Medicaid Provider Spending

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

JOHN T. MATHER MEMORIAL HOSPITAL

NPI: 1093718728 · PORT JEFFERSON, NY 11777 · Psychiatric Hospital Unit · NPI assigned 05/27/2005

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

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

$20.34M
Total Medicaid Paid
396,443
Total Claims
310,229
Beneficiaries
166
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCUSACK, MICHELE (EVP & CFO)
NPI Enumeration Date05/27/2005

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
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
PLAINVIEW HOSPITAL PLAINVIEW NY $6.39M
NORTH SHORE - LIJ ANESTHESIOLOGY, PC CHAPPAQUA NY $6.07M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,636 $190K
2019 25,537 $1.17M
2020 71,989 $3.42M
2021 85,613 $4.39M
2022 84,681 $4.44M
2023 75,935 $4.00M
2024 48,052 $2.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90834 Psychotherapy, 45 minutes with patient 15,272 7,642 $2.67M
99284 Emergency department visit for the evaluation and management, high severity 15,401 14,158 $2.52M
H0035 Mental health partial hospitalization, treatment, less than 24 hours 7,760 899 $1.39M
99283 Emergency department visit for the evaluation and management, moderate severity 7,837 7,392 $1.38M
90853 Group psychotherapy (other than of a multiple-family group) 11,057 3,159 $1.09M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,021 1,013 $887K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,193 8,666 $867K
90832 Psychotherapy, 30 minutes with patient 6,246 3,688 $789K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,312 2,243 $644K
70450 Computed tomography, head or brain; without contrast material 2,080 2,018 $598K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,809 3,445 $472K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,656 2,435 $471K
36415 Collection of venous blood by venipuncture 52,089 21,259 $441K
80053 Comprehensive metabolic panel 17,534 15,752 $430K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,837 1,485 $425K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,855 2,757 $423K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,747 2,660 $286K
90792 Psychiatric diagnostic evaluation with medical services 1,436 1,383 $274K
93975 387 371 $270K
96361 Intravenous infusion, hydration; each additional hour 909 827 $247K
90791 Psychiatric diagnostic evaluation 1,055 1,043 $224K
74176 Computed tomography, abdomen and pelvis; without contrast material 719 697 $214K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,209 1,142 $209K
99406 4,309 3,880 $198K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,179 3,858 $192K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,607 465 $186K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,298 3,083 $170K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,561 5,099 $129K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 340 330 $129K
J2704 Injection, propofol, 10 mg 1,339 1,328 $121K
80048 Basic metabolic panel (calcium, ionized) 6,013 5,443 $113K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 2,344 2,273 $102K
80061 Lipid panel 7,936 7,477 $98K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,516 391 $73K
86850 2,829 2,663 $72K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,670 1,494 $69K
99232 Subsequent hospital care, per day, moderate complexity 1,007 255 $66K
96375 Therapeutic injection; each additional sequential IV push 3,963 3,602 $65K
83880 2,060 1,972 $63K
G0378 Hospital observation service, per hour 651 638 $56K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,109 1,542 $56K
99233 Prolong inpt eval add15 m 609 207 $55K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 4,407 3,927 $52K
86901 2,854 2,671 $51K
85610 8,574 7,791 $50K
71275 Computed tomographic angiography, chest, with contrast material 154 153 $50K
77067 Screening mammography, bilateral, including computer-aided detection 474 470 $43K
86900 2,861 2,676 $43K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,280 3,028 $42K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,914 2,747 $36K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 920 868 $35K
99442 701 668 $34K
80050 General health panel 896 851 $34K
76641 697 411 $32K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 360 346 $31K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 21,458 18,715 $31K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 829 826 $29K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 11,087 10,274 $28K
