Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Carthage Area Hospital, INC.

Carthage Area Hospital, INC. was paid $16.07M by Medicaid between Oct 2019 and Dec 2024, across 150 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.

33Billing provider infoCARTHAGE AREA HOSPITAL, INC.
CARTHAGE, NY 13619
33aNPI1104234376assigned 07/31/2014
33bProvider typeCritical Access Hospital
28Total paid$16.07M
24GClaims127,335
24DCodes billed150
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers

Next to other Critical Access Hospital providers in New York

Rank by total paid#2 of 12
Median peer was paid$5.23M
This provider vs. median3.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2019329$5K
20201,043$23K
202130,886$1.64M
202235,518$5.60M
202337,841$6.17M
2024incomplete21,718$2.64M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25% 23,443 21,183 $3.98M
36415 Collection of venous blood by venipuncture 7.9% 14,165 9,118 $1.27M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 7.0% 4,835 4,523 $1.13M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6.0% 3,741 3,604 $968K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4.1% 3,588 3,448 $656K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3.9% 3,048 2,862 $619K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 3.8% 5,115 4,929 $619K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3.6% 3,470 1,181 $580K
96361 Intravenous infusion, hydration; each additional hour 3.6% 1,689 1,505 $573K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.6% 1,532 1,524 $418K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2.6% 3,607 3,346 $415K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.4% 1,597 1,466 $379K
138 more codes
99285 Emergency room visit (most serious) 2.0% 2,509 $322K
80053 Comprehensive metabolic panel 1.9% 7,081 $312K
99000 1.6% 1,025 $264K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.5% 760 $244K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.5% 1,231 $241K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.5% 756 $233K
41899 Unlisted procedure, dentoalveolar structures 1.4% 116 $222K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.2% 614 $197K
81025 1.1% 1,204 $185K
92551 1.1% 1,120 $173K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.0% 791 $163K
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 <1% 2,148 $152K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 2,612 $144K
70450 Computed tomography, head or brain; without contrast material <1% 320 $141K
96160 <1% 719 $130K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,379 $124K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 938 $118K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 242 $97K
90832 Psychotherapy session, about 30 minutes <1% 722 $79K
90834 Psychotherapy session, about 45 minutes <1% 617 $74K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 426 $74K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 895 $49K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 288 $47K
41115 <1% 13 $45K
90686 <1% 483 $40K
87486 <1% 126 $35K
88142 <1% 257 $32K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 980 $31K
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% 1,837 $28K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 76 $27K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 98 $27K
80061 Lipid panel <1% 2,488 $25K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 389 $23K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 939 $20K
80048 Basic metabolic panel (calcium, ionized) <1% 364 $20K
11056 <1% 620 $19K
84443 Thyroid stimulating hormone (TSH) <1% 2,140 $18K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 102 $16K
90715 <1% 162 $14K
83036 Hemoglobin; glycosylated (A1C) <1% 1,630 $13K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 257 $12K
90656 <1% 101 $11K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 43 $10K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 81 $9K
86850 <1% 162 $9K
87086 Culture, bacterial; quantitative colony count, urine <1% 876 $9K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 3,098 $9K
90647 <1% 88 $9K
84439 <1% 1,024 $8K
93015 <1% 16 $8K
90723 <1% 98 $7K
97161 <1% 78 $7K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 33 $7K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 1,134 $7K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 49 $7K
99382 <1% 29 $7K
G0127 Trimming of dystrophic nails, any number <1% 807 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 348 $6K
90670 <1% 178 $6K
99383 <1% 35 $6K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 232 $5K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 13 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 34 $4K
83880 <1% 114 $4K
85027 <1% 1,251 $4K
87800 <1% 25 $4K
86900 <1% 86 $4K
90633 <1% 37 $3K
00170 Anesthesia for intraoral procedures, including biopsy <1% 25 $3K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 28 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 71 $3K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 13 $3K
87581 <1% 126 $2K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 190 $2K
97803 <1% 13 $2K
99001 <1% 114 $2K
82652 <1% 51 $2K
81015 <1% 988 $2K
82607 <1% 200 $2K
99173 <1% 38 $2K
90671 <1% 27 $2K
97802 <1% 12 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 80 $2K
86141 <1% 222 $2K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 162 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 119 $1K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 13 $1K
76801 <1% 13 $1K
71046 Radiologic examination, chest; 2 views <1% 200 $1K
82728 <1% 90 $852.49
83735 <1% 286 $806.84
86901 <1% 85 $724.24
11721 <1% 24 $644.04
90710 <1% 12 $600.20
85651 <1% 229 $425.17
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 27 $384.65
84481 <1% 39 $359.70
83655 <1% 25 $331.56
86038 <1% 59 $293.20
87186 <1% 115 $288.80
86618 <1% 15 $237.92
71045 Radiologic examination, chest; single view <1% 115 $232.69
81003 <1% 245 $228.75
86431 <1% 46 $226.26
90681 <1% 12 $214.20
87102 <1% 87 $210.49
84550 <1% 49 $181.29
86780 <1% 13 $164.32
85730 <1% 87 $157.73
87340 <1% 15 $154.95
86803 <1% 15 $150.10
84702 <1% 52 $123.70
84181 <1% 12 $115.80
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 22 $88.91
81002 <1% 151 $88.20
80361 <1% 14 $81.78
83550 <1% 25 $80.83
82746 <1% 13 $80.38
80365 <1% 14 $71.67
80346 <1% 14 $70.38
80324 <1% 14 $70.38
80348 <1% 14 $68.34
80358 <1% 14 $68.34
80353 <1% 14 $68.34
80359 <1% 14 $68.34
84703 <1% 106 $58.00
83605 <1% 232 $55.80
82550 <1% 12 $55.33
82043 <1% 13 $55.17
83690 <1% 311 $47.10
85610 <1% 12 $47.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 241 $41.44
84484 <1% 155 $32.20
73610 <1% 12 $25.00
73630 0% 12 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 43 $0.00
96375 Therapeutic injection; each additional sequential IV push 0% 13 $0.00
87040 0% 17 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialDUVALL, RICHARD (CEO ADMINISTRATOR)
Same official

Other billing entities under DUVALL, RICHARD

Full network →
ProviderLocationPaid
Carthage Area Hospital INCCarthage, NY$9.61M
Carthage Area Hospital INC.Carthage, NY$2.66M
Carthage Area Hospital, INC.Carthage, NY$669K
Carthage Area Hospital INCCarthage, NY$227K
Carthage Area Hospital INCCarthage, NY$221K
Carthage Area Hospital, INC.Lafargeville, NY$74K
Carthage Area Hospital INCBeaver Falls, NY$58K
Claxton-Hepburn Medical CenterOgdensburg, NY$24K
Carthage Area Hospital INCPhiladelphia, NY$5K
Claxton-Hepburn Medical CenterCanton, NY$4K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.