Medicaid Provider Spending

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

LENOIR MEMORIAL HOSPITAL, INCORPORATED

NPI: 1962446385 · KINSTON, NC 28503 · General Acute Care Hospital · NPI assigned 06/15/2006

$27.15M
Total Medicaid Paid
525,634
Total Claims
445,189
Beneficiaries
169
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHAYDEN, CRYSTAL (CEO)
NPI Enumeration Date06/15/2006

Related Entities

Other providers sharing the same authorized official: HAYDEN, CRYSTAL

ProviderCityStateTotal Paid
LENOIR MEMORIAL HOSPITAL, INCORPORATED KINSTON NC $4.70M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 63,716 $2.61M
2019 68,967 $3.08M
2020 52,314 $2.39M
2021 50,416 $2.77M
2022 86,142 $4.69M
2023 94,491 $5.52M
2024 109,588 $6.10M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 48,955 45,558 $7.43M
99284 Emergency department visit for the evaluation and management, high severity 30,443 28,119 $6.25M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 11,086 10,308 $2.99M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 9,901 9,044 $1.52M
70450 Computed tomography, head or brain; without contrast material 5,057 4,703 $1.11M
99282 Emergency department visit for the evaluation and management, low to moderate severity 13,891 13,054 $1.07M
74177 Computed tomography, abdomen and pelvis; with contrast material 875 831 $810K
96361 Intravenous infusion, hydration; each additional hour 7,846 6,792 $594K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 11,037 10,231 $481K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 14,618 13,211 $369K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,568 4,916 $339K
71045 Radiologic examination, chest; single view 9,920 9,240 $302K
80053 Comprehensive metabolic panel 32,743 29,683 $277K
J3490 Unclassified drugs 47,034 20,100 $243K
71046 Radiologic examination, chest; 2 views 4,104 3,896 $241K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 32,703 29,679 $236K
74022 2,255 2,128 $234K
96375 Therapeutic injection; each additional sequential IV push 6,298 5,653 $167K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14,336 11,891 $156K
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 3,324 2,916 $150K
74176 Computed tomography, abdomen and pelvis; without contrast material 195 177 $149K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,244 2,115 $130K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,266 3,017 $111K
81025 13,656 12,600 $105K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,125 1,954 $95K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,782 2,506 $84K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,782 2,506 $84K
84484 10,882 9,474 $83K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 518 456 $79K
87428 985 902 $68K
81001 14,493 12,875 $51K
J7030 Infusion, normal saline solution , 1000 cc 9,558 8,460 $50K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,193 800 $48K
83880 2,063 1,940 $47K
81003 19,489 18,275 $45K
83690 6,683 6,194 $43K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,521 2,343 $42K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 649 468 $41K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 840 784 $41K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 614 291 $38K
80305 2,897 2,661 $37K
36415 Collection of venous blood by venipuncture 17,272 14,940 $37K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,546 2,384 $35K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 240 71 $32K
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 491 443 $32K
85730 6,810 6,409 $30K
71275 Computed tomographic angiography, chest, with contrast material 62 54 $26K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,162 976 $24K
77336 416 159 $22K
85610 7,404 6,992 $22K
J1885 Injection, ketorolac tromethamine, per 15 mg 9,158 8,373 $17K
81513 818 691 $17K
87430 1,196 1,171 $16K
42820 Tonsillectomy and adenoidectomy; younger than age 12 14 12 $16K
0202U Oncology (prostate), multianalyte, gene expression profiling 541 439 $14K
87086 Culture, bacterial; quantitative colony count, urine 1,596 1,422 $13K
84443 Thyroid stimulating hormone (TSH) 945 853 $13K
72125 Computed tomography, cervical spine; without contrast material 38 37 $13K
83605 1,410 1,303 $11K
83735 2,008 1,788 $11K
82550 2,488 2,369 $11K
73610 90 81 $9K
74019 117 112 $9K
