Medicaid Provider Spending

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

MERCY HOSPITAL TISHOMINGO, INC.

NPI: 1932404431 · TISHOMINGO, OK 73460 · Medical Specialty Clinic/Center · NPI assigned 01/14/2011

$3.75M
Total Medicaid Paid
34,006
Total Claims
26,123
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialENLOE, TRACY (CFO)
NPI Enumeration Date01/14/2011

Related Entities

Other providers sharing the same authorized official: ENLOE, TRACY

ProviderCityStateTotal Paid
OHH PHYSICIANS, LLC OKLAHOMA CITY OK $3.39M
MEMORIAL MEDICAL GROUP EMERGENCY PHYSICIANS LLC ARDMORE OK $2.09M
OKLAHOMA HEART HOSPITAL SOUTH LLC OKLAHOMA CITY OK $1.07M
OKLAHOMA HEART HOSPITAL, LLC OKLAHOMA CITY OK $480K
MERCY HOSPITAL HEALDTON, INC HEALDTON OK $380K
MERCY HOSPITAL EL RENO, INC. EL RENO OK $191K
MERCY HOSPITAL EL RENO, INC. EL RENO OK $148K
MERCY HOSPITAL EL RENO, INC EL RENO OK $46K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,401 $420K
2019 4,141 $413K
2020 3,091 $346K
2021 4,212 $466K
2022 7,018 $796K
2023 7,139 $829K
2024 4,004 $481K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 11,867 8,005 $1.41M
99284 Emergency department visit for the evaluation and management, high severity 8,468 6,264 $1.26M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,132 2,558 $895K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 485 469 $63K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,134 1,124 $16K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 321 313 $15K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 541 533 $15K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,706 1,658 $11K
87400 480 478 $11K
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 152 151 $11K
80053 Comprehensive metabolic panel 1,152 1,126 $11K
99282 Emergency department visit for the evaluation and management, low to moderate severity 94 69 $8K
96375 Therapeutic injection; each additional sequential IV push 154 148 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 113 111 $5K
36415 Collection of venous blood by venipuncture 1,563 1,502 $5K
87081 753 745 $4K
71045 Radiologic examination, chest; single view 346 337 $4K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 177 171 $2K
87807 51 50 $580.22
71046 Radiologic examination, chest; 2 views 13 13 $321.79
81001 105 103 $291.06
J7030 Infusion, normal saline solution , 1000 cc 172 170 $198.90
81003 27 25 $55.54