Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › LEWISTON › MOUNT ST. MARY'S HOSPITAL OF NIAGARA FALLS

MOUNT ST. MARY'S HOSPITAL OF NIAGARA FALLS

NPI: 1043394745 · LEWISTON, NY 14092 · Cardiac Rehabilitation Clinic/Center · NPI assigned 10/25/2006

$22.19M
Total Medicaid Paid
588,718
Total Claims
527,323
Beneficiaries
295
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMACHOLZ, DAVID (CFO)
NPI Enumeration Date10/25/2006

Related Entities

Other providers sharing the same authorized official: MACHOLZ, DAVID

ProviderCityStateTotal Paid
MERCY HOSPITAL OF BUFFALO BUFFALO NY $29.86M
SISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK CHEEKTOWAGA NY $13.42M
SISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK BUFFALO NY $3.93M
MOUNT ST. MARY'S HOSPITAL OF NIAGARA FALLS LEWISTON NY $2.87M
MERCY HOSPITAL OF BUFFALO BUFFALO NY $449K
KENMORE MERCY HOSPITAL KENMORE NY $70K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,203 $349K
2019 39,956 $1.16M
2020 80,496 $2.20M
2021 100,216 $3.74M
2022 106,837 $4.20M
2023 125,487 $5.41M
2024 130,523 $5.13M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 62,424 51,399 $6.50M
99283 Emergency department visit for the evaluation and management, moderate severity 15,536 14,847 $2.39M
99284 Emergency department visit for the evaluation and management, high severity 11,777 11,075 $1.82M
G0378 Hospital observation service, per hour 1,327 830 $1.28M
96361 Intravenous infusion, hydration; each additional hour 4,913 4,552 $880K
99282 Emergency department visit for the evaluation and management, low to moderate severity 6,004 5,864 $851K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,485 2,422 $553K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,793 6,441 $530K
70450 Computed tomography, head or brain; without contrast material 2,119 2,076 $445K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 22,015 17,912 $443K
80053 Comprehensive metabolic panel 25,616 22,516 $394K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,419 1,390 $314K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,843 1,803 $310K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,447 2,435 $253K
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 4,154 4,035 $242K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,820 3,575 $214K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 7,151 6,922 $200K
36415 Collection of venous blood by venipuncture 32,353 22,695 $180K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4,132 1,665 $173K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,245 1,227 $167K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 327 327 $151K
99201 1,385 1,280 $140K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 7,078 6,859 $137K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,487 1,222 $134K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4,711 4,692 $133K
77067 Screening mammography, bilateral, including computer-aided detection 2,307 2,304 $121K
87481 3,425 3,362 $121K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,319 3,473 $119K
87631 2,628 2,588 $116K
71275 Computed tomographic angiography, chest, with contrast material 516 506 $114K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,717 1,510 $103K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,274 2,253 $92K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 790 755 $85K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,163 1,160 $83K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,391 1,386 $74K
97597 274 208 $71K
20610 317 307 $70K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 42 41 $69K
70551 Magnetic resonance imaging, brain; without contrast material 301 300 $69K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,446 5,499 $69K
80048 Basic metabolic panel (calcium, ionized) 4,684 4,341 $65K
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 3,231 3,161 $61K
76830 Ultrasound, transvaginal 1,537 1,521 $55K
84443 Thyroid stimulating hormone (TSH) 7,513 7,441 $54K
99281 Emergency department visit for the evaluation and management, self-limited or minor 392 387 $51K
99442 736 695 $50K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,561 1,544 $50K
80061 Lipid panel 7,269 7,232 $49K
90715 1,927 1,914 $49K
