Marymount Hospital INC
Marymount Hospital INC was paid $28.02M by Medicaid between Jan 2018 and Dec 2024, across 290 billing codes. Its largest line is 96361, Intravenous infusion, hydration; each additional hour — 17% of everything it billed.
GARFIELD HEIGHTS, OH 44125
Next to other General Acute Care Hospital providers in Ohio
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 54,590 | $2.08M | |
| 2019 | 52,481 | $2.07M | |
| 2020 | 40,633 | $2.77M | |
| 2021 | 60,113 | $3.57M | |
| 2022 | 64,587 | $2.97M | |
| 2023 | 259,388 | $8.88M | |
| 2024incomplete | 190,077 | $5.67M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96361 | Intravenous infusion, hydration; each additional hour | 17% | 16,965 | 13,508 | $4.87M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 16% | 39,183 | 36,081 | $4.54M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 16% | 41,235 | 38,973 | $4.49M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 16% | 35,132 | 30,875 | $4.42M |
| 70450 | Computed tomography, head or brain; without contrast material | 3.5% | 4,081 | 3,415 | $988K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 2.5% | 6,684 | 5,831 | $705K |
| 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 | 2.5% | 4,709 | 4,277 | $688K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 2.2% | 2,788 | 2,310 | $629K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | 1.5% | 2,227 | 1,901 | $421K |
| G0378 | Hospital observation service, per hour | 1.5% | 5,184 | 2,224 | $419K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 1.5% | 6,375 | 4,729 | $412K |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | 1.4% | 1,983 | 1,116 | $392K |
278 more codes
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 1.4% | 3,066 | $391K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.4% | 3,650 | $386K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | 1.0% | 1,410 | $292K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 2,489 | $272K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 593 | $232K |
| 80053 | Comprehensive metabolic panel | <1% | 38,422 | $203K |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | <1% | 927 | $165K |
| 93308 | <1% | 604 | $164K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 3,142 | $155K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 3,870 | $142K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 625 | $138K |
| 90839 | <1% | 1,027 | $118K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,036 | $90K |
| 82805 | <1% | 2,728 | $87K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 985 | $78K |
| 93975 | <1% | 696 | $78K | |
| 87631 | <1% | 500 | $72K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 329 | $69K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 111 | $66K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 8,553 | $62K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 4,652 | $60K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 463 | $55K |
| 93971 | <1% | 872 | $54K | |
| 70498 | <1% | 229 | $53K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 2,006 | $52K |
| 93970 | <1% | 454 | $49K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 9,693 | $49K |
| 64447 | <1% | 230 | $41K | |
| 71250 | <1% | 501 | $39K | |
| 84484 | <1% | 14,423 | $37K | |
| 12001 | <1% | 232 | $35K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 36,788 | $32K |
| 76770 | <1% | 224 | $30K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 38,305 | $30K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 980 | $30K |
| 72131 | <1% | 444 | $28K | |
| 86850 | <1% | 1,375 | $28K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 2,644 | $27K |
| 97161 | <1% | 1,078 | $27K | |
| C9290 | Injection, bupivacaine liposome, 1 mg | <1% | 289 | $26K |
