Medicaid Provider Spending

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

DEKALB MEDICAL CENTER, INC.

NPI: 1962403865 · LITHONIA, GA 30058 · General Acute Care Hospital · NPI assigned 08/02/2005

$5K
Total Medicaid Paid
410
Total Claims
362
Beneficiaries
8
Codes Billed
2018-06
First Month
2022-05
Last Month

Provider Details

Authorized OfficialURBISTONDO, LISA (VP/CFO)
Parent OrganizationDEKALB MEDICAL
NPI Enumeration Date08/02/2005

Related Entities

Other providers sharing the same authorized official: URBISTONDO, LISA

ProviderCityStateTotal Paid
DEKALB MEDICAL CENTER, INC. DECATUR GA $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 79 $444.05
2019 26 $1K
2021 293 $4K
2022 12 $69.66

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80048 Basic metabolic panel (calcium, ionized) 147 131 $2K
99284 Emergency department visit for the evaluation and management, high severity 16 14 $1K
36415 Collection of venous blood by venipuncture 60 47 $859.81
99283 Emergency department visit for the evaluation and management, moderate severity 13 13 $785.77
85025 Blood count; complete (CBC), automated, and automated differential WBC count 117 104 $207.94
80076 26 24 $146.46
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 16 14 $116.09
81001 15 15 $6.13