0.00
1090F 34 27 $0.00