| 76830 | Ultrasound, transvaginal | <1% | 607 | $26K |
| 70491 | <1% | 86 | $25K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 1,654 | $25K |
| 97165 | <1% | 587 | $25K | |
| 80061 | Lipid panel | <1% | 2,208 | $24K |
| 81513 | <1% | 191 | $24K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 26,508 | $24K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 4,073 | $21K |
| 85027 | <1% | 10,471 | $20K | |
| 71045 | Radiologic examination, chest; single view | <1% | 9,646 | $20K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 1,118 | $20K |
| 83970 | <1% | 1,038 | $19K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,704 | $18K |
| 97116 | <1% | 967 | $18K | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 699 | $17K |
| 93799 | <1% | 3,368 | $17K | |
| 96367 | <1% | 598 | $16K | |
| C1776 | Joint device (implantable) | <1% | 46 | $15K |
| 64415 | <1% | 71 | $15K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 20,419 | $14K |
| 86900 | <1% | 1,386 | $14K | |
| 70486 | <1% | 565 | $14K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 9,611 | $14K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 313 | $14K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 37 | $13K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 107 | $13K |
| 72100 | <1% | 484 | $13K | |
| 97802 | <1% | 268 | $11K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 74 | $11K |
| 81001 | <1% | 25,411 | $11K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 4,096 | $11K |
| 84702 | <1% | 1,579 | $10K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 15 | $10K |
| 83735 | <1% | 18,233 | $10K | |
| 82728 | <1% | 671 | $10K | |
| 90715 | <1% | 642 | $9K | |
| M0247 | Intravenous infusion, sotrovimab, includes infusion and post administration monitoring | <1% | 28 | $9K |
| 82962 | <1% | 8,488 | $9K | |
| 76801 | <1% | 574 | $9K | |
| 73502 | <1% | 815 | $9K | |
| 80069 | <1% | 718 | $9K | |
| 86780 | <1% | 1,864 | $9K | |
| 76857 | <1% | 674 | $9K | |
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | <1% | 63 | $9K |
| 73030 | <1% | 1,103 | $9K | |
| 85610 | <1% | 6,681 | $9K | |
| 73564 | <1% | 886 | $8K | |
| 82607 | <1% | 669 | $8K | |
| 94060 | <1% | 104 | $8K | |
| A9270 | Non-covered item or service | <1% | 1,988 | $8K |
| 64450 | <1% | 76 | $8K | |
| 73630 | <1% | 1,300 | $8K | |
| 86803 | <1% | 424 | $7K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 484 | $7K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 313 | $7K |
| 86140 | <1% | 951 | $7K | |
| 84439 | <1% | 413 | $7K | |
| 83880 | <1% | 2,331 | $7K | |
| 76642 | <1% | 50 | $7K | |
| 83540 | <1% | 921 | $7K | |
| 96376 | <1% | 2,449 | $7K | |
| 73130 | <1% | 902 | $7K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 15 | $6K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 2,191 | $6K |
| 88307 | <1% | 56 | $6K | |
| 83550 | <1% | 912 | $6K | |
| 82570 | <1% | 639 | $5K | |
| 73610 | <1% | 1,038 | $5K | |
| 74018 | <1% | 337 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 146 | $5K |
| 97162 | <1% | 122 | $5K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 510 | $5K |
| J1756 | Injection, iron sucrose, 1 mg | <1% | 202 | $5K |
| 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 | <1% | 3,511 | $4K |
| 96368 | <1% | 197 | $4K | |
| 86901 | <1% | 1,386 | $4K | |
| 87340 | <1% | 382 | $4K | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 2,539 | $4K |
| 70496 | <1% | 272 | $4K | |
| 73560 | <1% | 592 | $4K | |
| 73110 | <1% | 595 | $4K | |
| 10060 | <1% | 26 | $4K | |
| 12011 | <1% | 27 | $4K | |
| 80076 | <1% | 379 | $4K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 391 | $4K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 6,634 | $4K |
