Medicaid Provider Spending

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

HERRICK MEMORIAL HOSPITAL, INC.

NPI: 1982665642 · TECUMSEH, MI 49286 · Critical Access Hospital · NPI assigned 03/31/2006

$1.82M
Total Medicaid Paid
43,182
Total Claims
38,789
Beneficiaries
76
Codes Billed
2018-01
First Month
2020-09
Last Month

Provider Details

Authorized OfficialSHARP, KEVIN (VP REV CYCLE)
Parent OrganizationPROMEDICA HEALTH SYSTEM, INC.
NPI Enumeration Date03/31/2006

Related Entities

Other providers sharing the same authorized official: SHARP, KEVIN

ProviderCityStateTotal Paid
THE TOLEDO HOSPITAL TOLEDO OH $151.22M
EMMA L. BIXBY MEDICAL CENTER ADRIAN MI $18.35M
BAY PARK COMMUNITY HOSPITAL OREGON OH $16.39M
COMMUNITY HEALTH CENTER OF BRANCH COUNTY COLDWATER MI $11.80M
DEFIANCE HOSPITAL INC. DEFIANCE OH $11.55M
MEMORIAL HOSPITAL FREMONT OH $11.40M
FOSTORIA HOSPITAL ASSOCIATION FOSTORIA OH $7.48M
TOLEDO HOSPITAL TOLEDO OH $2.38M
FLOWER HOSPITAL SYLVANIA OH $368K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,256 $670K
2019 16,750 $680K
2020 9,176 $474K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 4,791 4,233 $566K
99284 Emergency department visit for the evaluation and management, high severity 2,067 1,909 $364K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 877 839 $213K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,500 1,328 $120K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,416 1,332 $115K
74177 Computed tomography, abdomen and pelvis; with contrast material 399 391 $51K
77067 Screening mammography, bilateral, including computer-aided detection 918 916 $47K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 549 511 $40K
96375 Therapeutic injection; each additional sequential IV push 1,374 1,147 $36K
70450 Computed tomography, head or brain; without contrast material 429 421 $36K
96361 Intravenous infusion, hydration; each additional hour 1,381 1,152 $30K
71046 Radiologic examination, chest; 2 views 1,002 966 $28K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 30 24 $24K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 528 175 $21K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 581 567 $18K
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 230 226 $15K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 594 153 $13K
71045 Radiologic examination, chest; single view 403 394 $11K
77063 Screening digital breast tomosynthesis, bilateral 839 838 $11K
74176 Computed tomography, abdomen and pelvis; without contrast material 85 84 $8K
95810 Polysomnography; sleep staging with 4 or more additional parameters 16 15 $5K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 26 26 $5K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 13 13 $5K
95811 12 12 $4K
84443 Thyroid stimulating hormone (TSH) 503 495 $3K
80053 Comprehensive metabolic panel 2,697 2,445 $3K
76830 Ultrasound, transvaginal 53 53 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,204 2,790 $3K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 39 37 $3K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,242 1,137 $2K
76642 79 77 $2K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 312 307 $2K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 169 167 $2K
36415 Collection of venous blood by venipuncture 1,822 1,617 $2K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 32 32 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 28 28 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,237 1,013 $1K
80061 Lipid panel 153 149 $1K
80048 Basic metabolic panel (calcium, ionized) 533 490 $926.03
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 35 12 $808.60
84439 252 250 $788.11
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 185 177 $765.39
76705 Ultrasound, abdominal, real time with image documentation; limited 12 12 $753.85
83735 1,002 919 $399.00
72100 27 25 $391.07
85610 868 790 $353.14
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 468 461 $345.44
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 14 14 $250.17
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 143 133 $202.87
73630 56 52 $185.10
87086 Culture, bacterial; quantitative colony count, urine 320 314 $109.42
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 339 337 $103.76
85379 263 252 $78.04
83690 905 830 $74.32
82150 477 452 $57.13
73562 17 15 $52.35
81003 1,584 1,492 $49.57
85730 666 647 $44.25
81025 969 901 $43.21
85027 12 12 $39.92
81001 209 199 $37.80
73610 26 26 $31.59
83880 14 14 $21.33
84484 868 800 $15.84
96376 202 160 $0.00
87040 41 40 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 402 357 $0.00
84703 53 53 $0.00
87807 27 27 $0.00
A9270 Non-covered item or service 61 40 $0.00
94760 74 73 $0.00
V2632 Posterior chamber intraocular lens 32 26 $0.00
83605 19 19 $0.00
94664 339 312 $0.00
L8613 Ossicula implant 12 12 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 26 25 $0.00