Medicaid Provider Spending

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

PROVIDENCE HOSPITAL

NPI: 1932190626 · WASHINGTON, DC 20017 · Urgent Care Clinic/Center · NPI assigned 11/02/2005

$12.18M
Total Medicaid Paid
242,422
Total Claims
192,330
Beneficiaries
303
Codes Billed
2018-01
First Month
2019-04
Last Month

Provider Details

Authorized OfficialFURNISS, SCOTT (SR. VP FINANCE/CFO)
NPI Enumeration Date11/02/2005

Related Entities

Other providers sharing the same authorized official: FURNISS, SCOTT

ProviderCityStateTotal Paid
PROVIDENCE HOSPITAL WASHINGTON DC $1.37M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 227,303 $11.44M
2019 15,119 $738K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 9,980 9,020 $1.53M
99283 Emergency department visit for the evaluation and management, moderate severity 6,493 5,801 $1.04M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,243 1,846 $1.01M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,272 3,855 $622K
97010 1,602 639 $567K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,417 2,812 $414K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,967 2,549 $404K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 551 482 $403K
96361 Intravenous infusion, hydration; each additional hour 952 863 $383K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,885 2,255 $351K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,913 1,377 $294K
74177 Computed tomography, abdomen and pelvis; with contrast material 950 880 $270K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,372 1,147 $257K
70450 Computed tomography, head or brain; without contrast material 1,322 1,213 $253K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 9,838 7,919 $216K
97014 1,026 412 $214K
95810 Polysomnography; sleep staging with 4 or more additional parameters 274 251 $186K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 290 275 $165K
95811 239 223 $157K
74176 Computed tomography, abdomen and pelvis; without contrast material 497 456 $143K
G0378 Hospital observation service, per hour 1,399 620 $137K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 318 304 $137K
94660 259 252 $131K
90853 Group psychotherapy (other than of a multiple-family group) 674 241 $121K
76700 Ultrasound, abdominal, real time with image documentation; complete 846 816 $105K
97162 752 715 $95K
80048 Basic metabolic panel (calcium, ionized) 9,591 7,394 $94K
76642 697 657 $94K
77063 Screening digital breast tomosynthesis, bilateral 1,922 1,880 $90K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 358 299 $88K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 866 830 $79K
20610 672 453 $78K
76801 565 519 $75K
99281 Emergency department visit for the evaluation and management, self-limited or minor 555 478 $74K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 257 209 $71K
76830 Ultrasound, transvaginal 511 495 $70K
97530 Therapeutic activities, direct patient contact, each 15 minutes 720 379 $68K
93971 455 409 $60K
45380 Colonoscopy, flexible; with biopsy, single or multiple 168 155 $59K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 450 434 $58K
71046 Radiologic examination, chest; 2 views 2,892 2,698 $56K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 313 288 $54K
71275 Computed tomographic angiography, chest, with contrast material 269 245 $53K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 258 231 $52K
97163 275 264 $43K
G0424 Pulmonary rehabilitation, including exercise (includes monitoring), one hour, per session, up to two sessions per day 1,213 176 $41K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 320 266 $33K
P9016 Red blood cells, leukocytes reduced, each unit 78 66 $32K
97035 328 160 $29K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 103 91 $29K
73630 1,114 906 $28K
84484 2,885 2,383 $28K
92551 353 239 $26K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 301 272 $24K
71250 272 245 $24K
J2357 Injection, omalizumab, 5 mg 72 12 $24K
76770 238 224 $24K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 221 182 $23K
97116 219 126 $22K
80076 4,589 4,100 $22K
77067 Screening mammography, bilateral, including computer-aided detection 2,032 1,987 $22K
93970 215 196 $21K
76705 Ultrasound, abdominal, real time with image documentation; limited 165 150 $21K
97164 540 489 $20K
72141 109 98 $20K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 11,247 8,704 $20K
