Medicaid Provider Spending

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

OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.

NPI: 1063557189 · BINGHAMTON, NY 13905 · Internal Medicine Physician · NPI assigned 02/20/2007

$12.52M
Total Medicaid Paid
209,003
Total Claims
202,089
Beneficiaries
60
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBARON, CHRISTOPHER (DIRECTOR OF PATIENT FINANCIAL SERVI)
NPI Enumeration Date02/20/2007

Related Entities

Other providers sharing the same authorized official: BARON, CHRISTOPHER

ProviderCityStateTotal Paid
OUR LADY OF LOURDES MEMORIAL HOSPITAL INC BINGHAMTON NY $852K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 22,926 $1.18M
2019 26,578 $1.46M
2020 26,928 $1.54M
2021 37,768 $2.32M
2022 38,322 $2.44M
2023 36,906 $2.34M
2024 19,575 $1.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 108,268 104,209 $6.33M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 51,564 49,982 $4.46M
90460 Immunization administration through 18 years of age via any route, first or only component 11,106 11,026 $447K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,620 3,614 $297K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,312 2,311 $189K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,433 2,348 $188K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,015 1,015 $81K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7,386 7,361 $76K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 9,744 9,171 $69K
99215 Prolong outpt/office vis 581 553 $68K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 629 628 $56K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 391 389 $50K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,523 1,518 $25K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 703 675 $23K
90834 Psychotherapy, 45 minutes with patient 316 235 $19K
80305 1,504 1,399 $15K
90686 694 694 $13K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 210 209 $12K
20553 224 221 $10K
99442 398 374 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 569 569 $8K
99401 241 181 $8K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 452 350 $7K
99443 225 216 $7K
90688 392 391 $7K
99051 695 689 $6K
90837 Psychotherapy, 53 minutes with patient 49 43 $4K
0012A 96 96 $4K
0011A 102 102 $3K
92557 102 102 $3K
93000 212 211 $3K
92550 138 133 $2K
90756 103 103 $2K
92567 164 164 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 31 30 $2K
0071A 46 46 $2K
0031A 48 48 $2K
0072A 43 43 $2K
94618 68 67 $2K
11721 55 55 $1K
D1120 Prophylaxis - child 27 27 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 14 $1K
99222 Initial hospital care, per day, moderate complexity 12 12 $1K
31575 12 12 $866.72
D1206 Topical application of fluoride varnish 28 28 $840.00
99238 Hospital discharge day management, 30 minutes or less 13 13 $809.55
98968 29 26 $806.76
D0120 Periodic oral evaluation - established patient 26 26 $708.76
98972 36 27 $600.33
99406 43 42 $578.73
92587 29 29 $495.85
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 12 12 $495.00
99201 13 13 $449.65
90472 Immunization administration, each additional vaccine (list separately) 27 27 $438.75
99441 33 31 $369.22
G8510 Screening for depression is documented as negative, a follow-up plan is not required 13 12 $202.80
36415 Collection of venous blood by venipuncture 65 63 $166.80
99173 77 77 $122.89
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 29 14 $122.22
81003 13 13 $7.74