Medicaid Provider Spending

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

PAULS VALLEY GENERAL HOSPITAL

NPI: 1932169950 · PAULS VALLEY, OK 73075 · General Acute Care Hospital · NPI assigned 03/24/2006

$157K
Total Medicaid Paid
1,639
Total Claims
1,513
Beneficiaries
15
Codes Billed
2018-01
First Month
2018-10
Last Month

Provider Details

Authorized OfficialWEAVER, PATRICIA (BUSINESS OFFICE EXEC)
NPI Enumeration Date03/24/2006

Related Entities

Other providers sharing the same authorized official: WEAVER, PATRICIA

ProviderCityStateTotal Paid
PAULS VALLEY GENERAL HOSPITAL PAULS VALLEY OK $26K
PAULS VALLEY GENERAL HOSPITAL PAULS VALLEY OK $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,639 $157K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 724 684 $84K
99284 Emergency department visit for the evaluation and management, high severity 178 149 $28K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 75 73 $18K
99282 Emergency department visit for the evaluation and management, low to moderate severity 204 199 $16K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 71 54 $5K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 44 40 $3K
96375 Therapeutic injection; each additional sequential IV push 39 37 $1K
71046 Radiologic examination, chest; 2 views 69 67 $823.49
99281 Emergency department visit for the evaluation and management, self-limited or minor 14 14 $642.04
80053 Comprehensive metabolic panel 43 40 $432.96
85025 Blood count; complete (CBC), automated, and automated differential WBC count 42 41 $327.38
36415 Collection of venous blood by venipuncture 55 51 $108.97
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 15 13 $53.15
81001 12 12 $38.64
J1885 Injection, ketorolac tromethamine, per 15 mg 54 39 $0.00