Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA

NPI: 1912902263 · HAZLEHURST, GA 31539 · Critical Access Hospital · NPI assigned 06/14/2005

$268K
Total Medicaid Paid
3,740
Total Claims
3,609
Beneficiaries
25
Codes Billed
2018-08
First Month
2022-08
Last Month

Provider Details

Authorized OfficialBLOOM, BARRY (CEO)
NPI Enumeration Date06/14/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 40 $3K
2019 172 $9K
2020 32 $1K
2021 1,920 $133K
2022 1,576 $122K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99282 Emergency department visit for the evaluation and management, low to moderate severity 661 639 $121K
99283 Emergency department visit for the evaluation and management, moderate severity 498 486 $100K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 355 350 $13K
99281 Emergency department visit for the evaluation and management, self-limited or minor 57 56 $12K
99284 Emergency department visit for the evaluation and management, high severity 61 61 $10K
80053 Comprehensive metabolic panel 462 424 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 367 365 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 383 357 $2K
87400 356 352 $1K
96361 Intravenous infusion, hydration; each additional hour 18 16 $924.08
84443 Thyroid stimulating hormone (TSH) 26 26 $516.96
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 18 18 $326.40
80061 Lipid panel 16 15 $275.11
71045 Radiologic examination, chest; single view 42 42 $216.13
87071 48 48 $181.50
83036 Hemoglobin; glycosylated (A1C) 14 13 $174.21
81000 183 175 $166.89
85027 27 26 $149.40
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 14 13 $114.76
87088 14 13 $62.28
81025 45 43 $48.72
87420 21 21 $46.14
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 13 13 $39.16
J1885 Injection, ketorolac tromethamine, per 15 mg 27 24 $3.84
J2405 Injection, ondansetron hydrochloride, per 1 mg 14 13 $1.44