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

Sequoyah County City of Sallisaw Hospital Authority

Sequoyah County City of Sallisaw Hospital Authority was paid $5.09M by Medicaid between Jan 2018 and Nov 2024, across 68 billing codes. Its largest line is 99283, emergency room visit (moderate) — 38% of everything it billed.

33Billing provider infoSEQUOYAH COUNTY CITY OF SALLISAW HOSPITAL AUTHORITY
SALLISAW, OK 74955
33aNPI1972539567assigned 06/24/2006
28Total paid$5.09M
24GClaims64,143
24DCodes billed68
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Rural Acute Care Hospital providers in Oklahoma

Rank by total paid#3 of 10
Median peer was paid$1.46M
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

$0$100K$200K2018201920202021202220232024
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
20184,858$377K
20196,367$529K
20206,216$434K
202111,075$677K
202213,955$969K
202314,127$1.40M
2024incomplete7,545$701K
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 38% 12,895 11,576 $1.92M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 35% 7,890 7,018 $1.78M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 8.9% 1,766 1,544 $452K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.3% 3,132 2,905 $169K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.2% 1,490 1,367 $112K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.1% 1,857 1,727 $56K
80053 Comprehensive metabolic panel 1.0% 3,553 3,475 $53K
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 1.0% 706 681 $53K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 1,260 1,228 $51K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 831 829 $40K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 425 418 $33K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 567 559 $33K
56 more codes
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 288 $32K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 4,279 $29K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,020 $26K
87430 <1% 1,488 $22K
87276 <1% 1,524 $21K
99238 Hospital discharge day management, 30 minutes or less <1% 547 $20K
80305 <1% 1,532 $17K
99222 Initial hospital care, per day, moderate complexity <1% 259 $16K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 2,695 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 962 $14K
99232 Hospital visit by a doctor, follow-up day <1% 566 $14K
71045 Radiologic examination, chest; single view <1% 975 $12K
36415 Collection of venous blood by venipuncture <1% 3,718 $11K
81025 <1% 1,321 $11K
70450 Computed tomography, head or brain; without contrast material <1% 214 $11K
87070 <1% 853 $7K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 79 $7K
71046 Radiologic examination, chest; 2 views <1% 378 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 112 $5K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel <1% 112 $4K
99203 Doctor's office visit, new patient (routine) <1% 49 $4K
99217 <1% 86 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 103 $3K
81003 <1% 1,525 $3K
86756 <1% 187 $3K
71250 <1% 39 $2K
80061 Lipid panel <1% 237 $2K
84443 Thyroid stimulating hormone (TSH) <1% 165 $2K
81001 <1% 678 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 325 $2K
84481 <1% 151 $2K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 20 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 167 $923.36
84439 <1% 97 $638.27
83036 Hemoglobin; glycosylated (A1C) <1% 94 $629.18
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 13 $499.02
83690 <1% 79 $472.01
87807 <1% 39 $437.51
84484 <1% 36 $414.16
85027 <1% 71 $413.03
87086 Culture, bacterial; quantitative colony count, urine <1% 56 $405.26
99406 <1% 29 $400.78
99239 Hospital discharge day management, more than 30 minutes <1% 12 $399.75
80048 Basic metabolic panel (calcium, ionized) <1% 57 $397.46
96361 Intravenous infusion, hydration; each additional hour <1% 13 $389.65
73130 <1% 14 $329.61
82150 <1% 41 $236.16
87075 <1% 20 $168.40
82550 <1% 28 $144.75
83735 <1% 24 $137.08
82553 <1% 12 $134.21
87205 <1% 20 $76.00
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 13 $4.80
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 217 $0.44
J1885 Injection, ketorolac tromethamine, per 15 mg 0% 63 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 69 $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 officialSIX, STEPHANIE (HOSPITAL ADMINISTRATOR)