Clinic
Memorial Hospital, INC.
Memorial Hospital, INC. was paid $399K by Medicaid between Sep 2018 and Dec 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoMEMORIAL HOSPITAL, INC.
ONEIDA, KY 40972
ONEIDA, KY 40972
33aNPI1881112134assigned 09/07/2017
33bProvider typeRural Health Clinic/Center
28Total paid$399K
24GClaims26,028
24DCodes billed29
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#135 of 265
Median peer was paid$400K
This provider vs. median1.0×
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 | 60 | $812.17 | |
| 2019 | 1,681 | $29K | |
| 2020 | 4,416 | $56K | |
| 2021 | 8,088 | $56K | |
| 2022 | 4,067 | $58K | |
| 2023 | 4,592 | $103K | |
| 2024incomplete | 3,124 | $96K |
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 | 46% | 6,281 | 5,057 | $182K |
| 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 | 22% | 2,010 | 1,713 | $88K |
| 87428 | 18% | 1,213 | 1,046 | $73K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.7% | 892 | 807 | $15K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.9% | 594 | 534 | $12K |
| 99441 | 1.7% | 276 | 223 | $7K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 90 | 87 | $6K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.4% | 460 | 313 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 270 | 233 | $5K |
| 99442 | <1% | 59 | 56 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 75 | 64 | $1K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 83 | 54 | $821.96 |
17 more codes
| 81025 | <1% | 42 | $323.41 | |
| 96127 | <1% | 72 | $200.33 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 68 | $46.32 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 50 | $18.00 |
| 81002 | <1% | 27 | $3.71 | |
| 3725F | 0% | 1,252 | $0.00 | |
| 3078F | 0% | 2,256 | $0.00 | |
| 1160F | 0% | 984 | $0.00 | |
| 3077F | 0% | 673 | $0.00 | |
| 1159F | 0% | 710 | $0.00 | |
| 81003 | 0% | 60 | $0.00 | |
| 3080F | 0% | 350 | $0.00 | |
| 1036F | 0% | 1,586 | $0.00 | |
| 3074F | 0% | 2,608 | $0.00 | |
| 3079F | 0% | 1,457 | $0.00 | |
| 3075F | 0% | 925 | $0.00 | |
| 3008F | 0% | 605 | $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/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Memorial Hospital INC. | Manchester, KY | $12.43M |
| Memorial Hospital, INC. | Manchester, KY | $2.68M |
| Memorial Hospital, INC. | Beverly, KY | $480K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.