97161 792 783 $47K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,013 905 $47K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 767 650 $46K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 717 711 $46K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,829 1,602 $44K
83036 Hemoglobin; glycosylated (A1C) 6,018 5,977 $43K
12001 114 112 $40K
69210 1,383 1,299 $40K
82607 4,295 4,273 $40K
76801 550 535 $38K
86850 1,778 1,700 $37K
71046 Radiologic examination, chest; 2 views 5,894 5,793 $31K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 24,847 22,300 $31K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 384 384 $30K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 349 349 $29K
83880 1,253 1,191 $29K
90686 1,063 1,061 $27K
84439 3,465 3,428 $27K
99441 323 309 $27K
93017 909 899 $26K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 306 272 $25K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,426 1,378 $24K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 215 214 $24K
86900 2,109 1,959 $22K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,006 430 $22K
81025 7,646 7,223 $22K
76641 906 903 $22K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,562 3,483 $20K
77063 Screening digital breast tomosynthesis, bilateral 2,200 2,198 $19K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 192 190 $18K
82803 862 778 $17K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 10,848 10,266 $17K
93976 42 40 $16K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,351 2,220 $16K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 51 51 $16K
82746 1,477 1,474 $15K
93971 314 309 $15K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,644 1,616 $15K
87563 698 683 $13K
82728 1,171 1,149 $13K
87660 6,495 6,190 $11K
87086 Culture, bacterial; quantitative colony count, urine 5,859 5,527 $11K
Q9957 Injection, perflutren lipid microspheres, per ml 129 129 $11K
84702 2,001 1,655 $11K
93970 53 53 $11K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 271 270 $11K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 8,431 7,848 $10K
90682 378 376 $10K
85027 4,072 3,914 $10K
86803 1,598 1,590 $10K
72125 Computed tomography, cervical spine; without contrast material 274 273 $9K
81001 10,494 9,921 $9K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 66 66 $9K
86701 977 968 $9K
99221 110 110 $9K
76536 427 426 $8K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,530 3,399 $7K
83921 473 472 $7K
71271 323 323 $7K
86901 476 407 $7K
80076 759 749 $7K
82043 1,527 1,507 $6K
85610 4,191 3,840 $6K
97530 Therapeutic activities, direct patient contact, each 15 minutes 288 134 $6K
86762 610 608 $6K
76818 158 113 $6K
83550 1,350 1,336 $5K
87340 754 750 $5K
99443 69 67 $5K
87088 1,771 1,670 $5K
90670 134 134 $5K
85730 3,581 3,447 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 50 50 $4K
59025 Fetal non-stress test 108 90 $4K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 54 53 $4K
12011 13 13 $4K
93225 220 220 $4K
70486 45 44 $4K
J2785 Injection, regadenoson, 0.1 mg 41 41 $4K
83735 3,625 3,197 $4K
90656 260 260 $4K
76813 63 63 $3K
71250 53 53 $3K
31575 126 124 $3K
71045 Radiologic examination, chest; single view 3,960 3,837 $3K
87077 2,202 1,918 $3K
90734 144 144 $3K
76705 Ultrasound, abdominal, real time with image documentation; limited 168 167 $3K
99406 92 90 $3K
84153 197 194 $3K
83655 201 200 $3K
87186 1,960 1,759 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 13 13 $3K
81003 4,951 4,783 $2K
73630 1,144 1,107 $2K
73030 751 734 $2K
96375 Therapeutic injection; each additional sequential IV push 5,578 5,010 $2K
87480 1,726 1,691 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 30 30 $2K
87510 1,724 1,689 $2K
83690 5,717 5,307 $2K
72100 365 363 $2K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 56 56 $2K
31231 168 167 $2K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,111 776 $2K
85652 1,218 1,189 $2K
86787 297 294 $2K
86885 54 52 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,000 4,944 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 67 27 $1K
97162 13 13 $1K
J7120 Ringers lactate infusion, up to 1000 cc 3,703 3,467 $1K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 73 73 $1K
82150 2,924 2,786 $1K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 40 40 $1K
95819 39 39 $1K
99385 19 19 $1K
81513 3,455 3,391 $1K
88304 230 216 $1K
83001 89 89 $1K
82570 275 268 $1K
72110 81 81 $1K
90651 36 36 $1K
86140 424 383 $1K
99000 247 240 $1K
73562 440 426 $1K
95886 32 32 $1K
83540 202 200 $988.04