| 82077 | <1% | 3,287 | $3K | |
| 84153 | <1% | 187 | $3K | |
| J0561 | Injection, penicillin g benzathine, 100,000 units | <1% | 16 | $3K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 2,710 | $3K |
| 82043 | <1% | 491 | $3K | |
| 93017 | <1% | 44 | $3K | |
| 82310 | <1% | 254 | $3K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 15 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 579 | $2K |
| 84100 | <1% | 881 | $2K | |
| 99152 | <1% | 765 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 823 | $2K |
| 76536 | <1% | 27 | $2K | |
| J2543 | Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) | <1% | 514 | $2K |
| 73090 | <1% | 148 | $2K | |
| 82330 | <1% | 3,025 | $2K | |
| 94729 | <1% | 68 | $2K | |
| 83605 | <1% | 3,319 | $2K | |
| 95012 | <1% | 18 | $2K | |
| 87077 | <1% | 828 | $2K | |
| 80197 | <1% | 103 | $2K | |
| 85379 | <1% | 2,438 | $2K | |
| 83690 | <1% | 6,368 | $2K | |
| 73140 | <1% | 341 | $2K | |
| 12002 | <1% | 14 | $1K | |
| 74174 | <1% | 12 | $1K | |
| 84132 | <1% | 3,918 | $1K | |
| 82550 | <1% | 1,392 | $1K | |
| 73590 | <1% | 290 | $1K | |
| 80320 | <1% | 171 | $1K | |
| 81025 | <1% | 17,492 | $1K | |
| 85730 | <1% | 2,255 | $1K | |
| 86703 | <1% | 1,320 | $1K | |
| 85652 | <1% | 365 | $1K | |
| 73080 | <1% | 190 | $1K | |
| 76870 | <1% | 27 | $1K | |
| 84450 | <1% | 760 | $1K | |
| 82746 | <1% | 181 | $981.33 | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 25 | $957.97 |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 2,759 | $918.29 |
| 77061 | <1% | 28 | $886.28 | |
| 84460 | <1% | 725 | $859.28 | |
| 85018 | <1% | 2,761 | $796.50 | |
| 87186 | <1% | 650 | $790.87 | |
| 82375 | <1% | 2,706 | $769.70 | |
| 0002A | <1% | 23 | $721.62 | |
| 84550 | <1% | 122 | $709.45 | |
| 00731 | <1% | 436 | $706.42 | |
| 99221 | <1% | 59 | $689.08 | |
| 80143 | <1% | 565 | $679.22 | |
| 77065 | Tomosynthesis, mammo | <1% | 51 | $651.60 |
| J1170 | Injection, hydromorphone, up to 4 mg | <1% | 711 | $604.36 |
| 83050 | <1% | 2,683 | $596.01 | |
| 96127 | <1% | 18 | $565.80 | |
| 01400 | <1% | 307 | $559.12 | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 1,288 | $535.18 |
| J1815 | Injection, insulin, per 5 units | <1% | 87 | $512.70 |
| 82435 | <1% | 2,282 | $481.49 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 12,210 | $474.46 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 943 | $471.03 |
| 90688 | <1% | 33 | $463.00 | |
| 0001A | <1% | 30 | $419.68 | |
| 84295 | <1% | 2,637 | $398.70 | |
| J2704 | Injection, propofol, 10 mg | <1% | 8,374 | $398.21 |
| 87430 | <1% | 1,375 | $380.22 | |
| 80179 | <1% | 553 | $371.12 | |
| J1650 | Injection, enoxaparin sodium, 10 mg | <1% | 340 | $332.98 |
| 00811 | <1% | 161 | $325.02 | |
| 00320 | <1% | 340 | $325.02 | |
| 86706 | <1% | 35 | $313.38 | |
| J1644 | Injection, heparin sodium, per 1000 units | <1% | 1,694 | $302.16 |
| 87070 | <1% | 205 | $290.30 | |
| 87040 | <1% | 785 | $283.09 | |
| J2919 | Injection, methylprednisolone sodium succinate, 5 mg | <1% | 453 | $276.23 |
| Q3014 | Telehealth originating site facility fee | <1% | 13 | $251.98 |
| J3490 | Unclassified drugs | <1% | 76 | $249.43 |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 41 | $214.36 |
| 82553 | <1% | 20 | $214.23 | |
| 87481 | <1% | 39 | $212.61 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 6,200 | $211.46 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 2,299 | $204.54 |
| 73552 | <1% | 14 | $199.10 | |
| 71101 | <1% | 52 | $199.10 | |
| 81003 | <1% | 43 | $197.89 | |
| 87808 | <1% | 676 | $178.98 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 2,009 | $160.57 |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 14 | $154.98 |
| 82565 | <1% | 15 | $145.52 | |
