Medicaid Provider Spending

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

LOGAN MEMORIAL HOSPITAL LLC

NPI: 1992893416 · RUSSELLVILLE, KY 42276 · Rural Acute Care Hospital · NPI assigned 10/10/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TRAYLOR, JOHNETTA controls 20+ related entities in our dataset. Read more

$14.29M
Total Medicaid Paid
290,923
Total Claims
205,755
Beneficiaries
151
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialTRAYLOR, JOHNETTA (AO)
NPI Enumeration Date10/10/2006

Related Entities

Other providers sharing the same authorized official: TRAYLOR, JOHNETTA

ProviderCityStateTotal Paid
LOGAN GENERAL HOSPITAL LLC LOGAN WV $43.43M
PHC-CLEVELAND LLC CLEVELAND MS $23.43M
HARTSVILLE, LLC HARTSVILLE SC $18.42M
SOUTHWESTERN MEDICAL CENTER, LLC LAWTON OK $9.40M
PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP PALESTINE TX $6.80M
WATERTOWN MEDICAL CENTER LLC WATERTOWN WI $6.31M
AMG - LIVINGSTON, LLC LIVINGSTON TN $5.52M
LOGAN GENERAL HOSPITAL LLC LOGAN WV $4.91M
ST. JOSEPH HOSPITAL LLC LEWISTON ID $4.67M
RIVERTON MEMORIAL HOSPITAL LLC RIVERTON WY $4.65M
LIVINGSTON REGIONAL HOSPITAL LLC LIVINGSTON TN $4.33M
HARTSVILLE MEDICAL GROUP LLC HARTSVILLE SC $4.16M
MEXIA PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP MEXIA TX $2.19M
PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP PALESTINE TX $1.27M
TEXAS SPECIALTY PHYSICIANS PALESTINE TX $1.26M
ST JOSEPH HOSPITAL LLC LEWISTON ID $1.10M
WATERTOWN PHYSICIAN PRACTICES LLC WATERTOWN WI $244K
WATERTOWN PHYSICIAN PRACTICES LLC WATERTOWN WI $175K
AMG-LIVINGSTON LLC LIVINGSTON TN $165K
WATERTOWN PHYSICIAN PRACTICES LLC WATERTOWN WI $149K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 48,169 $2.62M
2019 47,053 $2.30M
2020 38,777 $1.97M
2021 46,056 $2.14M
2022 43,056 $2.09M
2023 46,351 $2.18M
2024 21,461 $996K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 18,270 14,943 $2.23M
99284 Emergency department visit for the evaluation and management, high severity 9,946 8,002 $2.11M
74177 Computed tomography, abdomen and pelvis; with contrast material 2,677 1,963 $1.79M
74176 Computed tomography, abdomen and pelvis; without contrast material 2,000 1,567 $1.01M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,966 2,223 $920K
70450 Computed tomography, head or brain; without contrast material 3,211 2,196 $725K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,539 4,872 $489K
96361 Intravenous infusion, hydration; each additional hour 7,417 2,555 $289K
71046 Radiologic examination, chest; 2 views 4,794 3,483 $283K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,793 1,630 $262K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 849 702 $254K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8,038 5,315 $222K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4,828 1,461 $180K
71045 Radiologic examination, chest; single view 5,113 3,079 $179K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4,572 3,794 $169K
80053 Comprehensive metabolic panel 22,427 11,572 $159K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 18,472 14,890 $148K
71250 693 437 $129K
J1885 Injection, ketorolac tromethamine, per 15 mg 5,351 4,606 $125K
76705 Ultrasound, abdominal, real time with image documentation; limited 795 688 $121K
J7030 Infusion, normal saline solution , 1000 cc 3,493 2,342 $98K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,611 2,764 $92K
96375 Therapeutic injection; each additional sequential IV push 2,739 2,084 $90K
J7120 Ringers lactate infusion, up to 1000 cc 2,481 1,692 $87K
72100 838 722 $81K
J2704 Injection, propofol, 10 mg 2,181 1,687 $80K
73562 1,183 863 $77K
73630 946 793 $69K
77067 Screening mammography, bilateral, including computer-aided detection 1,783 1,697 $69K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,803 1,520 $69K
81001 9,098 7,559 $68K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,753 2,394 $65K
73610 954 750 $64K
80048 Basic metabolic panel (calcium, ionized) 10,447 5,467 $63K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,602 953 $58K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,155 2,574 $57K
36415 Collection of venous blood by venipuncture 18,569 7,018 $53K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,260 1,968 $51K
87400 2,499 2,027 $50K
73030 638 495 $48K
