Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › HORNELL › ST JAMES HOSPITAL

ST JAMES HOSPITAL

NPI: 1013985399 · HORNELL, NY 14843 · Rural Acute Care Hospital · NPI assigned 03/10/2006

$18.25M
Total Medicaid Paid
374,902
Total Claims
342,426
Beneficiaries
225
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBECHER, DENISE (DIRECTOR DECISION SUPPORT)
NPI Enumeration Date03/10/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,732 $237K
2019 19,704 $849K
2020 51,287 $2.20M
2021 70,501 $3.35M
2022 76,037 $4.95M
2023 86,056 $3.94M
2024 65,585 $2.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33,268 30,989 $2.63M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 19,426 17,260 $2.40M
99283 Emergency department visit for the evaluation and management, moderate severity 20,640 19,693 $1.80M
99284 Emergency department visit for the evaluation and management, high severity 10,327 9,422 $1.29M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,183 12,357 $1.14M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 11,440 9,820 $1.04M
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 10,053 9,038 $719K
96361 Intravenous infusion, hydration; each additional hour 2,227 2,012 $570K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,852 3,657 $558K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,613 2,454 $420K
80053 Comprehensive metabolic panel 17,852 16,091 $405K
36415 Collection of venous blood by venipuncture 13,504 11,654 $388K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,632 2,511 $387K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,579 1,538 $382K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,528 3,478 $349K
70450 Computed tomography, head or brain; without contrast material 1,082 1,058 $299K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,983 2,890 $272K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,514 1,225 $237K
81025 1,979 1,912 $213K
87631 2,008 1,977 $209K
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 6,705 6,349 $159K
77067 Screening mammography, bilateral, including computer-aided detection 2,206 2,198 $126K
80048 Basic metabolic panel (calcium, ionized) 5,330 4,737 $111K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,489 2,084 $104K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 443 437 $99K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,096 3,061 $92K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 821 817 $89K
20610 575 441 $89K
74176 Computed tomography, abdomen and pelvis; without contrast material 363 354 $86K
97161 1,010 1,002 $84K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 843 841 $73K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,863 1,824 $68K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,771 1,478 $61K
80061 Lipid panel 6,512 6,457 $52K
84443 Thyroid stimulating hormone (TSH) 7,998 7,810 $51K
S5161 Emergency response system; service fee, per month (excludes installation and testing) 1,457 1,448 $45K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 319 317 $44K
87081 7,869 7,655 $43K
76700 Ultrasound, abdominal, real time with image documentation; complete 328 327 $41K
84484 2,676 1,664 $40K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 17,946 15,565 $36K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,826 1,789 $36K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 142 138 $32K
83036 Hemoglobin; glycosylated (A1C) 4,315 4,273 $32K
90686 794 789 $31K
71275 Computed tomographic angiography, chest, with contrast material 105 101 $30K
77063 Screening digital breast tomosynthesis, bilateral 1,509 1,504 $30K
84439 4,251 4,180 $27K
73130 1,079 1,016 $26K
73110 806 737 $24K
87086 Culture, bacterial; quantitative colony count, urine 3,906 3,663 $23K
51798 90 88 $22K
73562 416 407 $20K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,741 2,506 $20K
12001 40 40 $20K
82607 1,803 1,792 $19K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,288 1,268 $19K
76705 Ultrasound, abdominal, real time with image documentation; limited 491 481 $17K
76830 Ultrasound, transvaginal 538 535 $16K
71046 Radiologic examination, chest; 2 views 3,519 3,408 $16K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 138 138 $16K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4,647 4,113 $16K
71045 Radiologic examination, chest; single view 2,275 2,164 $14K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 849 392 $14K
11721 648 586 $14K
82728 1,242 1,221 $14K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,222 1,861 $13K
76770 112 111 $13K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,573 1,538 $13K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 106 106 $13K
84703 1,902 1,820 $12K
76642 259 256 $11K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 526 516 $10K
86803 1,291 1,275 $10K
86780 831 810 $10K
88305 Level IV - Surgical pathology, gross and microscopic examination 211 161 $9K
80076 1,150 1,134 $9K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 91 91 $9K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 295 293 $9K
