Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › CARTHAGE › CARTHAGE AREA HOSPITAL INC

CARTHAGE AREA HOSPITAL INC

NPI: 1053497388 · CARTHAGE, NY 13619 · Social Worker · NPI assigned 10/30/2006

$9.61M
Total Medicaid Paid
143,498
Total Claims
130,525
Beneficiaries
175
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDUVALL, RICHARD (CEO ADMINSTRATOR)
NPI Enumeration Date10/30/2006

Related Entities

Other providers sharing the same authorized official: DUVALL, RICHARD

ProviderCityStateTotal Paid
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 INC CARTHAGE NY $227K
CARTHAGE AREA HOSPITAL INC CARTHAGE NY $221K
CARTHAGE AREA HOSPITAL, INC. LAFARGEVILLE NY $74K
CARTHAGE AREA HOSPITAL INC BEAVER FALLS NY $58K
CLAXTON-HEPBURN MEDICAL CENTER OGDENSBURG NY $24K
CARTHAGE AREA HOSPITAL INC PHILADELPHIA NY $5K
CLAXTON-HEPBURN MEDICAL CENTER CANTON NY $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,077 $200K
2019 20,482 $1.03M
2020 48,302 $2.53M
2021 20,068 $982K
2022 21,216 $2.94M
2023 16,592 $1.32M
2024 12,761 $617K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,323 16,737 $1.79M
90834 Psychotherapy, 45 minutes with patient 5,220 3,703 $1.09M
99283 Emergency department visit for the evaluation and management, moderate severity 4,801 4,660 $622K
90832 Psychotherapy, 30 minutes with patient 3,302 2,503 $571K
99284 Emergency department visit for the evaluation and management, high severity 4,908 4,733 $553K
36415 Collection of venous blood by venipuncture 7,551 6,645 $475K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,619 3,437 $426K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,527 2,436 $412K
96361 Intravenous infusion, hydration; each additional hour 1,812 1,604 $392K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,054 1,898 $258K
41899 Unlisted procedure, dentoalveolar structures 215 215 $208K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,863 1,733 $178K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,296 1,170 $165K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,025 1,010 $162K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,317 1,168 $147K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,033 356 $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 2,508 2,188 $146K
80053 Comprehensive metabolic panel 6,722 6,144 $136K
90791 Psychiatric diagnostic evaluation 678 623 $134K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 794 737 $133K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 865 841 $111K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,513 529 $105K
74177 Computed tomography, abdomen and pelvis; with contrast material 363 350 $104K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,604 1,469 $74K
92551 661 550 $72K
70450 Computed tomography, head or brain; without contrast material 232 225 $69K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,410 1,385 $68K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,906 1,843 $66K
74176 Computed tomography, abdomen and pelvis; without contrast material 190 183 $58K
90837 Psychotherapy, 53 minutes with patient 269 251 $48K
81025 877 854 $45K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 859 850 $37K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 348 347 $36K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 262 262 $31K
90686 1,241 1,076 $30K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 334 196 $29K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 110 106 $24K
96160 430 429 $23K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 679 678 $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 1,218 1,135 $21K
99000 718 705 $20K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 579 561 $19K
99282 Emergency department visit for the evaluation and management, low to moderate severity 137 134 $19K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 557 539 $19K
80061 Lipid panel 2,196 2,177 $18K
84443 Thyroid stimulating hormone (TSH) 2,991 2,936 $17K
99173 324 323 $17K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 855 845 $17K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 131 128 $15K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,211 1,853 $15K
90792 Psychiatric diagnostic evaluation with medical services 51 51 $13K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 55 54 $13K
