Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Carthage Area Hospital INC

Carthage Area Hospital INC was paid $9.61M by Medicaid between Jan 2018 and Nov 2024, across 175 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.

33Billing provider infoCARTHAGE AREA HOSPITAL INC
CARTHAGE, NY 13619
33aNPI1053497388assigned 10/30/2006
33bProvider typeSocial Worker
28Total paid$9.61M
24GClaims143,498
24DCodes billed175
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Social Worker providers in New York

Rank by total paid#7 of 192
Median peer was paid$40K
This provider vs. median243×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
20184,077$200K
201920,482$1.03M
202048,302$2.53M
202120,068$982K
202221,216$2.94M
202316,592$1.32M
2024incomplete12,761$617K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 18,323 16,737 $1.79M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 11% 5,220 3,703 $1.09M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 6.5% 4,801 4,660 $622K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 5.9% 3,302 2,503 $571K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 5.8% 4,908 4,733 $553K
36415 Collection of venous blood by venipuncture 4.9% 7,551 6,645 $475K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 4.4% 3,619 3,437 $426K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4.3% 2,527 2,436 $412K
96361 Intravenous infusion, hydration; each additional hour 4.1% 1,812 1,604 $392K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.7% 2,054 1,898 $258K
41899 Unlisted procedure, dentoalveolar structures 2.2% 215 215 $208K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1.8% 1,863 1,733 $178K
163 more codes
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.7% 1,296 $165K
99203 Doctor's office visit, new patient (routine) 1.7% 1,025 $162K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1.5% 1,317 $147K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1.5% 1,033 $146K
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 1.5% 2,508 $146K
80053 Comprehensive metabolic panel 1.4% 6,722 $136K
90791 Psychiatric diagnostic evaluation 1.4% 678 $134K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.4% 794 $133K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.2% 865 $111K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.1% 1,513 $105K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.1% 363 $104K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,604 $74K
92551 <1% 661 $72K
70450 Computed tomography, head or brain; without contrast material <1% 232 $69K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,410 $68K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,906 $66K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 190 $58K
90837 Psychotherapy session, about an hour <1% 269 $48K
81025 <1% 877 $45K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 859 $37K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 348 $36K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 262 $31K
90686 <1% 1,241 $30K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 334 $29K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 110 $24K
96160 <1% 430 $23K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 679 $22K
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 <1% 1,218 $21K
99000 <1% 718 $20K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 579 $19K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 137 $19K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 557 $19K
80061 Lipid panel <1% 2,196 $18K
84443 Thyroid stimulating hormone (TSH) <1% 2,991 $17K
99173 <1% 324 $17K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 855 $17K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 131 $15K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 2,211 $15K
90792 Psychiatric diagnostic evaluation with medical services <1% 51 $13K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 55 $13K
83036 Hemoglobin; glycosylated (A1C) <1% 1,901 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,101 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 77 $9K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 882 $8K
90670 <1% 402 $8K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 177 $8K
84439 <1% 1,234 $8K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 6,225 $8K
83880 <1% 239 $7K
87086 Culture, bacterial; quantitative colony count, urine <1% 2,157 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 59 $6K
