Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Bowling Green-Warren County Community Hospital Corporation

Bowling Green-Warren County Community Hospital Corporation was paid $13.22M by Medicaid between Jan 2018 and Nov 2024, across 128 billing codes. Its largest line is 99284, emergency room visit (serious) — 22% of everything it billed.

33Billing provider infoBOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION
FRANKLIN, KY 42134
33aNPI1831173467assigned 12/06/2005
33bProvider typeCritical Access Hospital
28Total paid$13.22M
24GClaims216,352
24DCodes billed128
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Critical Access Hospital providers in Kentucky

Rank by total paid#8 of 16
Median peer was paid$11.73M
This provider vs. median1.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official LAWLESS, MICHELE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
201829,104$1.67M
201928,991$1.47M
202030,634$1.72M
202138,135$2.34M
202240,240$2.69M
202336,662$2.50M
2024incomplete12,586$829K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 22% 10,707 8,624 $2.88M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 16% 5,940 4,227 $2.08M
74177 Computed tomography, abdomen and pelvis; with contrast material 14% 1,735 1,390 $1.80M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 9.3% 7,566 6,580 $1.23M
70450 Computed tomography, head or brain; without contrast material 4.8% 1,956 1,521 $630K
74176 Computed tomography, abdomen and pelvis; without contrast material 3.8% 1,108 929 $509K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2.3% 4,187 3,349 $308K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2.3% 4,473 3,921 $307K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2.3% 8,280 4,258 $303K
96375 Therapeutic injection; each additional sequential IV push 1.6% 4,191 3,291 $216K
36415 Collection of venous blood by venipuncture 1.6% 24,212 12,767 $211K
71045 Radiologic examination, chest; single view 1.5% 4,093 3,401 $205K
116 more codes
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.3% 2,619 $178K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.3% 4,345 $165K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 2,490 $129K
80053 Comprehensive metabolic panel <1% 12,593 $129K
71046 Radiologic examination, chest; 2 views <1% 1,598 $120K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 3,205 $106K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,678 $100K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 14,577 $96K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 3,306 $94K
V2632 Posterior chamber intraocular lens <1% 557 $78K
J7050 Infusion, normal saline solution, 250 cc <1% 4,903 $66K
96361 Intravenous infusion, hydration; each additional hour <1% 2,620 $59K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 3,893 $58K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 457 $53K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 869 $44K
84443 Thyroid stimulating hormone (TSH) <1% 3,048 $43K
84484 <1% 4,005 $41K
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 <1% 343 $41K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,107 $38K
C1780 Lens, intraocular (new technology) <1% 214 $38K
83880 <1% 1,282 $34K
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 <1% 483 $33K
80048 Basic metabolic panel (calcium, ionized) <1% 4,586 $33K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 141 $31K
80061 Lipid panel <1% 2,067 $30K
J7030 Infusion, normal saline solution , 1000 cc <1% 2,433 $29K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,195 $28K
73630 <1% 284 $27K
83690 <1% 4,109 $27K
J7120 Ringers lactate infusion, up to 1000 cc <1% 1,579 $26K
80306 <1% 1,849 $26K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,931 $25K
77067 Screening mammography, bilateral, including computer-aided detection <1% 319 $24K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,019 $24K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 3,603 $21K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 269 $19K
87631 <1% 194 $18K
84703 <1% 2,374 $17K
87086 Culture, bacterial; quantitative colony count, urine <1% 2,316 $17K
85379 <1% 1,793 $15K
J2704 Injection, propofol, 10 mg <1% 792 $15K
81015 <1% 3,763 $14K
72125 Computed tomography, cervical spine; without contrast material <1% 32 $13K
85730 <1% 2,318 $13K
83036 Hemoglobin; glycosylated (A1C) <1% 1,748 $12K
94664 <1% 1,153 $12K
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,029 $12K
82150 <1% 1,917 $12K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 394 $12K
93971 <1% 52 $11K
84145 <1% 534 $10K
77063 Screening digital breast tomosynthesis, bilateral <1% 306 $10K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 39 $10K
83605 <1% 1,051 $10K
85610 <1% 2,918 $9K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 84 $9K
81003 <1% 3,150 $9K
71275 Computed tomographic angiography, chest, with contrast material <1% 16 $8K
90853 Group psychotherapy (other than of a multiple-family group) <1% 320 $8K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 425 $8K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 152 $8K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 327 $7K
J2550 Injection, promethazine hcl, up to 50 mg <1% 575 $7K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 291 $7K
85027 <1% 750 $6K
87040 <1% 589 $6K
83735 <1% 1,136 $6K
76830 Ultrasound, transvaginal <1% 35 $5K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 396 $5K
82553 <1% 336 $5K
82948 <1% 605 $5K
80076 <1% 700 $5K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 382 $5K
86140 <1% 1,133 $5K
82550 <1% 610 $4K
82607 <1% 324 $4K
87634 <1% 93 $4K
85651 <1% 1,121 $3K
74018 <1% 33 $3K
J3490 Unclassified drugs <1% 224 $3K
87486 <1% 121 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 14 $3K
87581 <1% 114 $2K
87186 <1% 252 $2K
36600 <1% 73 $2K
90715 <1% 93 $2K
84439 <1% 295 $2K
Q3014 Telehealth originating site facility fee <1% 135 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 79 $2K
C9113 Injection, pantoprazole sodium, per vial <1% 133 $2K
73562 <1% 19 $2K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 200 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 138 $2K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 89 $1K
81001 <1% 357 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 60 $792.91
82803 <1% 56 $782.10
J0500 Injection, dicyclomine hcl, up to 20 mg <1% 12 $672.98
82805 <1% 14 $655.01
87070 <1% 79 $491.47
J8499 Prescription drug, oral, non chemotherapeutic, nos <1% 64 $456.26
82375 <1% 55 $441.26
J2175 Injection, meperidine hydrochloride, per 100 mg <1% 20 $440.45
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 32 $354.27
82728 <1% 34 $338.53
J0780 Injection, prochlorperazine, up to 10 mg <1% 14 $217.60
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 15 $182.40
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 15 $182.40
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 15 $182.40
85018 <1% 84 $150.45
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel <1% 22 $143.68
87081 <1% 21 $133.90
86308 <1% 27 $132.18
82010 <1% 13 $105.77
86900 <1% 17 $54.52
86901 <1% 17 $54.52

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 officialLAWLESS, MICHELE (EXECUTIVE VICE PRESIDENT & CFO)
Same official

Other billing entities under LAWLESS, MICHELE

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.