Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › ROLLA › PHELPS COUNTY REGIONAL MEDICAL CENTER

PHELPS COUNTY REGIONAL MEDICAL CENTER

NPI: 1891766051 · ROLLA, MO 65401 · General Acute Care Hospital · NPI assigned 01/27/2006

$38.36M
Total Medicaid Paid
375,939
Total Claims
339,241
Beneficiaries
184
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHENEFIELD, JASON (CEO)
NPI Enumeration Date01/27/2006

Related Entities

Other providers sharing the same authorized official: SHENEFIELD, JASON

ProviderCityStateTotal Paid
PHELPS COUNTY REGIONAL MEDICAL CENTER ROLLA MO $3.38M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 37,069 $10.24M
2019 32,936 $6.91M
2020 30,127 $3.64M
2021 40,493 $1.57M
2022 45,281 $3.03M
2023 99,449 $6.78M
2024 90,584 $6.19M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 57,016 51,966 $4.76M
X4011 State-specific procedure code 13,611 12,918 $3.97M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 14,929 13,581 $3.59M
99284 Emergency department visit for the evaluation and management, high severity 16,260 14,269 $2.94M
Y7506 18,599 16,094 $2.91M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 37,030 33,531 $2.58M
99283 Emergency department visit for the evaluation and management, moderate severity 13,714 12,589 $2.49M
80053 Comprehensive metabolic panel 38,266 34,790 $2.39M
X4006 1,789 1,483 $1.80M
81001 17,572 16,634 $1.34M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 13,262 12,194 $1.03M
Y7507 2,491 2,209 $872K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,536 5,085 $565K
87400 1,281 1,229 $464K
71045 Radiologic examination, chest; single view 6,556 6,084 $433K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,052 5,819 $407K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,867 2,643 $371K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 11,317 10,662 $353K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,925 1,613 $295K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,812 1,695 $286K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,277 1,219 $269K
84484 5,490 4,911 $232K
83690 8,237 7,766 $222K
87070 716 699 $220K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,318 3,197 $201K
X4003 1,670 1,278 $164K
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 1,365 1,239 $162K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,693 529 $144K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 457 438 $136K
96361 Intravenous infusion, hydration; each additional hour 3,586 3,240 $110K
81025 3,913 3,660 $103K
87086 Culture, bacterial; quantitative colony count, urine 2,514 2,371 $100K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 328 321 $98K
83880 3,036 2,877 $97K
88305 Level IV - Surgical pathology, gross and microscopic examination 731 584 $94K
20610 669 560 $86K
70450 Computed tomography, head or brain; without contrast material 1,047 967 $81K
29580 1,221 574 $79K
96375 Therapeutic injection; each additional sequential IV push 2,752 2,446 $78K
G0378 Hospital observation service, per hour 251 224 $77K
42820 Tonsillectomy and adenoidectomy; younger than age 12 25 25 $77K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,511 3,166 $76K
84443 Thyroid stimulating hormone (TSH) 2,581 2,446 $72K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 515 347 $70K
88342 464 364 $64K
95117 1,658 919 $60K
95115 1,642 913 $56K
A0425 Ground mileage, per statute mile 2,053 1,734 $55K
64493 137 105 $54K
87807 360 346 $48K
77386 113 12 $47K
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 671 579 $43K
D7999 12 12 $39K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 945 896 $38K
88313 90 87 $36K
87040 151 147 $35K
87634 775 727 $33K
73560 394 336 $32K
85610 500 475 $32K
64490 224 155 $31K
80048 Basic metabolic panel (calcium, ionized) 917 852 $31K
20611 238 215 $30K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 43 41 $28K
83036 Hemoglobin; glycosylated (A1C) 1,551 1,497 $24K
82150 136 126 $24K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 218 199 $23K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 429 398 $23K
45380 Colonoscopy, flexible; with biopsy, single or multiple 43 38 $22K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 955 912 $22K
