Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Roper Hospital, INC

Roper Hospital, INC was paid $22.01M by Medicaid between Jan 2018 and Dec 2024, across 225 billing codes. Its largest line is 99283, emergency room visit (moderate) — 17% of everything it billed.

33Billing provider infoROPER HOSPITAL, INC
CHARLESTON, SC 29401
33aNPI1962472860assigned 01/24/2006
28Total paid$22.01M
24GClaims641,573
24DCodes billed225
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in South Carolina

Rank by total paid#16 of 115
Median peer was paid$2.47M
This provider vs. median8.9×

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.

Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201891,106$2.80M
201991,266$2.53M
202074,113$2.04M
202193,546$2.80M
202291,875$4.21M
2023106,412$4.40M
2024incomplete93,255$3.25M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 17% 63,220 57,427 $3.64M
99282 Emergency department visit for the evaluation and management, low to moderate severity 8.3% 14,231 13,291 $1.82M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 6.8% 10,116 9,070 $1.49M
81003 6.4% 20,429 19,042 $1.41M
80048 Basic metabolic panel (calcium, ionized) 6.1% 24,540 20,922 $1.35M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4.1% 14,788 13,418 $895K
80053 Comprehensive metabolic panel 3.6% 17,600 15,655 $792K
36415 Collection of venous blood by venipuncture 3.4% 12,984 10,956 $749K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.5% 11,242 9,671 $545K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 2.2% 32,555 29,612 $479K
81025 2.0% 18,233 16,962 $431K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.9% 2,612 2,395 $417K
213 more codes
81001 1.6% 10,094 $350K
87086 Culture, bacterial; quantitative colony count, urine 1.5% 18,521 $336K
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 1.4% 2,299 $309K
87210 1.3% 4,115 $291K
87430 1.2% 4,757 $274K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.1% 5,569 $245K
73630 1.1% 2,488 $241K
71046 Radiologic examination, chest; 2 views 1.1% 8,487 $237K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1.0% 1,774 $230K
73610 <1% 2,010 $214K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 6,554 $214K
70450 Computed tomography, head or brain; without contrast material <1% 5,014 $205K
73130 <1% 1,551 $192K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 2,545 $181K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 2,702 $180K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 6,931 $173K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 361 $168K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 6,676 $145K
87081 <1% 4,509 $133K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,372 $124K
87077 <1% 6,365 $111K
71045 Radiologic examination, chest; single view <1% 10,734 $111K
73030 <1% 1,699 $111K
J7050 Infusion, normal saline solution, 250 cc <1% 495 $110K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 402 $107K
73562 <1% 1,477 $106K
73110 <1% 957 $99K
99285 Emergency room visit (most serious) <1% 14,745 $97K
73140 <1% 538 $93K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 132 $91K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 2,867 $90K
J3490 Unclassified drugs <1% 491 $88K
84702 <1% 2,135 $84K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 2,287 $80K
96361 Intravenous infusion, hydration; each additional hour <1% 6,596 $79K
71250 <1% 429 $76K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 3,170 $75K
87147 <1% 1,160 $71K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,819 $70K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 5,677 $70K
84132 <1% 1,982 $67K
A0425 Ground mileage, per statute mile <1% 4,887 $66K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 1,853 $63K
A0427 Emergency ambulance ride, advanced life support <1% 769 $61K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,055 $59K
73560 <1% 956 $57K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 60 $57K
72100 <1% 1,513 $57K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 657 $56K
87070 <1% 4,082 $56K
84484 <1% 10,891 $56K
86900 <1% 3,394 $53K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 5,002 $51K
86901 <1% 3,396 $45K
A9585 Injection, gadobutrol, 0.1 ml <1% 75 $45K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,039 $44K
73502 <1% 1,196 $44K
93971 <1% 257 $38K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 27,632 $37K
J7120 Ringers lactate infusion, up to 1000 cc <1% 414 $35K
86850 <1% 2,953 $35K
87040 <1% 2,692 $35K
77063 Screening digital breast tomosynthesis, bilateral <1% 665 $32K
85027 <1% 14,445 $32K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 5,703 $30K
85610 <1% 3,794 $30K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 254 $28K
87428 <1% 151 $27K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) <1% 2,985 $25K
97597 <1% 465 $23K
80076 <1% 4,130 $23K
96376 <1% 2,075 $22K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 87 $20K
87075 <1% 606 $19K
83036 Hemoglobin; glycosylated (A1C) <1% 4,241 $18K
74018 <1% 364 $16K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 167 $16K
96375 Therapeutic injection; each additional sequential IV push <1% 8,349 $15K
85379 <1% 3,133 $14K
72125 Computed tomography, cervical spine; without contrast material <1% 983 $14K
84443 Thyroid stimulating hormone (TSH) <1% 4,714 $13K
72141 <1% 26 $13K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 16,483 $12K
