Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › COOPERSTOWN › MARY IMOGENE BASSETT HOSPITAL

MARY IMOGENE BASSETT HOSPITAL

NPI: 1083664221 · COOPERSTOWN, NY 13326 · Multi-Specialty Clinic/Center · NPI assigned 05/10/2006

$13.09M
Total Medicaid Paid
351,591
Total Claims
335,171
Beneficiaries
158
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMORGAN, JEFFREY (SENIOR VICE PRESIDENT & CFO)
NPI Enumeration Date05/10/2006

Related Entities

Other providers sharing the same authorized official: MORGAN, JEFFREY

ProviderCityStateTotal Paid
WASHINGTON COUNTY SALEM IN $12K
SOLDIERS & SAILORS MEMORIAL HOSPITAL SENECA FALLS NY $11K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 33,252 $1.03M
2019 41,259 $1.41M
2020 40,142 $1.41M
2021 58,873 $2.23M
2022 67,546 $2.78M
2023 65,241 $2.57M
2024 45,278 $1.67M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 49,729 47,353 $2.52M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 62,882 60,385 $2.34M
99284 Emergency department visit for the evaluation and management, high severity 29,304 29,085 $1.80M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 10,410 10,331 $913K
99283 Emergency department visit for the evaluation and management, moderate severity 20,962 20,848 $687K
88305 Level IV - Surgical pathology, gross and microscopic examination 12,882 12,356 $682K
D1110 Prophylaxis - adult 7,042 7,040 $406K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 42,867 37,882 $303K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,740 5,738 $255K
D1120 Prophylaxis - child 5,555 5,555 $236K
D0120 Periodic oral evaluation - established patient 6,827 6,825 $197K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,140 4,139 $195K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,212 4,211 $183K
77067 Screening mammography, bilateral, including computer-aided detection 5,304 5,304 $180K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,082 3,080 $159K
D1206 Topical application of fluoride varnish 5,106 5,106 $158K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,016 3,860 $154K
D1351 Sealant - per tooth 2,216 1,140 $150K
99215 Prolong outpt/office vis 1,953 1,879 $139K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,507 1,507 $122K
D1354 4,511 1,671 $118K
77063 Screening digital breast tomosynthesis, bilateral 4,433 4,433 $106K
D0274 Bitewings - four radiographic images 2,355 2,355 $69K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,263 1,263 $65K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 603 493 $61K
71046 Radiologic examination, chest; 2 views 6,925 6,869 $60K
74177 Computed tomography, abdomen and pelvis; with contrast material 909 901 $54K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,308 2,213 $44K
88304 1,875 1,830 $42K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 983 973 $41K
71045 Radiologic examination, chest; single view 4,936 4,573 $35K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 783 774 $32K
D0150 Comprehensive oral evaluation - new or established patient 1,073 1,073 $31K
D2391 Resin-based composite - one surface, posterior, primary or permanent 416 346 $29K
88307 161 155 $26K
99205 Prolong outpt/office vis 211 211 $21K
93971 1,241 1,236 $21K
D0350 1,518 1,516 $21K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 601 601 $20K
92002 504 504 $19K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 177 177 $16K
D9310 142 142 $15K
D9995 667 666 $15K
D0210 Intraoral - complete series of radiographic images 363 363 $15K
76830 Ultrasound, transvaginal 649 649 $14K
D1208 Topical application of fluoride, excluding varnish 1,012 1,012 $14K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 118 118 $11K
73630 1,851 1,823 $10K
D0220 Intraoral - periapical first radiographic image 704 691 $10K
76705 Ultrasound, abdominal, real time with image documentation; limited 537 537 $10K
99223 Prolong inpt eval add15 m 96 94 $10K