84443 Thyroid stimulating hormone (TSH) 3,501 3,214 $47K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,445 445 $45K
80061 Lipid panel 4,470 3,726 $44K
99281 Emergency department visit for the evaluation and management, self-limited or minor 876 776 $43K
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 660 623 $42K
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 1,249 1,154 $41K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,479 1,245 $40K
84484 3,761 2,949 $35K
87086 Culture, bacterial; quantitative colony count, urine 4,589 3,738 $34K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,214 1,145 $33K
76830 Ultrasound, transvaginal 168 150 $31K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,383 1,249 $30K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,076 933 $30K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 959 392 $29K
83690 4,040 3,389 $28K
73130 335 267 $24K
82150 3,214 2,691 $23K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 3,394 2,812 $22K
83735 4,132 3,148 $19K
87186 2,154 1,846 $19K
83036 Hemoglobin; glycosylated (A1C) 2,640 2,415 $19K
85730 2,176 1,778 $19K
82607 1,545 1,353 $19K
87077 3,907 2,366 $18K
93975 224 211 $17K
81025 1,848 1,605 $16K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 980 805 $15K
82746 1,084 1,019 $13K
87430 913 852 $13K
80076 1,325 1,149 $12K
J3010 Injection, fentanyl citrate, 0.1 mg 860 636 $12K
74018 158 145 $11K
J2250 Injection, midazolam hydrochloride, per 1 mg 907 677 $11K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,038 661 $11K
J2550 Injection, promethazine hcl, up to 50 mg 1,330 1,083 $11K
85610 2,944 2,303 $11K
J2270 Injection, morphine sulfate, up to 10 mg 931 557 $11K
88305 Level IV - Surgical pathology, gross and microscopic examination 128 87 $10K
83880 471 358 $9K
73110 135 97 $9K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 84 73 $9K
77063 Screening digital breast tomosynthesis, bilateral 874 719 $9K
76700 Ultrasound, abdominal, real time with image documentation; complete 43 31 $9K
87070 1,268 876 $8K
97161 165 99 $8K
82728 858 744 $8K
83605 1,074 810 $7K
72131 20 14 $7K
84439 918 837 $7K
84703 743 611 $6K
93971 64 38 $5K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 43 25 $5K
73502 72 62 $5K
86140 1,414 1,061 $5K
87040 387 272 $5K
72125 Computed tomography, cervical spine; without contrast material 12 12 $5K
87081 847 733 $4K
J7510 Prednisolone oral, per 5 mg 606 585 $4K
70486 15 14 $4K
J2175 Injection, meperidine hydrochloride, per 100 mg 272 237 $4K
84436 674 614 $4K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 23 17 $3K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 121 89 $3K
84479 611 567 $3K
72040 36 25 $3K
83550 427 392 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 92 83 $3K
83540 535 489 $3K
G0483 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; 22 or more drug class(es), including metabolite(s) if performed 37 13 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 92 83 $3K
85379 370 297 $3K
82962 735 388 $2K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 95 93 $2K
12001 31 28 $2K
76536 16 12 $2K
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 86 26 $2K
76642 31 27 $2K
86171 162 157 $1K
97162 13 13 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 33 28 $1K
J3490 Unclassified drugs 404 254 $925.91
36600 149 24 $825.57
94060 14 12 $815.27
J2919 Injection, methylprednisolone sodium succinate, 5 mg 24 21 $651.72
C9113 Injection, pantoprazole sodium, per vial 18 16 $492.35
J0690 Injection, cefazolin sodium, 500 mg 17 15 $452.53
82043 75 68 $423.35
82670 17 13 $405.39
82248 37 29 $361.07
84145 13 12 $345.91
83615 76 61 $305.61
82550 61 54 $291.28
0012A 26 20 $269.11
J2060 Injection, lorazepam, 2 mg 18 12 $253.04
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 14 13 $229.01
J0595 Injection, butorphanol tartrate, 1 mg 12 12 $193.98
85652 96 79 $176.84
0011A 26 19 $175.16
83001 16 12 $164.59
83002 16 12 $164.08
82570 51 42 $145.65
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 18 12 $133.85
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 97 79 $92.86
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 12 $89.23
82542 15 12 $83.42
86900 29 26 $58.40
86901 29 26 $58.40
J8540 Dexamethasone, oral, 0.25 mg 12 12 $39.80
86592 14 12 $31.24
Q0244 Injection, casirivimab and imdevimab, 1200 mg 37 36 $0.02
91301 51 38 $0.00