88142 <1% 214 $6K
99204 Doctor's office visit, new patient (more involved) <1% 54 $6K
90656 <1% 54 $5K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 1,300 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 858 $5K
71275 Computed tomographic angiography, chest, with contrast material <1% 13 $4K
97161 <1% 44 $4K
99402 <1% 77 $4K
85027 <1% 1,421 $3K
90633 <1% 130 $3K
71046 Radiologic examination, chest; 2 views <1% 1,156 $3K
80048 Basic metabolic panel (calcium, ionized) <1% 199 $3K
90647 <1% 231 $3K
90723 <1% 225 $3K
90734 <1% 60 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 26 $2K
82607 <1% 277 $2K
81015 <1% 2,898 $2K
00170 Anesthesia for intraoral procedures, including biopsy <1% 15 $2K
96367 <1% 17 $2K
11056 <1% 50 $2K
86141 <1% 320 $2K
99442 <1% 27 $1K
87486 <1% 52 $1K
96127 <1% 258 $1K
90715 <1% 59 $1K
81002 <1% 1,020 $1K
80361 <1% 127 $1K
87581 <1% 52 $1K
83735 <1% 593 $995.71
80373 <1% 83 $903.63
80354 <1% 83 $819.99
86850 <1% 64 $799.11
76801 <1% 12 $767.15
80372 <1% 83 $766.98
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 213 $765.15
85730 <1% 461 $730.76
82550 <1% 315 $719.18
87186 <1% 288 $693.51
81003 <1% 1,017 $618.24
90681 <1% 67 $606.90
82728 <1% 78 $606.31
87102 <1% 106 $602.19
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 44 $587.68
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% 73 $586.23
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 66 $562.37
83655 <1% 45 $558.71
80324 <1% 126 $552.66
80365 <1% 126 $540.65
80076 <1% 54 $494.80
87081 <1% 124 $494.64
99001 <1% 64 $483.46
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 255 $483.00
80346 <1% 112 $481.14
80348 <1% 112 $463.98
82746 <1% 59 $463.59
85610 <1% 278 $456.33
D1206 Topical application of fluoride varnish <1% 15 $454.50
80358 <1% 114 $434.02
80359 <1% 112 $424.02
80353 <1% 112 $424.02
85651 <1% 395 $414.60
90671 <1% 16 $401.60
80321 <1% 83 $383.03
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 12 $330.68
83690 <1% 1,828 $328.16
86376 <1% 29 $321.77
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 1,207 $321.67
86901 <1% 38 $315.71
84481 <1% 40 $308.56
84703 <1% 752 $301.52
84702 <1% 67 $296.88
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 754 $271.55
86780 <1% 28 $268.29
86900 <1% 38 $264.62
96375 Therapeutic injection; each additional sequential IV push <1% 966 $250.50
84550 <1% 64 $249.77
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 25 $235.32
93000 <1% 196 $226.34
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 15 $195.00
84484 <1% 819 $170.46
87340 <1% 13 $126.37
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 18 $113.22
86618 <1% 14 $112.98
83605 <1% 1,420 $103.93
85378 <1% 256 $96.57
86038 <1% 28 $93.60
83550 <1% 27 $93.23
74022 <1% 15 $62.40
73030 <1% 16 $54.00
90472 Immunization administration, each additional vaccine (list separately) <1% 32 $52.00
84436 <1% 12 $34.20
83540 <1% 12 $30.18
86308 <1% 16 $29.40
87040 <1% 222 $24.45
85018 <1% 13 $22.00
85014 <1% 13 $22.00
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,125 $20.06
87070 <1% 12 $17.81
71045 Radiologic examination, chest; single view <1% 303 $6.00
J7030 Infusion, normal saline solution , 1000 cc <1% 957 $5.82
80320 <1% 28 $5.00
87210 <1% 12 $3.40
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 1,142 $2.67
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 627 $1.10
J3010 Injection, fentanyl citrate, 0.1 mg <1% 527 $1.06
J2704 Injection, propofol, 10 mg <1% 376 $0.67
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 54 $0.00
99070 0% 12 $0.00
73630 0% 13 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 0% 12 $0.00
81449 0% 13 $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 officialDUVALL, RICHARD (CEO ADMINSTRATOR)
Same official

Other billing entities under DUVALL, RICHARD

Full network →
ProviderLocationPaid
Carthage Area Hospital, INC.Carthage, NY$16.07M
Carthage Area Hospital INC.Carthage, NY$2.66M
Carthage Area Hospital, INC.Carthage, NY$669K
Carthage Area Hospital INCCarthage, NY$227K
Carthage Area Hospital INCCarthage, NY$221K
Carthage Area Hospital, INC.Lafargeville, NY$74K
Carthage Area Hospital INCBeaver Falls, NY$58K
Claxton-Hepburn Medical CenterOgdensburg, NY$24K
Carthage Area Hospital INCPhiladelphia, NY$5K
Claxton-Hepburn Medical CenterCanton, NY$4K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.