Medicaid Provider Spending

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

SEQUOYAH COUNTY CITY OF SALLISAW HOSPITAL AUTHORITY

NPI: 1972539567 · SALLISAW, OK 74955 · 282NR1301X

$5.09M
Total Medicaid Paid
64,143
Total Claims
59,885
Beneficiaries
68
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,858 $377K
2019 6,367 $529K
2020 6,216 $434K
2021 11,075 $677K
2022 13,955 $969K
2023 14,127 $1.40M
2024 7,545 $701K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 12,895 11,576 $1.92M
99284 7,890 7,018 $1.78M
99285 1,766 1,544 $452K
99213 3,132 2,905 $169K
99282 1,490 1,367 $112K
99212 1,857 1,727 $56K
80053 3,553 3,475 $53K
99214 706 681 $53K
87426 1,260 1,228 $51K
87635 831 829 $40K
74176 425 418 $33K
96372 567 559 $33K
96374 288 284 $32K
85025 4,279 4,122 $29K
87804 1,020 1,013 $26K
87430 1,488 1,478 $22K
87276 1,524 1,512 $21K
99238 547 536 $20K
80305 1,532 1,501 $17K
99222 259 254 $16K
93010 2,695 2,459 $15K
87880 962 952 $14K
99232 566 238 $14K
71045 975 962 $12K
36415 3,718 3,514 $11K
81025 1,321 1,300 $11K
70450 214 213 $11K
87070 853 847 $7K
87502 79 79 $7K
71046 378 377 $6K
99202 112 112 $5K
U0001 2019-ncov diagnostic p 112 112 $4K
99203 49 49 $4K
99217 86 86 $3K
87651 103 102 $3K
81003 1,525 1,502 $3K
86756 187 187 $3K
71250 39 38 $2K
80061 237 236 $2K
84443 165 164 $2K
81001 678 664 $2K
93005 325 321 $2K
84481 151 150 $2K
96366 20 13 $1K
99231 167 77 $923.36
84439 97 96 $638.27
83036 94 94 $629.18
87811 13 13 $499.02
83690 79 78 $472.01
87807 39 39 $437.51
84484 36 36 $414.16
85027 71 71 $413.03
87086 56 55 $405.26
99406 29 29 $400.78
99239 12 12 $399.75
80048 57 49 $397.46
96361 13 12 $389.65
73130 14 14 $329.61
82150 41 40 $236.16
87075 20 20 $168.40
82550 28 28 $144.75
83735 24 24 $137.08
82553 12 12 $134.21
87205 20 20 $76.00
J2405 Ondansetron hcl injection 13 13 $4.80
J0696 Ceftriaxone sodium injection 217 217 $0.44
J1885 Ketorolac tromethamine inj 63 63 $0.00
J1100 Dexamethasone sodium phos 69 69 $0.00