73562 1,200 982 $20K
76536 140 136 $19K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 627 606 $18K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 984 890 $18K
77080 426 418 $17K
70551 Magnetic resonance imaging, brain; without contrast material 89 77 $16K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 252 214 $16K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4,341 3,692 $16K
36430 62 52 $15K
72110 396 375 $15K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,609 1,457 $15K
99173 384 269 $15K
80053 Comprehensive metabolic panel 2,115 1,860 $14K
J0897 Injection, denosumab, 1 mg 43 42 $14K
73030 641 552 $13K
77062 280 273 $13K
36415 Collection of venous blood by venipuncture 9,803 7,278 $12K
78815 Positron emission tomography (PET) for limited area imaging 22 15 $12K
97012 37 12 $12K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,374 563 $12K
97161 203 195 $11K
99408 87 78 $11K
90714 421 399 $11K
74183 27 27 $11K
90792 Psychiatric diagnostic evaluation with medical services 84 68 $11K
76641 69 69 $10K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 100 88 $10K
71045 Radiologic examination, chest; single view 1,885 1,632 $9K
73221 59 51 $9K
83880 807 709 $9K
86803 1,383 1,269 $9K
70486 193 175 $9K
87040 525 452 $9K
73610 593 511 $8K
73130 559 475 $8K
80320 570 522 $8K
85576 625 595 $8K
97165 30 24 $7K
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use) 124 63 $7K
84100 1,540 828 $7K
90834 Psychotherapy, 45 minutes with patient 160 93 $7K
73502 391 346 $7K
97166 22 19 $7K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 40 27 $6K
72050 175 168 $6K
71260 Computed tomography, thorax, diagnostic; with contrast material 126 117 $6K
94010 1,171 921 $6K
83605 683 568 $6K
84443 Thyroid stimulating hormone (TSH) 1,107 972 $6K
83690 2,139 1,887 $5K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,987 2,704 $5K
83735 2,140 1,304 $5K
86703 1,302 1,199 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 411 377 $5K
84146 376 335 $5K
77066 Tomosynthesis, mammo 397 372 $5K
82962 7,158 4,931 $5K
73110 270 239 $4K
84702 630 549 $4K
29125 13 13 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 113 95 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 30 26 $4K
12001 14 13 $4K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,183 766 $4K
83036 Hemoglobin; glycosylated (A1C) 1,154 1,013 $4K
85379 362 337 $4K
86901 524 446 $4K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 130 69 $4K
76870 30 28 $3K
V2632 Posterior chamber intraocular lens 588 517 $3K
72100 272 250 $3K
99234 521 225 $3K
72197 13 12 $3K
72070 90 81 $3K
81001 2,541 2,311 $3K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 635 522 $3K
80164 263 232 $3K
96375 Therapeutic injection; each additional sequential IV push 2,078 1,839 $3K
81025 5,377 4,874 $2K
86480 212 192 $2K
73560 101 81 $2K
73565 116 108 $2K
74018 110 94 $2K
90686 263 213 $2K
73080 105 96 $2K
90715 106 80 $2K
80061 Lipid panel 561 507 $2K
86850 514 434 $2K
90656 276 227 $2K
72040 113 112 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 15 12 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,583 2,272 $2K
C1769 Guide wire 320 254 $2K
70544 13 12 $2K
86900 515 433 $1K
87081 692 573 $1K
73590 121 104 $1K
81002 3,641 3,358 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 529 506 $1K
87522 Neg quan hep c or qual rna 43 39 $1K
82248 239 207 $1K
90732 86 61 $1K
87086 Culture, bacterial; quantitative colony count, urine 531 468 $1K
80177 155 138 $1K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 385 350 $1K
76857 12 12 $997.50
80156 96 81 $977.32
86592 270 242 $970.60
84153 387 344 $960.75
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 890 761 $958.94
86706 404 347 $949.93
82607 204 183 $943.75
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,167 1,654 $931.40
90674 146 120 $854.18
G0297 Low dose ct scan (ldct) for lung cancer screening 16 15 $838.70
87340 355 305 $787.97
73522 40 37 $778.75
80185 66 54 $693.46
73090 40 38 $662.36
J2550 Injection, promethazine hcl, up to 50 mg 533 378 $658.11
88304 169 134 $654.97
J2270 Injection, morphine sulfate, up to 10 mg 1,964 1,353 $653.85
J7030 Infusion, normal saline solution , 1000 cc 3,297 2,493 $633.77
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 28 12 $631.05
90670 18 13 $613.75
J1650 Injection, enoxaparin sodium, 10 mg 980 470 $610.74
74022 46 43 $572.37
85610 893 732 $563.95