97530 Therapeutic activities, direct patient contact, each 15 minutes 101 26 $9K
95810 Polysomnography; sleep staging with 4 or more additional parameters 25 25 $9K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,333 2,138 $8K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 277 206 $8K
87040 794 548 $8K
88305 Level IV - Surgical pathology, gross and microscopic examination 91 67 $7K
87088 1,049 1,020 $7K
97597 468 267 $7K
87081 1,134 1,110 $7K
94761 544 428 $7K
85379 801 729 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 219 208 $6K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,447 1,280 $6K
G0378 Hospital observation service, per hour 195 97 $6K
J2270 Injection, morphine sulfate, up to 10 mg 2,271 1,944 $6K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 30 26 $6K
73130 58 55 $6K
73030 62 56 $6K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 106 44 $5K
A9270 Non-covered item or service 24,255 15,466 $5K
82962 2,632 1,071 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 95 89 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 369 262 $5K
73562 38 37 $5K
95811 12 12 $5K
84702 392 344 $4K
86850 358 310 $4K
77300 31 25 $4K
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 196 163 $4K
86780 262 196 $4K
88304 36 27 $4K
J8597 Antiemetic drug, oral, not otherwise specified 811 726 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 359 230 $4K
87420 270 265 $4K
17250 52 26 $4K
V2632 Posterior chamber intraocular lens 471 339 $4K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 13 13 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 61 59 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,968 2,661 $3K
80048 Basic metabolic panel (calcium, ionized) 351 312 $3K
J7120 Ringers lactate infusion, up to 1000 cc 1,039 620 $3K
73630 43 38 $3K
74018 33 33 $3K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 51 26 $2K
86803 138 112 $2K
87210 512 488 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 967 876 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 14 13 $2K
87077 260 222 $2K
82805 77 67 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 43 43 $2K
86901 545 445 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 447 429 $2K
86900 545 445 $2K
83036 Hemoglobin; glycosylated (A1C) 194 163 $2K
85027 297 268 $2K
80061 Lipid panel 108 100 $1K
68841 152 105 $1K
J7510 Prednisolone oral, per 5 mg 220 199 $1K
94060 18 13 $1K
86762 56 43 $1K
J7050 Infusion, normal saline solution, 250 cc 329 239 $1K
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 200 177 $1K
86787 58 45 $975.44
82731 13 12 $952.66
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 22 12 $924.37
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 29 26 $922.42
82803 57 51 $841.79
J1096 Dexamethasone, lacrimal ophthalmic insert, 0.1 mg 160 107 $826.52
59025 Fetal non-stress test 14 12 $775.26
J2765 Injection, metoclopramide hcl, up to 10 mg 397 375 $733.22
82948 189 127 $672.56
00142 247 215 $610.62
87186 74 66 $582.80
96376 27 24 $535.05
94729 17 12 $496.00
94726 17 12 $490.34
84100 129 123 $449.51
85660 61 48 $438.30
87340 38 28 $426.95
J2250 Injection, midazolam hydrochloride, per 1 mg 677 475 $420.55
J1200 Injection, diphenhydramine hcl, up to 50 mg 193 175 $364.60
J2704 Injection, propofol, 10 mg 190 167 $352.72
80143 45 37 $323.42
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 16 15 $315.69
90715 14 13 $289.59
J3010 Injection, fentanyl citrate, 0.1 mg 114 89 $286.72
86885 50 49 $236.54
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 273 258 $213.98
J2919 Injection, methylprednisolone sodium succinate, 5 mg 43 40 $130.01
82570 16 12 $107.30
84439 12 12 $97.27
J2003 Injection, lidocaine hydrochloride, 1 mg 40 39 $83.78
84550 15 12 $82.40
84156 16 12 $76.04
82010 17 12 $75.30
C9113 Injection, pantoprazole sodium, per vial 17 12 $53.75
80179 28 25 $42.11
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 26 24 $36.94
J2550 Injection, promethazine hcl, up to 50 mg 29 28 $29.45
A6213 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing 17 12 $29.42
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 17 14 $21.35
J0171 Injection, adrenalin, epinephrine, 0.1 mg 324 208 $13.47
J0173 Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg 49 35 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 46 26 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 225 192 $0.00