Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › CARTHAGE › CARTHAGE AREA HOSPITAL, INC.

CARTHAGE AREA HOSPITAL, INC.

NPI: 1104234376 · CARTHAGE, NY 13619 · Critical Access Hospital · NPI assigned 07/31/2014

$16.07M
Total Medicaid Paid
127,335
Total Claims
110,161
Beneficiaries
150
Codes Billed
2019-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDUVALL, RICHARD (CEO ADMINISTRATOR)
NPI Enumeration Date07/31/2014

Related Entities

Other providers sharing the same authorized official: DUVALL, RICHARD

ProviderCityStateTotal Paid
CARTHAGE AREA HOSPITAL INC CARTHAGE NY $9.61M
CARTHAGE AREA HOSPITAL INC. CARTHAGE NY $2.66M
CARTHAGE AREA HOSPITAL, INC. CARTHAGE NY $669K
CARTHAGE AREA HOSPITAL INC CARTHAGE NY $227K
CARTHAGE AREA HOSPITAL INC CARTHAGE NY $221K
CARTHAGE AREA HOSPITAL, INC. LAFARGEVILLE NY $74K
CARTHAGE AREA HOSPITAL INC BEAVER FALLS NY $58K
CLAXTON-HEPBURN MEDICAL CENTER OGDENSBURG NY $24K
CARTHAGE AREA HOSPITAL INC PHILADELPHIA NY $5K
CLAXTON-HEPBURN MEDICAL CENTER CANTON NY $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 329 $5K
2020 1,043 $23K
2021 30,886 $1.64M
2022 35,518 $5.60M
2023 37,841 $6.17M
2024 21,718 $2.64M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23,443 21,183 $3.98M
36415 Collection of venous blood by venipuncture 14,165 9,118 $1.27M
99283 Emergency department visit for the evaluation and management, moderate severity 4,835 4,523 $1.13M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,741 3,604 $968K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,588 3,448 $656K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,048 2,862 $619K
99284 Emergency department visit for the evaluation and management, high severity 5,115 4,929 $619K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,470 1,181 $580K
96361 Intravenous infusion, hydration; each additional hour 1,689 1,505 $573K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 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 3,607 3,346 $415K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,597 1,466 $379K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,509 2,392 $322K
80053 Comprehensive metabolic panel 7,081 6,484 $312K
99000 1,025 988 $264K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 760 756 $244K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,231 1,083 $241K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 756 719 $233K
41899 Unlisted procedure, dentoalveolar structures 116 116 $222K
74177 Computed tomography, abdomen and pelvis; with contrast material 614 609 $197K
81025 1,204 1,160 $185K
92551 1,120 1,017 $173K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 791 775 $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 2,148 1,870 $152K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,612 1,089 $144K
70450 Computed tomography, head or brain; without contrast material 320 312 $141K
96160 719 716 $130K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,379 1,341 $124K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 938 923 $118K
99282 Emergency department visit for the evaluation and management, low to moderate severity 242 239 $97K
90832 Psychotherapy, 30 minutes with patient 722 482 $79K
90834 Psychotherapy, 45 minutes with patient 617 430 $74K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 426 426 $74K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 895 869 $49K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 288 286 $47K
41115 13 13 $45K
90686 483 483 $40K
87486 126 126 $35K
88142 257 257 $32K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 980 979 $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 1,837 1,708 $28K
74176 Computed tomography, abdomen and pelvis; without contrast material 76 76 $27K
99281 Emergency department visit for the evaluation and management, self-limited or minor 98 85 $27K
80061 Lipid panel 2,488 2,464 $25K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 389 160 $23K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 939 924 $20K
80048 Basic metabolic panel (calcium, ionized) 364 330 $20K
11056 620 215 $19K
84443 Thyroid stimulating hormone (TSH) 2,140 2,128 $18K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 102 101 $16K
90715 162 137 $14K
83036 Hemoglobin; glycosylated (A1C) 1,630 1,624 $13K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 257 250 $12K
90656 101 101 $11K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 43 43 $10K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 81 81 $9K
86850 162 158 $9K
87086 Culture, bacterial; quantitative colony count, urine 876 830 $9K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,098 2,876 $9K
90647 88 88 $9K
84439 1,024 1,018 $8K
93015 16 13 $8K
90723 98 98 $7K
97161 78 78 $7K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 33 29 $7K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,134 979 $7K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 49 26 $7K
99382 29 29 $7K
G0127 Trimming of dystrophic nails, any number 807 177 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 348 278 $6K
90670 178 178 $6K
99383 35 30 $6K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 232 231 $5K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 13 13 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 34 34 $4K
83880 114 103 $4K
85027 1,251 1,201 $4K
87800 25 25 $4K
86900 86 83 $4K
90633 37 37 $3K
00170 Anesthesia for intraoral procedures, including biopsy 25 25 $3K
76705 Ultrasound, abdominal, real time with image documentation; limited 28 27 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 71 70 $3K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 13 13 $3K
87581 126 126 $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 190 61 $2K
97803 13 13 $2K
99001 114 111 $2K
82652 51 51 $2K
81015 988 951 $2K
82607 200 200 $2K
99173 38 38 $2K
90671 27 27 $2K
97802 12 12 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 80 77 $2K
86141 222 204 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 162 162 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 119 52 $1K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 13 13 $1K
76801 13 13 $1K
71046 Radiologic examination, chest; 2 views 200 192 $1K
82728 90 90 $852.49
83735 286 232 $806.84
86901 85 83 $724.24
11721 24 12 $644.04
90710 12 12 $600.20
85651 229 217 $425.17
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 27 27 $384.65
84481 39 39 $359.70
83655 25 25 $331.56
86038 59 59 $293.20
87186 115 109 $288.80
86618 15 15 $237.92
71045 Radiologic examination, chest; single view 115 114 $232.69
81003 245 241 $228.75
86431 46 46 $226.26
90681 12 12 $214.20
87102 87 86 $210.49
84550 49 49 $181.29
86780 13 13 $164.32
85730 87 81 $157.73
87340 15 15 $154.95
86803 15 15 $150.10
84702 52 44 $123.70
84181 12 12 $115.80
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 22 21 $88.91
81002 151 147 $88.20
80361 14 14 $81.78
83550 25 25 $80.83
82746 13 13 $80.38
80365 14 14 $71.67
80346 14 14 $70.38
80324 14 14 $70.38
80348 14 14 $68.34
80358 14 14 $68.34
80353 14 14 $68.34
80359 14 14 $68.34
84703 106 102 $58.00
83605 232 219 $55.80
82550 12 12 $55.33
82043 13 13 $55.17
83690 311 287 $47.10
85610 12 12 $47.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 241 214 $41.44
84484 155 141 $32.20
73610 12 12 $25.00
73630 12 12 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 43 41 $0.00
96375 Therapeutic injection; each additional sequential IV push 13 12 $0.00
87040 17 12 $0.00