Medicaid Provider Spending

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

RIVER HOSPITAL, INC.

NPI: 1003814641 · ALEXANDRIA BAY, NY 13607 · Critical Access Hospital · NPI assigned 07/08/2005

$13.49M
Total Medicaid Paid
109,985
Total Claims
95,759
Beneficiaries
114
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMASTALER, EMILY (CEO)
NPI Enumeration Date07/08/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,384 $100K
2019 5,951 $319K
2020 19,876 $1.16M
2021 22,752 $1.54M
2022 22,182 $4.78M
2023 23,381 $3.89M
2024 13,459 $1.70M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90834 Psychotherapy, 45 minutes with patient 11,009 7,216 $2.54M
99283 Emergency department visit for the evaluation and management, moderate severity 5,748 5,472 $1.26M
90832 Psychotherapy, 30 minutes with patient 5,493 4,326 $1.09M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,842 7,250 $1.05M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 6,392 5,620 $1.05M
36415 Collection of venous blood by venipuncture 6,186 5,614 $881K
90837 Psychotherapy, 53 minutes with patient 1,294 1,014 $506K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,319 2,119 $465K
80053 Comprehensive metabolic panel 6,648 6,189 $433K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,354 1,321 $427K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4,823 1,312 $406K
96361 Intravenous infusion, hydration; each additional hour 1,331 1,179 $386K
99284 Emergency department visit for the evaluation and management, high severity 2,883 2,762 $376K
87581 1,888 1,864 $336K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,865 1,793 $232K
90791 Psychiatric diagnostic evaluation 903 869 $214K
74176 Computed tomography, abdomen and pelvis; without contrast material 518 506 $174K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1,368 1,354 $147K
99441 336 328 $146K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,403 1,341 $139K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 937 820 $134K
99442 231 224 $95K
81025 755 736 $93K
90792 Psychiatric diagnostic evaluation with medical services 157 154 $72K
Q3014 Telehealth originating site facility fee 321 193 $68K
70450 Computed tomography, head or brain; without contrast material 194 188 $68K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 301 272 $54K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 344 333 $53K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 794 788 $51K
80061 Lipid panel 2,562 2,556 $50K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,330 1,327 $43K
84443 Thyroid stimulating hormone (TSH) 2,593 2,556 $37K
87486 1,890 1,866 $36K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 1,701 1,684 $34K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 856 817 $34K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 414 410 $33K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 107 107 $17K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 58 58 $16K
84439 1,748 1,733 $16K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,810 3,468 $16K
77067 Screening mammography, bilateral, including computer-aided detection 259 259 $15K
99000 600 574 $13K
83036 Hemoglobin; glycosylated (A1C) 1,552 1,546 $12K
98968 143 84 $12K
99490 Ccm add 20min 118 118 $11K
85027 1,331 1,319 $10K
99443 27 27 $10K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 389 155 $9K
99281 Emergency department visit for the evaluation and management, self-limited or minor 55 54 $8K
90847 Family psychotherapy with the patient present, 50 minutes 24 24 $8K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,221 1,081 $8K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 135 134 $7K
90853 Group psychotherapy (other than of a multiple-family group) 17 15 $6K
90846 Family psychotherapy without the patient present, 50 minutes 71 65 $6K
77063 Screening digital breast tomosynthesis, bilateral 258 258 $5K
80048 Basic metabolic panel (calcium, ionized) 130 123 $5K
87086 Culture, bacterial; quantitative colony count, urine 785 756 $4K
98967 45 40 $4K
90686 146 146 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 46 46 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 28 28 $3K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 14 14 $3K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 967 837 $3K
71046 Radiologic examination, chest; 2 views 480 473 $3K
97162 25 25 $3K
90715 40 40 $3K
83735 1,435 1,294 $3K
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 89 89 $3K
97161 25 25 $2K
83540 418 410 $2K
83550 392 385 $2K
99499 12 12 $2K
82607 122 122 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 20 16 $2K
81001 387 367 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 13 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 343 338 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 14 14 $1K
99051 102 88 $1K
81000 732 694 $937.94
81002 629 607 $926.04
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 28 28 $846.25
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 31 31 $773.70
G0008 Administration of influenza virus vaccine 52 52 $674.73
97010 30 12 $581.40
82728 57 55 $505.45
85610 374 300 $448.74
90734 25 25 $446.25
84484 341 245 $382.10
86140 96 92 $354.96
83690 880 824 $354.80
85730 615 595 $350.30
83605 190 167 $294.75
85651 46 46 $287.78
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 211 205 $256.71
84703 88 86 $128.04
86430 12 12 $125.52
82043 15 15 $105.16
87088 26 24 $76.72
90785 18 13 $76.50
87186 29 27 $65.28
73630 26 24 $60.24
87590 12 12 $53.07
94761 48 41 $50.88
96375 Therapeutic injection; each additional sequential IV push 64 56 $44.51
87490 12 12 $38.58
81003 16 16 $24.88
J7030 Infusion, normal saline solution , 1000 cc 70 67 $1.41
G8510 Screening for depression is documented as negative, a follow-up plan is not required 29 26 $0.03
G0307 Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) 40 40 $0.00
71045 Radiologic examination, chest; single view 100 99 $0.00
87070 14 14 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 29 29 $0.00
80305 15 15 $0.00