Medicaid Provider Spending

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

MADISON COUNTY COMMUNITY HOSPITAL

NPI: 1982710703 · LONDON, OH 43140 · General Acute Care Hospital · NPI assigned 08/22/2006

$8.55M
Total Medicaid Paid
222,267
Total Claims
177,744
Beneficiaries
167
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKOLB, FRED (CEO)
NPI Enumeration Date08/22/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,781 $589K
2019 16,791 $629K
2020 10,806 $574K
2021 15,684 $772K
2022 19,776 $997K
2023 74,056 $2.80M
2024 67,373 $2.19M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 15,593 14,704 $1.77M
99284 Emergency department visit for the evaluation and management, high severity 11,068 9,921 $1.25M
96361 Intravenous infusion, hydration; each additional hour 3,538 2,719 $1.10M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,516 4,005 $580K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,453 1,749 $474K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 5,788 1,834 $436K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,025 1,336 $348K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,452 2,320 $258K
74177 Computed tomography, abdomen and pelvis; with contrast material 916 762 $246K
80053 Comprehensive metabolic panel 15,631 13,930 $181K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 976 589 $179K
70450 Computed tomography, head or brain; without contrast material 612 528 $151K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,279 1,156 $129K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 548 416 $110K
74176 Computed tomography, abdomen and pelvis; without contrast material 281 233 $77K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 21,181 18,164 $74K
99281 Emergency department visit for the evaluation and management, self-limited or minor 857 830 $74K
84443 Thyroid stimulating hormone (TSH) 4,589 4,170 $73K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 815 510 $69K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 419 257 $62K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 599 549 $59K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,412 2,198 $43K
36415 Collection of venous blood by venipuncture 15,511 13,276 $42K
80061 Lipid panel 3,090 2,902 $41K
G0378 Hospital observation service, per hour 635 314 $39K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 484 366 $38K
97016 901 233 $33K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,264 426 $31K
71046 Radiologic examination, chest; 2 views 1,510 1,382 $29K
83036 Hemoglobin; glycosylated (A1C) 2,217 2,050 $29K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 4,091 3,792 $27K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,153 1,061 $24K
73564 532 467 $23K
80048 Basic metabolic panel (calcium, ionized) 2,431 1,961 $22K
87088 1,887 1,640 $21K
77063 Screening digital breast tomosynthesis, bilateral 435 401 $21K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 50 41 $18K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,095 923 $18K
71275 Computed tomographic angiography, chest, with contrast material 52 41 $17K
73630 559 507 $16K
82607 849 771 $15K
73130 489 418 $14K
73030 392 348 $13K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 389 342 $13K
97161 267 250 $12K
86803 469 433 $12K
73610 427 381 $11K
59025 Fetal non-stress test 127 64 $10K
97162 253 223 $10K
84439 502 459 $10K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,603 3,155 $9K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,243 1,098 $9K
84484 3,479 2,485 $9K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 360 331 $7K
84466 609 556 $6K
83735 3,105 2,450 $6K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 452 151 $6K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 389 342 $6K
77067 Screening mammography, bilateral, including computer-aided detection 436 402 $6K
62323 12 12 $5K
73110 175 158 $5K
83540 619 564 $5K
82728 304 281 $5K
81001 6,819 6,163 $5K
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 527 426 $5K
86780 177 161 $4K
86140 1,035 821 $4K
81514 55 53 $4K
