Behavioral
Memorial Hospital, INC.
Memorial Hospital, INC. was paid $2.68M by Medicaid between Jan 2018 and Nov 2024, across 132 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoMEMORIAL HOSPITAL, INC.
MANCHESTER, KY 40962
MANCHESTER, KY 40962
33aNPI1831150119assigned 03/28/2006
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$2.68M
24GClaims199,345
24DCodes billed132
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Kentucky
Rank by total paid#24 of 112
Median peer was paid$240K
This provider vs. median11×
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 | 30,762 | $822K | |
| 2019 | 17,002 | $354K | |
| 2020 | 34,964 | $468K | |
| 2021 | 28,148 | $330K | |
| 2022 | 65,556 | $493K | |
| 2023 | 21,769 | $185K | |
| 2024incomplete | 1,144 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 33,777 | 27,527 | $885K |
| 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 | 17% | 13,235 | 11,185 | $468K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 8.3% | 6,201 | 5,801 | $223K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 8.1% | 4,212 | 3,797 | $218K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.6% | 2,288 | 2,036 | $124K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.0% | 2,026 | 1,800 | $80K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.1% | 7,505 | 2,630 | $57K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.8% | 698 | 637 | $49K |
| T2023 | Targeted case management; per month | 1.8% | 318 | 229 | $47K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.2% | 5,619 | 4,677 | $32K |
| 59025 | Fetal non-stress test | 1.2% | 1,445 | 735 | $32K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 1.1% | 752 | 650 | $30K |
120 more codes
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 1.1% | 1,649 | $28K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1.0% | 2,780 | $27K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,746 | $23K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,195 | $22K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 1,063 | $21K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,455 | $19K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,315 | $18K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 287 | $18K |
| 80305 | <1% | 2,017 | $18K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 153 | $14K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 237 | $13K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 265 | $12K |
| 93016 | <1% | 774 | $11K | |
| 93458 | <1% | 57 | $10K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 814 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 574 | $10K |
| 93018 | <1% | 776 | $9K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 386 | $8K |
| 99442 | <1% | 241 | $7K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 141 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 578 | $6K |
| 71045 | Radiologic examination, chest; single view | <1% | 1,559 | $6K |
| 87428 | <1% | 160 | $6K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 320 | $6K |
| 87631 | <1% | 55 | $6K | |
| 93000 | <1% | 409 | $5K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 131 | $5K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 922 | $5K |
| 97597 | <1% | 655 | $4K | |
| 99490 | Ccm add 20min | <1% | 901 | $4K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 331 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 76 | $3K |
| 99441 | <1% | 362 | $3K | |
| 99219 | <1% | 144 | $3K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 23 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 144 | $3K |
| 99243 | <1% | 35 | $3K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 466 | $3K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 136 | $3K |
| 99217 | <1% | 154 | $2K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 83 | $2K |
| 90671 | <1% | 16 | $2K | |
| 71250 | <1% | 98 | $2K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,658 | $2K |
| 99220 | <1% | 47 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 375 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 442 | $2K |
| 72100 | <1% | 296 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 41 | $2K |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 13 | $2K |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 61 | $1K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 14 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 54 | $1K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 18 | $1K |
| 99307 | <1% | 617 | $1K | |
| 73562 | <1% | 198 | $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 | <1% | 87 | $939.70 |
| 73630 | <1% | 182 | $900.71 | |
| 99223 | Prolong inpt eval add15 m | <1% | 75 | $878.32 |
| 73030 | <1% | 183 | $867.96 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 65 | $862.71 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 174 | $855.08 |
| 00731 | <1% | 20 | $848.84 | |
| 72040 | <1% | 123 | $829.68 | |
| 99406 | <1% | 121 | $781.43 | |
| 73130 | <1% | 131 | $733.56 | |
| 73610 | <1% | 126 | $668.28 | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 12 | $646.12 |
| 99221 | <1% | 61 | $644.25 | |
| 93015 | <1% | 14 | $601.50 | |
| 46930 | <1% | 17 | $576.41 | |
| 91035 | <1% | 13 | $569.70 | |
| 90674 | <1% | 28 | $564.60 | |
| 90715 | <1% | 20 | $535.43 | |
| 0001A | <1% | 12 | $490.00 | |
| 73502 | <1% | 102 | $478.01 | |
| 90688 | <1% | 32 | $419.56 | |
| 72131 | <1% | 16 | $401.28 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | $372.00 |
| 76830 | Ultrasound, transvaginal | <1% | 15 | $369.70 |
| 99173 | <1% | 57 | $350.00 | |
| 93272 | <1% | 13 | $328.29 | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 61 | $295.72 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 45 | $293.88 |
| 90756 | <1% | 15 | $286.02 | |
| 93307 | <1% | 14 | $279.84 | |
| 90670 | <1% | 26 | $270.89 | |
| 74018 | <1% | 62 | $253.05 | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 13 | $238.97 |
| 72072 | <1% | 24 | $190.83 | |
| 73110 | <1% | 35 | $174.93 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 203 | $111.94 |
| 99318 | <1% | 30 | $111.76 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | $107.62 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 68 | $102.97 |
| 74019 | <1% | 21 | $93.03 | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 14 | $89.47 |
| 81002 | <1% | 164 | $49.17 | |
| 0298T | <1% | 13 | $47.77 | |
| 81003 | <1% | 246 | $43.03 | |
| 99000 | <1% | 123 | $18.23 | |
| 3074F | 0% | 13,513 | $0.00 | |
| 3008F | 0% | 8,796 | $0.00 | |
| 3080F | 0% | 2,139 | $0.00 | |
| 3079F | 0% | 7,939 | $0.00 | |
| 1036F | 0% | 8,071 | $0.00 | |
| 3075F | 0% | 3,841 | $0.00 | |
| 1035F | 0% | 101 | $0.00 | |
| 1125F | 0% | 61 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| 90686 | 0% | 13 | $0.00 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 27 | $0.00 |
| 90723 | 0% | 12 | $0.00 | |
| 3077F | 0% | 5,368 | $0.00 | |
| 3078F | 0% | 12,499 | $0.00 | |
| 1159F | 0% | 12,155 | $0.00 | |
| 3725F | 0% | 1,559 | $0.00 | |
| 1160F | 0% | 12,695 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 13 | $0.00 |
| 1090F | 0% | 34 | $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 officialJACOB, SISSEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Memorial Hospital INC. | Manchester, KY | $12.43M |
| Memorial Hospital, INC. | Beverly, KY | $480K |
| Memorial Hospital, INC. | Oneida, KY | $399K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.