J7030 Infusion, normal saline solution , 1000 cc 4,890 4,260 $27K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 368 364 $25K
84443 Thyroid stimulating hormone (TSH) 5,690 5,358 $22K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 131 109 $22K
87631 328 322 $22K
83036 Hemoglobin; glycosylated (A1C) 5,092 4,778 $19K
76705 Ultrasound, abdominal, real time with image documentation; limited 358 350 $18K
87486 381 377 $14K
71046 Radiologic examination, chest; 2 views 2,005 1,955 $11K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 48 48 $11K
84439 1,062 1,057 $11K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,274 2,894 $11K
82607 767 762 $10K
76830 Ultrasound, transvaginal 183 176 $9K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,794 1,757 $9K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 28 15 $9K
J0690 Injection, cefazolin sodium, 500 mg 454 424 $9K
85730 6,839 6,495 $8K
90715 206 205 $8K
82746 595 593 $7K
93971 70 68 $7K
71045 Radiologic examination, chest; single view 4,929 4,686 $7K
87581 380 376 $7K
93970 12 12 $7K
90847 Family psychotherapy with the patient present, 50 minutes 31 24 $7K
84425 473 470 $7K
C9290 Injection, bupivacaine liposome, 1 mg 38 38 $7K
87088 4,132 3,939 $6K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,141 1,108 $6K
99239 Hospital discharge day management, more than 30 minutes 55 53 $6K
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 293 288 $6K
83735 6,070 5,420 $6K
88304 109 109 $6K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 162 161 $5K
99441 199 192 $5K
77063 Screening digital breast tomosynthesis, bilateral 472 468 $5K
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,158 987 $5K
J2270 Injection, morphine sulfate, up to 10 mg 1,582 1,304 $5K
82728 418 414 $5K
81003 11,649 10,929 $5K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,619 2,433 $5K
88342 90 90 $5K
72125 Computed tomography, cervical spine; without contrast material 284 283 $4K
84702 2,201 2,066 $4K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 27 26 $4K
96376 917 821 $4K
81025 1,182 1,159 $4K
84703 5,847 5,464 $3K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 14 14 $3K
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 162 155 $3K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 122 98 $3K
J3010 Injection, fentanyl citrate, 0.1 mg 1,207 1,181 $3K
84484 8,803 4,924 $2K
J1170 Injection, hydromorphone, up to 4 mg 161 146 $2K
J2765 Injection, metoclopramide hcl, up to 10 mg 550 519 $2K
J3490 Unclassified drugs 70 63 $2K
83550 389 385 $2K
C9113 Injection, pantoprazole sodium, per vial 244 182 $2K
83690 5,567 5,160 $2K
86617 129 120 $2K
97010 79 25 $1K
J7050 Infusion, normal saline solution, 250 cc 357 273 $1K
80076 121 113 $1K
87070 218 214 $1K
82550 887 841 $1K
J2250 Injection, midazolam hydrochloride, per 1 mg 1,466 1,449 $1K
87186 697 682 $946.39
83605 2,270 2,094 $905.09
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 25 25 $804.23
84436 147 147 $776.68
82962 2,027 1,603 $675.65
J3360 Injection, diazepam, up to 5 mg 18 16 $664.88
85651 757 733 $576.60
86666 74 37 $557.90
82248 142 140 $534.13
73630 108 101 $520.77
J0696 Injection, ceftriaxone sodium, per 250 mg 29 25 $518.18
99408 12 12 $518.13
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 63 63 $514.11
84480 92 92 $478.26
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 25 25 $475.21
J1644 Injection, heparin sodium, per 1000 units 54 41 $446.12
86769 12 12 $420.67
84100 372 296 $416.13
84145 1,152 1,119 $412.38
84134 57 57 $402.38
86618 41 40 $377.92
87040 1,357 787 $350.98
85379 386 382 $337.63
J2060 Injection, lorazepam, 2 mg 455 386 $333.46
86140 169 155 $311.96
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 114 110 $300.05
J3475 Injection, magnesium sulfate, per 500 mg 25 25 $263.97
87086 Culture, bacterial; quantitative colony count, urine 417 405 $216.83
82570 24 24 $126.36
J1630 Injection, haloperidol, up to 5 mg 31 26 $101.84
87077 160 160 $84.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 72 62 $56.89
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 39 39 $28.87
80164 16 12 $24.04
83615 27 26 $16.30
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 14 14 $10.80
86753 13 13 $9.76
73030 43 39 $9.00
87205 13 12 $8.23
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 54 54 $0.00
73610 18 17 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 16 16 $0.00