82746 415 381 $4K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 242 205 $4K
87086 Culture, bacterial; quantitative colony count, urine 246 238 $4K
76705 Ultrasound, abdominal, real time with image documentation; limited 54 44 $4K
87186 559 470 $4K
71045 Radiologic examination, chest; single view 1,506 1,287 $3K
84153 231 211 $3K
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 17 17 $3K
81003 1,638 1,414 $3K
82570 321 288 $3K
85610 1,745 1,479 $3K
70551 Magnetic resonance imaging, brain; without contrast material 12 12 $3K
85652 606 524 $2K
J3490 Unclassified drugs 1,556 765 $2K
72100 60 57 $2K
86850 125 103 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,797 3,250 $2K
84703 2,309 1,909 $2K
85027 251 207 $2K
73502 63 57 $2K
82565 489 350 $2K
83690 2,606 2,137 $2K
83880 824 694 $2K
83605 1,399 1,084 $2K
71250 17 13 $2K
87340 66 64 $1K
82043 216 205 $1K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 64 51 $1K
85730 1,717 1,438 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,048 1,622 $1K
96375 Therapeutic injection; each additional sequential IV push 2,805 2,051 $1K
82248 676 543 $1K
84702 65 42 $1K
80051 273 184 $1K
82150 621 502 $1K
82947 317 222 $1K
86900 128 104 $1K
73562 46 41 $1K
92523 12 12 $996.54
J7030 Infusion, normal saline solution , 1000 cc 1,696 1,201 $960.35
84520 470 347 $835.83
86038 28 25 $821.21
96376 521 294 $762.52
73080 31 29 $680.10
86901 128 104 $674.05
88305 Level IV - Surgical pathology, gross and microscopic examination 1,355 297 $614.06
84550 106 94 $610.53
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 13 $559.67
74018 13 12 $559.18
87077 497 288 $498.39
85018 24 24 $420.16
77003 570 485 $401.34
72125 Computed tomography, cervical spine; without contrast material 19 14 $378.48
85379 513 443 $336.98
90715 13 12 $283.10
82550 61 49 $227.08
87070 57 43 $216.70
J1170 Injection, hydromorphone, up to 4 mg 704 420 $160.26
84481 17 13 $146.09
80076 13 13 $120.59
J1885 Injection, ketorolac tromethamine, per 15 mg 2,448 1,977 $118.30
87634 329 266 $116.10
J2270 Injection, morphine sulfate, up to 10 mg 594 397 $108.78
J2550 Injection, promethazine hcl, up to 50 mg 347 246 $100.17
J7120 Ringers lactate infusion, up to 1000 cc 1,253 1,005 $57.16
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 628 506 $52.78
87205 37 25 $45.38
J1200 Injection, diphenhydramine hcl, up to 50 mg 419 311 $28.92
J1815 Injection, insulin, per 5 units 19 12 $25.16
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,870 1,369 $24.12
84156 12 12 $20.14
J1100 Injection, dexamethasone sodium phosphate, 1 mg 541 421 $16.00
J2704 Injection, propofol, 10 mg 984 819 $15.87
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 361 223 $6.58
J2765 Injection, metoclopramide hcl, up to 10 mg 172 113 $5.87
J3360 Injection, diazepam, up to 5 mg 14 14 $5.45
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 215 168 $5.12
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 291 224 $5.05
J0131 Injection, acetaminophen, not otherwise specified,10 mg 63 59 $5.00
J3010 Injection, fentanyl citrate, 0.1 mg 345 262 $3.64
J1596 Injection, glycopyrrolate, 0.1 mg 120 110 $3.53
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 209 144 $3.30
J0696 Injection, ceftriaxone sodium, per 250 mg 168 39 $2.18
J2003 Injection, lidocaine hydrochloride, 1 mg 99 77 $2.07
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 191 156 $0.92
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 33 26 $0.58
J2250 Injection, midazolam hydrochloride, per 1 mg 223 188 $0.53
J1940 Injection, furosemide, up to 20 mg 27 13 $0.05
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,003 1,596 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 180 156 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 38 38 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 18 14 $0.00
J1171 Injection, hydromorphone, 0.1 mg 45 35 $0.00
A9270 Non-covered item or service 762 102 $0.00
J0690 Injection, cefazolin sodium, 500 mg 95 72 $0.00
00813 12 12 $0.00
82803 70 55 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 12 $0.00
J2060 Injection, lorazepam, 2 mg 18 12 $0.00