A9270 Non-covered item or service 8,141 5,150 $510.44
84439 130 111 $484.80
73564 52 42 $469.27
87205 163 141 $451.80
85730 791 649 $450.45
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 20 12 $447.91
85027 227 188 $447.40
87088 393 353 $402.52
84295 154 97 $399.05
87070 149 127 $389.77
82746 120 107 $341.40
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 148 104 $329.11
99406 17 15 $315.36
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 834 785 $296.10
99152 114 98 $293.78
88312 295 277 $279.13
82550 239 199 $275.05
J0690 Injection, cefazolin sodium, 500 mg 804 592 $273.76
85014 239 138 $271.61
90658 21 16 $266.61
96376 508 461 $262.36
82150 210 190 $261.41
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 122 89 $238.63
J1030 Injection, methylprednisolone acetate, 40 mg 396 337 $215.70
88313 315 296 $207.77
86140 247 207 $206.01
J3010 Injection, fentanyl citrate, 0.1 mg 1,785 1,326 $204.05
80184 27 25 $202.04
82565 356 326 $201.92
87186 165 144 $197.89
J2060 Injection, lorazepam, 2 mg 469 328 $185.72
J1885 Injection, ketorolac tromethamine, per 15 mg 2,173 1,924 $185.62
85651 302 257 $182.19
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 283 187 $179.61
83540 108 94 $178.95
J2250 Injection, midazolam hydrochloride, per 1 mg 1,687 1,455 $177.91
86709 132 114 $166.31
82728 44 41 $160.07
92557 12 12 $152.14
82570 51 48 $144.11
94760 530 342 $142.07
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,049 903 $116.40
J1200 Injection, diphenhydramine hcl, up to 50 mg 526 383 $102.48
82010 279 239 $101.81
99153 Mod sedat endo service >5yrs 61 53 $99.41
96402 36 27 $94.00
86705 45 41 $89.27
J0696 Injection, ceftriaxone sodium, per 250 mg 878 620 $79.51
86920 114 78 $76.83
84550 97 87 $76.78
83550 81 71 $69.07
81000 236 178 $67.69
J1100 Injection, dexamethasone sodium phosphate, 1 mg 620 508 $65.86
86735 16 15 $65.64
84132 179 111 $57.53
86787 28 26 $54.67
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 157 128 $53.38
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,031 796 $52.81
J1644 Injection, heparin sodium, per 1000 units 529 278 $51.28
82140 13 12 $51.24
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 119 107 $50.19
C9113 Injection, pantoprazole sodium, per vial 394 206 $50.05
J7060 5% dextrose/water (500 ml = 1 unit) 680 407 $49.30
J1170 Injection, hydromorphone, up to 4 mg 450 280 $48.91
72125 Computed tomography, cervical spine; without contrast material 14 13 $46.22
J0360 Injection, hydralazine hcl, up to 20 mg 77 47 $43.44
J1815 Injection, insulin, per 5 units 500 337 $40.48
J0171 Injection, adrenalin, epinephrine, 0.1 mg 148 124 $37.61
C1729 Catheter, drainage 27 24 $34.78
J1953 Injection, levetiracetam, 10 mg 93 57 $28.17
82803 82 58 $25.62
J3480 Injection, potassium chloride, per 2 meq 190 101 $24.18
85044 53 43 $22.34
J1940 Injection, furosemide, up to 20 mg 256 145 $21.89
85018 133 82 $18.63
82043 17 16 $14.43
80069 13 12 $13.47
82465 15 12 $11.28
86580 16 12 $10.94
86765 13 12 $10.92
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 220 84 $9.88
86708 13 12 $9.60
J7050 Infusion, normal saline solution, 250 cc 360 202 $9.50
88342 18 14 $8.95
88341 16 12 $8.95
J1630 Injection, haloperidol, up to 5 mg 68 54 $7.06
J1580 Injection, garamycin, gentamicin, up to 80 mg 318 274 $4.94
J3475 Injection, magnesium sulfate, per 500 mg 111 87 $4.75
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 74 68 $4.04
J7042 5% dextrose/normal saline (500 ml = 1 unit) 55 35 $3.38
36600 13 12 $3.14
J2765 Injection, metoclopramide hcl, up to 10 mg 37 27 $2.47
J7120 Ringers lactate infusion, up to 1000 cc 56 49 $2.37
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 374 341 $0.02
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 491 431 $0.00
J3370 Injection, vancomycin hcl, 500 mg 89 65 $0.00
J1956 Injection, levofloxacin, 250 mg 75 26 $0.00
96367 29 27 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 23 16 $0.00
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 47 43 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 15 14 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 13 12 $0.00
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 12 12 $0.00
69210 17 12 $0.00
71101 13 13 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 64 64 $0.00
G0008 Administration of influenza virus vaccine 87 75 $0.00
96368 32 28 $0.00
J0561 Injection, penicillin g benzathine, 100,000 units 14 14 $0.00