83036 Hemoglobin; glycosylated (A1C) 1,901 1,882 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,101 816 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 77 77 $9K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 882 865 $8K
90670 402 401 $8K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 177 119 $8K
84439 1,234 1,216 $8K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6,225 5,667 $8K
83880 239 193 $7K
87086 Culture, bacterial; quantitative colony count, urine 2,157 1,971 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 59 58 $6K
88142 214 213 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 54 54 $6K
90656 54 54 $5K
90460 Immunization administration through 18 years of age via any route, first or only component 1,300 1,288 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 858 844 $5K
71275 Computed tomographic angiography, chest, with contrast material 13 13 $4K
97161 44 44 $4K
99402 77 77 $4K
85027 1,421 1,361 $3K
90633 130 130 $3K
71046 Radiologic examination, chest; 2 views 1,156 1,120 $3K
80048 Basic metabolic panel (calcium, ionized) 199 185 $3K
90647 231 230 $3K
90723 225 225 $3K
90734 60 60 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 26 25 $2K
82607 277 274 $2K
81015 2,898 2,675 $2K
00170 Anesthesia for intraoral procedures, including biopsy 15 15 $2K
96367 17 15 $2K
11056 50 27 $2K
86141 320 309 $2K
99442 27 25 $1K
87486 52 52 $1K
96127 258 248 $1K
90715 59 59 $1K
81002 1,020 989 $1K
80361 127 126 $1K
87581 52 52 $1K
83735 593 509 $995.71
80373 83 83 $903.63
80354 83 83 $819.99
86850 64 64 $799.11
76801 12 12 $767.15
80372 83 83 $766.98
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 213 211 $765.15
85730 461 431 $730.76
82550 315 308 $719.18
87186 288 271 $693.51
81003 1,017 981 $618.24
90681 67 67 $606.90
82728 78 77 $606.31
87102 106 102 $602.19
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 44 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 73 71 $586.23
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 66 60 $562.37
83655 45 45 $558.71
80324 126 125 $552.66
80365 126 125 $540.65
80076 54 53 $494.80
87081 124 124 $494.64
99001 64 60 $483.46
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 255 250 $483.00
80346 112 111 $481.14
80348 112 111 $463.98
82746 59 57 $463.59
85610 278 253 $456.33
D1206 Topical application of fluoride varnish 15 15 $454.50
80358 114 112 $434.02
80359 112 111 $424.02
80353 112 111 $424.02
85651 395 383 $414.60
90671 16 16 $401.60
80321 83 83 $383.03
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 12 12 $330.68
83690 1,828 1,703 $328.16
86376 29 28 $321.77
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,207 1,064 $321.67
86901 38 38 $315.71
84481 40 39 $308.56
84703 752 709 $301.52
84702 67 56 $296.88
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 754 720 $271.55
86780 28 28 $268.29
86900 38 38 $264.62
96375 Therapeutic injection; each additional sequential IV push 966 888 $250.50
84550 64 48 $249.77
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 25 24 $235.32
93000 196 189 $226.34
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 15 13 $195.00
84484 819 735 $170.46
87340 13 13 $126.37
96110 Developmental screening, with scoring and documentation, per standardized instrument 18 12 $113.22
86618 14 13 $112.98
83605 1,420 1,333 $103.93
85378 256 247 $96.57
86038 28 27 $93.60
83550 27 25 $93.23
74022 15 14 $62.40
73030 16 13 $54.00
90472 Immunization administration, each additional vaccine (list separately) 32 32 $52.00
84436 12 12 $34.20
83540 12 12 $30.18
86308 16 15 $29.40
87040 222 157 $24.45
85018 13 13 $22.00
85014 13 13 $22.00
J1885 Injection, ketorolac tromethamine, per 15 mg 1,125 1,073 $20.06
87070 12 12 $17.81
71045 Radiologic examination, chest; single view 303 290 $6.00
J7030 Infusion, normal saline solution , 1000 cc 957 895 $5.82
80320 28 25 $5.00
87210 12 12 $3.40
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,142 1,105 $2.67
J1100 Injection, dexamethasone sodium phosphate, 1 mg 627 617 $1.10
J3010 Injection, fentanyl citrate, 0.1 mg 527 519 $1.06
J2704 Injection, propofol, 10 mg 376 371 $0.67
J0696 Injection, ceftriaxone sodium, per 250 mg 54 52 $0.00
99070 12 12 $0.00
73630 13 13 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 12 12 $0.00
81449 13 13 $0.00