C1769 Guide wire <1% 1,084 $12K
97161 <1% 692 $12K
95800 <1% 66 $10K
A0429 Emergency ambulance ride, basic life support <1% 101 $9K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 927 $9K
80061 Lipid panel <1% 4,029 $8K
88304 <1% 173 $8K
G0378 Hospital observation service, per hour <1% 3,316 $7K
84439 <1% 1,350 $7K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 128 $6K
82550 <1% 2,146 $6K
83605 <1% 4,191 $6K
76830 Ultrasound, transvaginal <1% 51 $5K
93458 <1% 26 $5K
12001 <1% 163 $5K
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) <1% 121 $5K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 648 $3K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 242 $3K
74019 <1% 151 $3K
10061 <1% 367 $3K
82570 <1% 471 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 3,767 $3K
87205 <1% 850 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,006 $2K
10060 <1% 123 $2K
99213 Doctor's office visit, returning patient (routine) <1% 30 $2K
72050 <1% 46 $2K
87481 <1% 13 $2K
73590 <1% 16 $2K
0240U <1% 13 $2K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 26 $2K
86140 <1% 266 $2K
73090 <1% 25 $2K
83880 <1% 4,154 $1K
77080 <1% 12 $1K
83690 <1% 9,006 $1K
83735 <1% 6,293 $1K
86592 <1% 179 $1K
82728 <1% 527 $1K
J1170 Injection, hydromorphone, up to 4 mg <1% 766 $917.44
97165 <1% 295 $882.28
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 175 $828.99
J2704 Injection, propofol, 10 mg <1% 2,215 $798.72
72072 <1% 15 $720.67
83540 <1% 323 $685.49
73070 <1% 13 $644.38
70491 <1% 13 $593.34
82607 <1% 303 $579.25
87186 <1% 3,193 $455.89
82785 <1% 41 $415.65
A9270 Non-covered item or service <1% 7,584 $391.69
72131 <1% 58 $385.19
80164 <1% 83 $267.78
70486 <1% 14 $225.01
83021 <1% 30 $194.68
90715 <1% 1,189 $189.61
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals <1% 38 $167.67
82950 <1% 92 $160.64
85660 <1% 33 $127.88
87807 <1% 16 $125.41
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 842 $115.92
87150 <1% 1,603 $112.05
84156 <1% 89 $66.02
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 243 $50.26
85730 <1% 930 $46.85
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 291 $37.25
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 4,186 $29.95
85652 <1% 195 $29.62
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,083 $24.82
82043 <1% 42 $4.21
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 313 $4.17
85014 0% 52 $0.00
76937 0% 238 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 128 $0.00
99152 0% 131 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 0% 539 $0.00
82009 0% 113 $0.00
84145 0% 149 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 0% 136 $0.00
29125 0% 77 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 68 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 192 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 662 $0.00
86787 0% 33 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 0% 170 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 136 $0.00
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 0% 12 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 0% 16 $0.00
C1776 Joint device (implantable) 0% 15 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 0% 27 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 12 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 12 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 25 $0.00
64447 0% 25 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 0% 58 $0.00
84100 0% 64 $0.00
12011 0% 25 $0.00
93976 0% 14 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 50 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 0% 1,659 $0.00
A0888 Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) 0% 51 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 907 $0.00
87340 0% 85 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 2,141 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 0% 1,378 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 136 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 1,175 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 59 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 279 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 0% 199 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 238 $0.00
97535 Self-care/home management training, each 15 minutes 0% 15 $0.00
87184 0% 14 $0.00
J1940 Injection, furosemide, up to 20 mg 0% 54 $0.00
83550 0% 186 $0.00
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 0% 497 $0.00
36000 0% 27 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 40 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 41 $0.00
P9612 Catheterization for collection of specimen, single patient, all places of service 0% 129 $0.00
88342 0% 25 $0.00
86747 0% 34 $0.00
J2060 Injection, lorazepam, 2 mg 0% 98 $0.00
86762 0% 31 $0.00
84703 0% 38 $0.00
85018 0% 71 $0.00
84153 0% 13 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 0% 17 $0.00
64450 0% 13 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 14 $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.

From NPPES

Who's on the registration

Authorized officialJOHNSON, BRET (CFO)
Same official

Other billing entities under JOHNSON, BRET

Full network →
ProviderLocationPaid
Bon Secours ST. Francis Xavier Hospital INC.Charleston, SC$35.85M
Bret M. Johnson DDS MS PSSpokane, WA$1.23M
Roper ST Francis Hospital-Berkeley INC.Summerville, SC$661K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.