Hospital
Wellstar Spalding Regional Hospital, INC
Wellstar Spalding Regional Hospital, INC was paid $80K by Medicaid between Jan 2018 and Mar 2018, across 30 billing codes. Its largest line is 99283, emergency room visit (moderate) — 33% of everything it billed.
33Billing provider infoWELLSTAR SPALDING REGIONAL HOSPITAL, INC
GRIFFIN, GA 30224
GRIFFIN, GA 30224
33aNPI1972535318assigned 07/07/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$80K
24GClaims1,226
24DCodes billed30
24AFirst – last monthJan 2018 – Mar 2018
Compared with peers
Next to other General Acute Care Hospital providers in Georgia
Rank by total paid#14 of 34
Median peer was paid$23K
This provider vs. median3.5×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,226 | $80K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 33% | 137 | 135 | $27K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 30% | 101 | 96 | $24K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 8.4% | 17 | 17 | $7K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 6.8% | 37 | 37 | $5K |
| 71045 | Radiologic examination, chest; single view | 5.9% | 82 | 79 | $5K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 3.1% | 48 | 15 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.9% | 17 | 17 | $2K |
| 80053 | Comprehensive metabolic panel | 1.9% | 109 | 102 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.8% | 138 | 127 | $1K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 1.3% | 21 | 21 | $1K |
| 71046 | Radiologic examination, chest; 2 views | 1.2% | 12 | 12 | $941.09 |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 12 | 12 | $614.68 |
18 more codes
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 46 | $439.52 |
| 81001 | <1% | 100 | $425.89 | |
| 81025 | <1% | 43 | $368.40 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 20 | $240.80 |
| 84484 | <1% | 14 | $220.21 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 34 | $212.43 |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 21 | $184.23 |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 21 | $125.44 |
| 85730 | <1% | 13 | $116.01 | |
| 85610 | <1% | 13 | $76.04 | |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 16 | $67.52 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 32 | $42.64 |
| A0425 | Ground mileage, per statute mile | <1% | 12 | $37.19 |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 13 | $36.18 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 23 | $18.24 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 50 | $10.02 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 12 | $8.55 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 12 | $3.66 |
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 officialBUDZINSKI, ANTHONY (EVP & CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Wellstar North Fulton Hospital, INC | Roswell, GA | $7.80M |
| Kennestone Hospital, INC. | Marietta, GA | $1.90M |
| Wellstar Atlanta Medical Center, INC | Atlanta, GA | $70K |
| Cobb Hospital, INC | Austell, GA | $43K |
| Douglas Hospital, INC. | Douglasville, GA | $2K |
| Paulding Medical Center, INC. | Hiram, GA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.