| J1790 | Injection, droperidol, up to 5 mg | <1% | 1,481 | $134.86 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 4,016 | $121.45 |
| 80164 | <1% | 32 | $118.30 | |
| 82784 | <1% | 15 | $118.12 | |
| Q0247 | Injection, sotrovimab, 500 mg | <1% | 22 | $114.85 |
| J0171 | Injection, adrenalin, epinephrine, 0.1 mg | <1% | 250 | $106.48 |
| 82010 | <1% | 593 | $104.03 | |
| 87205 | <1% | 155 | $101.02 | |
| 72170 | <1% | 17 | $99.54 | |
| C9113 | Injection, pantoprazole sodium, per vial | <1% | 199 | $98.90 |
| 76937 | <1% | 13 | $96.42 | |
| J0690 | Injection, cefazolin sodium, 500 mg | <1% | 2,201 | $94.40 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 7,904 | $92.88 |
| J2060 | Injection, lorazepam, 2 mg | <1% | 878 | $89.43 |
| J0780 | Injection, prochlorperazine, up to 10 mg | <1% | 568 | $80.72 |
| 77066 | Tomosynthesis, mammo | <1% | 14 | $68.49 |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 1,415 | $65.30 |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | <1% | 1,406 | $58.35 |
| 83921 | <1% | 17 | $56.32 | |
| 82272 | <1% | 45 | $51.88 | |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | <1% | 613 | $51.74 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 3,530 | $49.45 |
| 84145 | <1% | 29 | $47.05 | |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 2,684 | $45.13 |
| 36410 | <1% | 14 | $44.05 | |
| J3475 | Injection, magnesium sulfate, per 500 mg | <1% | 1,066 | $36.88 |
| J2765 | Injection, metoclopramide hcl, up to 10 mg | <1% | 757 | $24.13 |
| J2371 | Injection, phenylephrine hydrochloride, 20 micrograms | <1% | 530 | $23.60 |
| J0360 | Injection, hydralazine hcl, up to 20 mg | <1% | 75 | $23.20 |
| J3370 | Injection, vancomycin hcl, 500 mg | <1% | 379 | $23.05 |
| J2360 | Injection, orphenadrine citrate, up to 60 mg | <1% | 187 | $21.99 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 3,071 | $21.87 |
| J2370 | Injection, phenylephrine hcl, up to 1 ml | <1% | 275 | $21.06 |
| J1940 | Injection, furosemide, up to 20 mg | <1% | 124 | $20.90 |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | <1% | 868 | $20.58 |
| 80177 | <1% | 30 | $15.77 | |
| J3480 | Injection, potassium chloride, per 2 meq | <1% | 341 | $14.56 |
| 87088 | <1% | 15 | $8.60 | |
| J1630 | Injection, haloperidol, up to 5 mg | <1% | 47 | $6.56 |
| J1171 | Injection, hydromorphone, 0.1 mg | <1% | 40 | $5.85 |
| J1596 | Injection, glycopyrrolate, 0.1 mg | <1% | 529 | $5.43 |
| J2003 | Injection, lidocaine hydrochloride, 1 mg | <1% | 86 | $2.82 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 1,229 | $1.55 |
| 91300 | <1% | 58 | $0.33 | |
| Q0240 | Injection, casirivimab and imdevimab, 600 mg | <1% | 29 | $0.24 |
| Q0243 | Injection, casirivimab and imdevimab, 2400 mg | <1% | 25 | $0.16 |
| Q0244 | Injection, casirivimab and imdevimab, 1200 mg | <1% | 14 | $0.10 |
| J2710 | Injection, neostigmine methylsulfate, up to 0.5 mg | 0% | 419 | $0.00 |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 173 | $0.00 |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | 0% | 26 | $0.00 |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 0% | 16 | $0.00 |
| 01844 | 0% | 22 | $0.00 | |
| 3078F | 0% | 74 | $0.00 | |
| 87899 | 0% | 17 | $0.00 | |
| J0689 | Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg | 0% | 62 | $0.00 |
| J2175 | Injection, meperidine hydrochloride, per 100 mg | 0% | 235 | $0.00 |
| C1769 | Guide wire | 0% | 378 | $0.00 |
| Q9969 | Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose | 0% | 245 | $0.00 |
| 94760 | 0% | 1,423 | $0.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 49 | $0.00 |
| 00813 | 0% | 68 | $0.00 | |
| 86308 | 0% | 27 | $0.00 | |
| J0330 | Injection, succinylcholine chloride, up to 20 mg | 0% | 25 | $0.00 |
| 88304 | 0% | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.