G0297 Low dose ct scan (ldct) for lung cancer screening 12 12 $952.03
73130 654 641 $942.73
73610 829 805 $913.82
97010 53 13 $903.33
73564 286 283 $897.24
82784 59 42 $878.78
86480 14 14 $826.82
90677 12 12 $779.45
74018 308 302 $762.56
84484 6,394 4,013 $730.30
73502 202 198 $725.71
84550 213 192 $640.98
86580 137 122 $632.15
86003 21 13 $632.07
86038 153 148 $579.08
82950 144 143 $571.47
G0103 Prostate cancer screening; prostate specific antigen test (psa) 80 78 $551.74
90714 25 25 $535.98
82550 387 366 $527.13
82948 3,943 1,766 $523.34
86592 180 177 $511.42
83605 1,774 1,533 $502.42
85379 1,129 1,105 $469.96
99231 Subsequent hospital care, per day, straightforward or low complexity 15 12 $463.35
86376 38 37 $461.91
86880 25 24 $457.88
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,257 1,191 $451.59
J2704 Injection, propofol, 10 mg 3,106 3,025 $428.18
J7030 Infusion, normal saline solution , 1000 cc 5,035 4,530 $426.22
87040 1,688 887 $424.07
87070 556 533 $378.82
73110 309 304 $371.97
J1170 Injection, hydromorphone, up to 4 mg 2,634 2,188 $367.98
90713 13 13 $326.30
90632 12 12 $288.92
84156 131 113 $271.69
85007 589 509 $248.91
90472 Immunization administration, each additional vaccine (list separately) 934 931 $226.93
84100 65 65 $209.08
84480 39 39 $191.26
93016 12 12 $181.50
74019 99 97 $173.98
83021 13 13 $173.60
86800 13 13 $153.83
J1885 Injection, ketorolac tromethamine, per 15 mg 6,162 5,748 $152.81
83002 12 12 $148.53
93018 12 12 $148.50
81002 1,296 1,059 $148.22
72040 24 24 $144.61
J0696 Injection, ceftriaxone sodium, per 250 mg 1,365 1,260 $143.59
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 125 109 $139.31
82565 55 55 $122.61
84460 53 53 $114.14
84703 1,076 1,038 $101.64
J7050 Infusion, normal saline solution, 250 cc 629 481 $100.06
82310 56 54 $98.96
87205 267 256 $96.87
84520 54 54 $93.78
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,522 2,471 $93.43
87081 753 748 $92.88
84481 13 13 $90.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 6,299 5,712 $81.04
A9270 Non-covered item or service 14,414 12,536 $74.95
J3010 Injection, fentanyl citrate, 0.1 mg 2,015 1,969 $69.64
82248 15 14 $66.30
J0690 Injection, cefazolin sodium, 500 mg 676 638 $62.29
G0008 Administration of influenza virus vaccine 17 17 $58.85
84436 13 13 $55.88
90460 Immunization administration through 18 years of age via any route, first or only component 414 412 $50.00
J2250 Injection, midazolam hydrochloride, per 1 mg 1,624 1,593 $35.51
73080 30 29 $33.76
80320 367 347 $30.15
71101 13 13 $26.04
J2270 Injection, morphine sulfate, up to 10 mg 776 669 $25.14
J1010 Injection, methylprednisolone acetate, 1 mg 75 73 $19.48
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 151 147 $18.09
81015 182 176 $17.76
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,162 1,097 $16.35
85018 124 122 $12.12
73090 14 14 $12.12
82947 14 12 $11.79
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 204 197 $11.72
80355 262 198 $11.54
80369 261 200 $10.68
85014 122 120 $10.10
73590 12 12 $10.10
86308 13 13 $9.56
87075 27 26 $9.47
J2765 Injection, metoclopramide hcl, up to 10 mg 880 821 $8.46
J0780 Injection, prochlorperazine, up to 10 mg 212 206 $7.62
J1956 Injection, levofloxacin, 250 mg 211 203 $7.30
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 360 335 $6.83
J3490 Unclassified drugs 325 269 $5.83
87802 204 203 $5.75
C9113 Injection, pantoprazole sodium, per vial 192 173 $5.04
82040 12 12 $4.95
J3475 Injection, magnesium sulfate, per 500 mg 76 71 $4.68
J1644 Injection, heparin sodium, per 1000 units 38 24 $4.18
J1650 Injection, enoxaparin sodium, 10 mg 275 173 $2.16
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 120 94 $1.17
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 603 557 $1.03
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 59 57 $0.74
J2060 Injection, lorazepam, 2 mg 255 237 $0.68
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 86 80 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 48 44 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 94 92 $0.00
99152 39 39 $0.00
82010 42 38 $0.00
80179 13 12 $0.00
80354 17 17 $0.00
J1171 Injection, hydromorphone, 0.1 mg 55 44 $0.00
93041 15 15 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 237 230 $0.00
96376 1,228 979 $0.00
80368 14 14 $0.00
80329 27 25 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 14 14 $0.00
80358 12 12 $0.00