71046 Radiologic examination, chest; 2 views 311 302 $21K
85730 434 409 $20K
97530 Therapeutic activities, direct patient contact, each 15 minutes 204 56 $20K
93017 169 168 $18K
36415 Collection of venous blood by venipuncture 1,645 1,527 $18K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 103 102 $17K
95810 Polysomnography; sleep staging with 4 or more additional parameters 38 34 $17K
90834 Psychotherapy, 45 minutes with patient 239 193 $16K
95811 30 26 $16K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 538 522 $16K
80061 Lipid panel 1,117 1,072 $15K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 130 121 $15K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 41 39 $15K
99152 474 366 $14K
64483 71 53 $14K
77336 159 68 $14K
J3490 Unclassified drugs 1,674 1,260 $14K
83605 884 833 $12K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 229 184 $12K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 156 155 $12K
64494 52 37 $11K
73630 221 179 $11K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 7,275 6,302 $11K
95911 30 30 $10K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 80 76 $9K
83735 1,443 1,357 $8K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 346 82 $8K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 12 12 $8K
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 327 313 $8K
80081 131 128 $7K
90837 Psychotherapy, 53 minutes with patient 90 82 $7K
J2704 Injection, propofol, 10 mg 503 480 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 183 177 $6K
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography 20 12 $6K
77300 26 24 $6K
88341 122 116 $6K
77334 18 15 $5K
51798 194 190 $5K
86850 13 13 $5K
88142 294 283 $4K
36591 324 193 $4K
76801 13 12 $4K
85027 1,344 1,266 $4K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 77 70 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 155 150 $4K
85379 24 24 $3K
87081 92 90 $3K
86803 285 272 $3K
11056 103 83 $3K
64491 148 104 $3K
0001A 163 125 $2K
27096 48 42 $2K
0002A 127 108 $2K
82950 295 258 $2K
73562 39 30 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 39 36 $2K
94060 15 12 $2K
92523 12 12 $2K
92567 73 72 $2K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed 14 14 $2K
97602 57 38 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg 1,011 906 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 507 468 $1K
73030 43 38 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 221 209 $1K
69210 52 48 $1K
83970 49 49 $1K
84439 134 132 $1K
73564 14 12 $988.48
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 71 65 $956.03
86780 87 86 $946.33
97161 49 39 $943.61
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 57 51 $924.45
11721 135 124 $911.55
81002 318 306 $889.12
80069 171 160 $855.62
82728 87 86 $850.29
J0690 Injection, cefazolin sodium, 500 mg 24 24 $822.60
72170 14 12 $743.88
87186 98 92 $598.37
84481 27 27 $582.51
83550 88 87 $558.41
J3010 Injection, fentanyl citrate, 0.1 mg 431 396 $502.90
0012A 49 48 $469.80
83655 26 26 $456.74
83540 88 87 $412.79
87088 67 61 $314.85
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 90 76 $302.14
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 12 12 $288.97
87077 61 61 $251.09
82747 15 15 $248.69
84702 15 12 $216.15
86140 62 60 $192.93
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 16 15 $171.04
84460 50 50 $138.58
11720 90 82 $123.96
86706 13 13 $121.39
0011A 17 17 $88.40
80076 12 12 $62.70
82570 17 17 $51.83
85007 26 24 $41.96
J2270 Injection, morphine sulfate, up to 10 mg 25 25 $41.55
85018 27 27 $35.43
J2405 Injection, ondansetron hydrochloride, per 1 mg 13 12 $33.40
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 62 45 $22.43
11719 16 14 $17.99
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 67 65 $4.94
J7120 Ringers lactate infusion, up to 1000 cc 14 14 $3.25
85014 12 12 $2.13
P9603 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled 57 47 $1.61
J7030 Infusion, normal saline solution , 1000 cc 61 59 $0.60
A9270 Non-covered item or service 131 95 $0.00
95886 18 18 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 13 12 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 29 25 $0.00