Hospital
Civista Medical Center INC
Civista Medical Center INC was paid $2.01M by Medicaid between Jan 2018 and Nov 2024, across 64 billing codes. Its largest line is 99284, emergency room visit (serious) — 45% of everything it billed.
33Billing provider infoCIVISTA MEDICAL CENTER INC
LA PLATA, MD 20646
LA PLATA, MD 20646
33aNPI1992701825assigned 06/24/2005
33bProvider typeRural Acute Care Hospital
28Total paid$2.01M
24GClaims78,596
24DCodes billed64
24AFirst – last monthJan 2018 – Nov 2024
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 | 15,195 | $215K | |
| 2019 | 12,163 | $259K | |
| 2020 | 9,121 | $268K | |
| 2021 | 13,815 | $360K | |
| 2022 | 12,571 | $353K | |
| 2023 | 9,605 | $348K | |
| 2024incomplete | 6,126 | $208K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 45% | 6,983 | 5,959 | $912K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 23% | 4,655 | 4,027 | $458K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 13% | 1,405 | 1,274 | $256K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 6.2% | 3,552 | 2,938 | $125K |
| G0378 | Hospital observation service, per hour | 3.2% | 260 | 175 | $65K |
| 80053 | Comprehensive metabolic panel | 2.1% | 8,287 | 6,750 | $41K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.2% | 8,838 | 6,993 | $25K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.1% | 7,920 | 5,871 | $23K |
| 71045 | Radiologic examination, chest; single view | <1% | 4,006 | 3,478 | $19K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 962 | 525 | $18K |
| 81001 | <1% | 2,723 | 2,445 | $10K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 1,695 | 1,524 | $9K |
52 more codes
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 228 | $7K |
| 84484 | <1% | 3,389 | $6K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 391 | $6K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 356 | $5K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 105 | $4K |
| 83690 | <1% | 2,469 | $3K | |
| 84703 | <1% | 782 | $2K | |
| J0131 | Injection, acetaminophen, not otherwise specified,10 mg | <1% | 101 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 75 | $2K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 97 | $2K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 96 | $2K |
| 82553 | <1% | 540 | $1K | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 2,571 | $1K |
| 83735 | <1% | 3,070 | $1K | |
| 83880 | <1% | 765 | $1K | |
| 82550 | <1% | 1,936 | $1K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 505 | $783.96 |
| 93971 | <1% | 25 | $706.96 | |
| 85610 | <1% | 1,700 | $531.41 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 501 | $415.13 |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 51 | $394.19 |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 719 | $379.95 |
| 87088 | <1% | 190 | $345.83 | |
| 87077 | <1% | 84 | $339.16 | |
| 81003 | <1% | 569 | $295.14 | |
| 85027 | <1% | 124 | $291.50 | |
| 85730 | <1% | 1,053 | $260.25 | |
| 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 | <1% | 94 | $164.86 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 2,000 | $144.23 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 32 | $104.70 |
| 87040 | <1% | 41 | $89.61 | |
| 83605 | <1% | 251 | $66.59 | |
| 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 | <1% | 509 | $64.95 |
| 85379 | <1% | 69 | $58.80 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 158 | $45.62 |
| 94760 | <1% | 14 | $36.28 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 363 | $27.79 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 15 | $24.03 |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 29 | $22.41 |
| J2704 | Injection, propofol, 10 mg | <1% | 249 | $10.57 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 81 | $2.45 |
| J1170 | Injection, hydromorphone, up to 4 mg | 0% | 45 | $0.00 |
| J7050 | Infusion, normal saline solution, 250 cc | 0% | 607 | $0.00 |
| J0690 | Injection, cefazolin sodium, 500 mg | 0% | 29 | $0.00 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 25 | $0.00 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 0% | 14 | $0.00 |
| 71275 | Computed tomographic angiography, chest, with contrast material | 0% | 15 | $0.00 |
| 0270 | 0% | 26 | $0.00 | |
| J2272 | Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg | 0% | 40 | $0.00 |
| J7120 | Ringers lactate infusion, up to 1000 cc | 0% | 62 | $0.00 |
| 87186 | 0% | 28 | $0.00 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 22 | $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 officialZANGER, ALBERT (CHIEF FINANCIAL OFFICER)