97530 Therapeutic activities, direct patient contact, each 15 minutes 160 122 $8K
83655 588 583 $8K
85380 634 616 $8K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 89 61 $8K
86900 421 403 $8K
99201 97 97 $7K
84702 768 561 $7K
87340 750 737 $7K
83540 1,671 1,639 $7K
83735 3,031 2,575 $6K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,992 3,649 $6K
85027 2,666 2,516 $6K
85610 2,391 1,884 $6K
73630 1,391 1,343 $5K
76000 39 39 $5K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 149 67 $5K
83880 151 145 $5K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 12 12 $5K
76641 117 108 $4K
86850 389 373 $4K
73610 1,290 1,216 $4K
81003 3,697 3,534 $4K
86901 386 370 $4K
99385 28 28 $4K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 24 24 $4K
90715 146 146 $4K
86618 313 309 $4K
81001 3,187 2,980 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 41 40 $4K
77065 Tomosynthesis, mammo 53 51 $3K
99442 126 124 $3K
87480 549 534 $3K
83550 753 737 $3K
82746 281 279 $3K
86140 1,308 1,201 $3K
84466 300 299 $3K
84403 121 114 $3K
72020 12 12 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,185 4,109 $3K
93971 83 79 $3K
G0378 Hospital observation service, per hour 99 80 $3K
73030 697 684 $3K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 44 44 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 838 722 $3K
86762 196 191 $3K
85652 1,597 1,516 $2K
87660 446 435 $2K
86706 300 293 $2K
87510 513 498 $2K
82043 454 450 $2K
82570 641 626 $2K
87186 1,200 1,138 $2K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2,026 1,953 $2K
96375 Therapeutic injection; each additional sequential IV push 3,129 2,734 $2K
86704 235 228 $2K
77066 Tomosynthesis, mammo 25 25 $2K
97165 25 25 $2K
99215 Prolong outpt/office vis 14 14 $2K
83690 1,954 1,814 $2K
11720 74 69 $1K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 50 50 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 634 626 $1K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 53 52 $1K
87070 355 344 $1K
0012A 38 38 $1K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 31 29 $1K
72125 Computed tomography, cervical spine; without contrast material 12 12 $1K
76536 64 64 $1K
A9576 Injection, gadoteridol, (prohance multipack), per ml 27 25 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $1K
86038 210 209 $1K
72100 145 144 $929.84
87420 382 372 $916.61
74018 260 248 $890.32
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,398 1,365 $823.50
73564 114 113 $720.56
84100 322 234 $697.51
83001 38 37 $666.92
73140 243 214 $661.24
87158 2,171 2,109 $651.88
86708 76 76 $643.04
99441 34 34 $573.75
73560 103 101 $528.65
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 50 50 $497.16
83605 916 854 $493.10
85730 334 320 $445.82
0011A 31 31 $396.90
85007 433 389 $373.37
86617 17 17 $371.76
G0103 Prostate cancer screening; prostate specific antigen test (psa) 41 40 $350.85
72110 27 27 $346.04
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 13 13 $324.15
73502 103 100 $316.39
87040 589 374 $314.33
84146 17 16 $310.08
86430 64 64 $259.64
87205 265 250 $256.36
99443 15 15 $253.00
J7120 Ringers lactate infusion, up to 1000 cc 1,342 1,207 $236.63
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 308 292 $214.41
87400 512 497 $179.92
81002 165 160 $176.57
82150 155 153 $168.38
96376 699 510 $159.88
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 45 44 $141.10
73080 89 84 $116.51
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 49 49 $104.21
86364 13 12 $90.74
82247 68 64 $87.84
82550 42 41 $75.75
86308 25 25 $71.70
J0696 Injection, ceftriaxone sodium, per 250 mg 118 83 $66.87
84460 36 36 $60.45
73090 30 24 $60.00
82950 12 12 $57.00
J1885 Injection, ketorolac tromethamine, per 15 mg 2,145 1,953 $56.04
80179 278 258 $44.73
80143 310 287 $44.73
80306 84 81 $30.05
82805 28 25 $24.13
84155 37 37 $22.02
73590 12 12 $18.18
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,682 1,499 $15.17
J2704 Injection, propofol, 10 mg 787 766 $10.26
82040 25 25 $9.90
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 16 16 $8.48
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 307 305 $7.67
94760 155 136 $7.41
J2250 Injection, midazolam hydrochloride, per 1 mg 712 691 $7.30
J1200 Injection, diphenhydramine hcl, up to 50 mg 207 185 $5.17
J0690 Injection, cefazolin sodium, 500 mg 225 209 $3.34
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 121 96 $2.14
J2270 Injection, morphine sulfate, up to 10 mg 96 87 $1.17
J2765 Injection, metoclopramide hcl, up to 10 mg 13 12 $1.11
J2003 Injection, lidocaine hydrochloride, 1 mg 48 48 $0.50
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 173 139 $0.48
82077 77 75 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 89 87 $0.00
J1170 Injection, hydromorphone, up to 4 mg 190 149 $0.00
J2060 Injection, lorazepam, 2 mg 64 51 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 315 302 $0.00
J1630 Injection, haloperidol, up to 5 mg 12 12 $0.00
93000 27 27 $0.00
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 14 13 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 12 12 $0.00
J1171 Injection, hydromorphone, 0.1 mg 13 12 $0.00