D0140 Limited oral evaluation - problem focused 676 628 $9K
73564 1,137 1,119 $9K
93298 570 569 $9K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 62 57 $9K
93297 649 646 $8K
99238 Hospital discharge day management, 30 minutes or less 205 205 $8K
95886 254 254 $8K
94010 1,257 1,256 $7K
73610 1,367 1,336 $7K
D0330 Panoramic radiographic image 240 240 $7K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 24 24 $7K
70450 Computed tomography, head or brain; without contrast material 264 259 $7K
99232 Subsequent hospital care, per day, moderate complexity 181 75 $7K
45380 Colonoscopy, flexible; with biopsy, single or multiple 57 57 $6K
76642 198 198 $5K
73030 833 825 $5K
72110 564 564 $5K
31575 100 100 $5K
D2930 Prefabricated stainless steel crown - primary tooth 18 13 $5K
D9996 381 381 $4K
99443 153 137 $4K
D0272 Bitewings - two radiographic images 232 232 $4K
74176 Computed tomography, abdomen and pelvis; without contrast material 72 71 $4K
95908 104 104 $4K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 38 38 $4K
95999 173 173 $4K
95909 81 81 $4K
99282 Emergency department visit for the evaluation and management, low to moderate severity 154 153 $3K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 47 47 $3K
88141 274 274 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 52 52 $3K
73110 581 561 $3K
73130 520 510 $3K
98928 76 65 $3K
94729 535 534 $3K
90686 190 190 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 431 430 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 184 175 $2K
76801 51 51 $2K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 15 15 $2K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 55 54 $2K
20610 65 63 $2K
71271 37 37 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 26 26 $2K
99239 Hospital discharge day management, more than 30 minutes 38 38 $2K
90834 Psychotherapy, 45 minutes with patient 33 24 $2K
42820 Tonsillectomy and adenoidectomy; younger than age 12 13 13 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 41 41 $2K
93018 141 141 $2K
76536 104 104 $2K
00731 41 41 $1K
74018 195 191 $1K
D7140 Extraction, erupted tooth or exposed root 24 13 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 476 476 $1K
93295 41 41 $1K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 30 30 $1K
76770 65 65 $1K
00813 27 27 $1K
92015 Determination of refractive state 129 128 $1K
73502 143 142 $1K
93244 112 111 $1K
D0230 Intraoral - periapical each additional radiographic image 80 80 $1K
31231 14 14 $1K
77080 210 209 $1K
97803 78 77 $963.28
00812 25 25 $868.29
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 58 58 $855.03
93227 24 24 $840.77
90832 Psychotherapy, 30 minutes with patient 16 12 $826.08
88342 27 27 $813.90
72050 80 79 $758.85
94726 109 108 $752.66
88112 25 25 $684.51
D1353 66 45 $657.14
71260 Computed tomography, thorax, diagnostic; with contrast material 24 24 $654.93
99441 149 131 $600.55
99233 Prolong inpt eval add15 m 14 13 $598.77
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $597.54
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 12 12 $597.22
69210 45 45 $578.75
96127 111 111 $566.04
77066 Tomosynthesis, mammo 12 12 $547.73
73140 117 116 $509.62
70551 Magnetic resonance imaging, brain; without contrast material 13 13 $458.80
92134 24 24 $430.44
92133 25 25 $363.47
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 12 12 $307.77
95251 14 14 $270.50
99442 25 25 $266.70
99188 25 25 $256.50
11720 37 37 $248.95
94060 24 24 $247.25
99407 12 12 $235.71
73080 39 39 $202.27
36415 Collection of venous blood by venipuncture 344 329 $171.37
93294 12 12 $168.49
99406 13 12 $129.70
93922 12 12 $111.09
96160 80 80 $87.98
94664 14 13 $83.12
D0191 2,620 2,476 $73.96
73090 13 12 $65.87
90472 Immunization administration, each additional vaccine (list separately) 12 12 $50.00
99173 89 89 $41.94
D0180 74 74 $0.00
D1330 1,971 1,868 $0.00
D1310 282 282 $0.00