Medicaid Provider Spending

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

NPI: 1912906298 · SAN ANTONIO, TX 78224 · General Acute Care Hospital · NPI assigned 07/19/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DOYLE, JOHN controls 13+ related entities in our dataset. Read more

$5.84M
Total Medicaid Paid
79,821
Total Claims
71,528
Beneficiaries
74
Codes Billed
2019-08
First Month
2023-04
Last Month

Provider Details

Authorized OfficialDOYLE, JOHN (CFO)
NPI Enumeration Date07/19/2005

Related Entities

Other providers sharing the same authorized official: DOYLE, JOHN

ProviderCityStateTotal Paid
STEWARD ST. ANNES HOSPITAL CORPORATION FALL RIVER MA $82.71M
STEWARD TRUMBULL MEMORIAL HOSPITAL, INC. WARREN OH $16.49M
STEWARD SHARON REGIONAL HEALTH SYSTEM, INC. SHARON PA $6.76M
STEWARD ROCKLEDGE HOSPITAL, INC. ROCKLEDGE FL $6.16M
STEWARD SHARON REGIONAL HEALTH SYSTEM, INC. SHARON PA $5.84M
SHC YOUNGSTOWN OHIO LABORATORY SERVICES COMPANY LLC POLAND OH $3.41M
STEWARD MELBOURNE HOSPITAL, INC. MELBOURNE FL $3.35M
STEWARD HILLSIDE REHABILITATION HOSPITAL, INC. WARREN OH $2.74M
STEWARD SEBASTIAN RIVER MEDICAL CENTER, INC. SEBASTIAN FL $2.16M
STEWARD NORTHSIDE MEDICAL CENTER, INC. YOUNGSTOWN OH $1.58M
STEWARD ROCKLEDGE HOSPITAL, INC. ROCKLEDGE FL $974K
NEWBERRY COUNTY EMS NEWBERRY SC $758K
STEWARD SHARON REGIONAL HEALTH SYSTEM, INC. MERCER PA $181K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 14 $3K
2020 3,412 $186K
2021 32,312 $2.20M
2022 37,230 $2.77M
2023 6,853 $680K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,175 4,682 $2.96M
99284 Emergency department visit for the evaluation and management, high severity 7,383 6,833 $1.88M
99283 Emergency department visit for the evaluation and management, moderate severity 4,924 4,707 $351K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,390 2,165 $128K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4,632 4,176 $78K
80053 Comprehensive metabolic panel 6,156 5,642 $52K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 895 837 $46K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6,990 6,314 $43K
80050 General health panel 877 809 $38K
71045 Radiologic examination, chest; single view 1,870 1,753 $37K
76819 Fetal biophysical profile; without non-stress testing 268 228 $27K
99282 Emergency department visit for the evaluation and management, low to moderate severity 367 356 $20K
84484 2,112 1,361 $18K
80179 868 798 $16K
82077 871 752 $15K
80143 754 687 $13K
70450 Computed tomography, head or brain; without contrast material 235 214 $12K
87086 Culture, bacterial; quantitative colony count, urine 1,620 1,542 $11K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 75 70 $11K
76801 72 64 $10K
81001 3,876 3,650 $8K
84703 1,113 1,058 $8K
83690 987 919 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 555 530 $5K
86850 209 186 $5K
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 45 39 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 252 121 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 382 364 $4K
G0378 Hospital observation service, per hour 23 12 $3K
96361 Intravenous infusion, hydration; each additional hour 619 567 $3K
J1756 Injection, iron sucrose, 1 mg 46 12 $3K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,296 1,185 $3K
71046 Radiologic examination, chest; 2 views 75 73 $3K
87081 398 376 $2K
59025 Fetal non-stress test 43 39 $2K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,663 1,535 $2K
84702 191 179 $2K
83605 256 225 $2K
J7030 Infusion, normal saline solution , 1000 cc 949 822 $2K
81003 1,339 1,243 $2K
85610 707 649 $2K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 35 34 $1K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 54 29 $1K
96375 Therapeutic injection; each additional sequential IV push 615 565 $990.51
81025 110 106 $889.11
99281 Emergency department visit for the evaluation and management, self-limited or minor 14 14 $786.19
84112 12 12 $780.10
86900 249 224 $748.33
86901 249 224 $739.58
80320 54 49 $629.89
J1885 Injection, ketorolac tromethamine, per 15 mg 633 577 $595.88
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,368 1,202 $592.49
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 71 65 $558.61
80048 Basic metabolic panel (calcium, ionized) 120 111 $542.32
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 173 144 $526.97
J0696 Injection, ceftriaxone sodium, per 250 mg 211 201 $503.18
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 17 14 $317.81
J7120 Ringers lactate infusion, up to 1000 cc 291 244 $311.76
87040 52 26 $300.68
36415 Collection of venous blood by venipuncture 10,519 9,077 $194.06
J2270 Injection, morphine sulfate, up to 10 mg 59 53 $146.92
80076 27 25 $135.48
J1200 Injection, diphenhydramine hcl, up to 50 mg 85 63 $77.04
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 59 58 $51.33
87186 15 14 $46.70
84443 Thyroid stimulating hormone (TSH) 13 13 $43.31
82947 41 25 $35.16
85027 15 13 $27.52
J2060 Injection, lorazepam, 2 mg 13 12 $14.11
85730 15 15 $13.69
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 13 13 $0.00
A9270 Non-covered item or service 815 381 $0.00
82962 207 114 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 39 37 $0.00