Medicaid Provider Spending

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

PLAINVIEW HOSPITAL

NPI: 1083621130 · PLAINVIEW, NY 11803 · General Acute Care Hospital · NPI assigned 08/02/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CUSACK, MICHELE controls 20+ related entities in our dataset. Read more

$6.39M
Total Medicaid Paid
142,630
Total Claims
135,327
Beneficiaries
102
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCUSACK, MICHELE (SENIOR VICE PRESIDENT & CFO)
NPI Enumeration Date08/02/2006

Related Entities

Other providers sharing the same authorized official: CUSACK, MICHELE

ProviderCityStateTotal Paid
LONG ISLAND JEWISH MEDICAL CENTER NEW HYDE PARK NY $370.91M
NORTH SHORE UNIVERSITY HOSPITAL NEW HYDE PARK NY $166.53M
STATEN ISLAND UNIVERSITY HOSPITAL STATEN ISLAND NY $118.12M
REGIONCARE INC. GARDEN CITY NY $96.55M
NORTH SHORE UNIVERSITY HOSPITAL MANHASSET NY $87.68M
LENOX HILL HOSPITAL NEW YORK NY $63.17M
SOUTH SHORE UNIVERSITY HOSPITAL BAY SHORE NY $47.45M
JOHN T. MATHER MEMORIAL HOSPITAL PORT JEFFERSON NY $20.34M
PHELPS MEMORIAL HOSPITAL ASSOCIATION SLEEPY HOLLOW NY $20.17M
NORTH SHORE UNIVERSITY HOSPITAL WESTBURY NY $17.90M
TRUE NORTH MEDICAL GROUP PC MERRICK NY $12.56M
HUNTINGTON HOSPITAL ASSOCIATION HUNTINGTON NY $9.83M
THE LONG ISLAND HOME AMITYVILLE NY $9.49M
REGIONCARE INC. GREAT NECK NY $9.43M
LONG ISLAND JEWISH MEDICAL CENTER VALLEY STREAM NY $8.41M
HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH CENTER GREENLAWN NY $8.03M
GLEN COVE HOSPITAL GLEN COVE NY $7.72M
CENTRAL SUFFOLK HOSPITAL RIVERHEAD NY $7.66M
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION MOUNT KISCO NY $7.58M
NORTH SHORE - LIJ ANESTHESIOLOGY, PC CHAPPAQUA NY $6.07M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,270 $45K
2019 7,954 $410K
2020 19,729 $1.04M
2021 28,150 $1.40M
2022 28,232 $1.19M
2023 32,499 $1.33M
2024 24,796 $963K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 7,945 7,622 $1.38M
99283 Emergency department visit for the evaluation and management, moderate severity 5,273 5,151 $1.02M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,416 3,339 $638K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,729 1,711 $372K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 590 588 $335K
70450 Computed tomography, head or brain; without contrast material 1,725 1,694 $331K
96361 Intravenous infusion, hydration; each additional hour 1,588 1,558 $315K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,072 2,015 $292K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,301 2,238 $279K
80053 Comprehensive metabolic panel 10,308 9,817 $198K
99282 Emergency department visit for the evaluation and management, low to moderate severity 909 893 $171K
74176 Computed tomography, abdomen and pelvis; without contrast material 525 519 $113K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 881 519 $90K
36415 Collection of venous blood by venipuncture 13,159 11,604 $76K
C1889 Implantable/insertable device, not otherwise classified 204 198 $66K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,746 4,571 $62K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,933 1,907 $54K
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 891 798 $49K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 290 289 $48K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 287 281 $40K
45380 Colonoscopy, flexible; with biopsy, single or multiple 58 57 $31K
86850 1,982 1,912 $31K
96375 Therapeutic injection; each additional sequential IV push 2,946 2,823 $29K
86900 1,990 1,920 $29K
86901 1,990 1,920 $27K
J7030 Infusion, normal saline solution , 1000 cc 5,601 5,313 $21K
71275 Computed tomographic angiography, chest, with contrast material 99 99 $18K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 469 439 $17K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 26 26 $17K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4,831 4,624 $17K
84702 3,704 3,553 $15K
0225U 1,101 1,050 $15K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 616 613 $15K
71045 Radiologic examination, chest; single view 2,330 2,256 $14K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,236 1,209 $14K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,328 1,300 $13K
80048 Basic metabolic panel (calcium, ionized) 937 917 $13K
85027 4,344 4,144 $10K
83880 448 439 $10K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 527 513 $10K
87631 194 192 $9K
88312 548 545 $8K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 573 570 $8K
J3490 Unclassified drugs 2,304 2,217 $7K
81025 2,116 2,049 $7K
88304 184 181 $7K
71046 Radiologic examination, chest; 2 views 1,350 1,335 $6K
82962 1,877 1,077 $6K
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 756 689 $6K
99281 Emergency department visit for the evaluation and management, self-limited or minor 29 29 $5K
85610 2,293 2,239 $4K
85730 2,214 2,165 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,988 1,927 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 327 315 $3K
70498 12 12 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6,303 5,991 $2K
J1170 Injection, hydromorphone, up to 4 mg 482 451 $2K
87086 Culture, bacterial; quantitative colony count, urine 2,097 2,024 $2K
J2270 Injection, morphine sulfate, up to 10 mg 691 643 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,616 2,482 $2K
83690 3,356 3,217 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 208 187 $1K
81001 2,828 2,722 $1K
76705 Ultrasound, abdominal, real time with image documentation; limited 24 24 $1K
84484 2,727 2,534 $1K
J7120 Ringers lactate infusion, up to 1000 cc 125 124 $920.62
J2704 Injection, propofol, 10 mg 329 329 $743.32
G0463 Hospital outpatient clinic visit for assessment and management of a patient 14 13 $707.55
72125 Computed tomography, cervical spine; without contrast material 49 49 $610.04
85379 1,228 1,204 $587.88
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 31 31 $362.72
J2765 Injection, metoclopramide hcl, up to 10 mg 319 313 $312.46
83735 1,003 977 $290.83
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 14 14 $261.03
83605 979 940 $253.84
90715 12 12 $243.60
87486 34 34 $237.51
87581 34 34 $237.51
88313 382 380 $216.98
J7050 Infusion, normal saline solution, 250 cc 17 17 $209.64
81003 856 850 $205.80
J1100 Injection, dexamethasone sodium phosphate, 1 mg 227 227 $198.52
87040 442 431 $180.84
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 43 43 $180.37
J3010 Injection, fentanyl citrate, 0.1 mg 225 225 $151.31
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 116 115 $140.31
J0696 Injection, ceftriaxone sodium, per 250 mg 53 53 $117.98
73630 28 26 $73.94
J2250 Injection, midazolam hydrochloride, per 1 mg 145 145 $65.39
82553 150 148 $54.00
J1171 Injection, hydromorphone, 0.1 mg 33 32 $52.10
84443 Thyroid stimulating hormone (TSH) 39 39 $51.35
C9113 Injection, pantoprazole sodium, per vial 13 12 $33.28
J0690 Injection, cefazolin sodium, 500 mg 13 12 $21.70
J2003 Injection, lidocaine hydrochloride, 1 mg 17 17 $20.94
82550 110 108 $14.63
87186 16 16 $13.32
87081 19 19 $0.00
83036 Hemoglobin; glycosylated (A1C) 28 28 $0.00
96376 14 14 $0.00
70496 12 12 $0.00
73610 29 28 $0.00