Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Nyack › NPI 1104808062
Hospital

Montefiore Nyack Hospital

Montefiore Nyack Hospital was paid $26.04M by Medicaid between Jan 2018 and Dec 2024, across 316 billing codes. Its largest line is 99284, emergency room visit (serious) — 13% of everything it billed.

33Billing provider infoMONTEFIORE NYACK HOSPITAL
NYACK, NY 10960
33aNPI1104808062assigned 11/16/2005
28Total paid$26.04M
24GClaims688,299
24DCodes billed316
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in New York

Rank by total paid#51 of 231
Median peer was paid$561K
This provider vs. median46×

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$200K$400K$600K2018201920202021202220232024
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
20188,120$261K
201933,260$1.64M
202070,179$3.46M
2021113,007$4.53M
2022139,906$5.09M
2023162,393$5.92M
2024incomplete161,434$5.15M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 13% 21,567 20,450 $3.45M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 11% 18,237 17,175 $2.92M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 7.3% 12,197 11,810 $1.90M
96361 Intravenous infusion, hydration; each additional hour 5.3% 5,179 4,797 $1.39M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 5.0% 6,062 4,234 $1.30M
74177 Computed tomography, abdomen and pelvis; with contrast material 4.0% 4,201 4,147 $1.04M
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% 8,605 7,567 $1.00M
70450 Computed tomography, head or brain; without contrast material 3.7% 3,630 3,557 $964K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3.6% 6,994 6,512 $949K
36415 Collection of venous blood by venipuncture 3.6% 103,992 36,655 $932K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.2% 7,383 5,349 $836K
80053 Comprehensive metabolic panel 3.0% 37,227 33,527 $770K
304 more codes
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 2.1% 3,594 $548K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1.7% 2,861 $450K
H0005 Alcohol and/or drug services; group counseling by a clinician 1.3% 5,754 $344K
59025 Fetal non-stress test 1.3% 2,030 $342K
G0378 Hospital observation service, per hour 1.3% 2,268 $334K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.2% 2,703 $304K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,525 $243K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 1,684 $198K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 4,064 $182K
70551 Magnetic resonance imaging, brain; without contrast material <1% 631 $181K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 341 $173K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 731 $172K
71275 Computed tomographic angiography, chest, with contrast material <1% 579 $168K
J1756 Injection, iron sucrose, 1 mg <1% 3,026 $161K
90791 Psychiatric diagnostic evaluation <1% 1,069 $155K
86900 <1% 4,645 $150K
86885 <1% 3,300 $145K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 5,219 $138K
76819 Fetal biophysical profile; without non-stress testing <1% 1,824 $119K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes <1% 1,096 $119K
12001 <1% 256 $118K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 4,078 $115K
59050 <1% 480 $111K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 198 $108K
76801 <1% 911 $105K
93975 <1% 198 $102K
80048 Basic metabolic panel (calcium, ionized) <1% 5,192 $102K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 2,354 $100K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 11,205 $97K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,559 $97K
99232 Hospital visit by a doctor, follow-up day <1% 1,863 $95K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 956 $94K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 1,291 $86K
93970 <1% 152 $79K
90853 Group psychotherapy (other than of a multiple-family group) <1% 1,378 $77K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 6,257 $75K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,792 $70K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,207 $69K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 326 $69K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 2,335 $64K
96415 <1% 97 $62K
T1030 Nursing care, in the home, by registered nurse, per diem <1% 288 $55K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 529 $51K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,267 $47K
59430 <1% 216 $45K
93976 <1% 92 $45K
12011 <1% 92 $44K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 2,324 $44K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 281 $44K
87503 <1% 1,177 $42K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 36,867 $42K
84100 <1% 29,904 $42K
J1439 Injection, ferric carboxymaltose, 1 mg <1% 40 $37K
82728 <1% 8,047 $34K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 347 $34K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 4,068 $33K
84443 Thyroid stimulating hormone (TSH) <1% 5,578 $33K
86850 <1% 903 $32K
80061 Lipid panel <1% 5,298 $32K
99239 Hospital discharge day management, more than 30 minutes <1% 348 $31K
82607 <1% 5,200 $30K
99215 Doctor's office visit, returning patient (complex) <1% 244 $29K
H0002 Behavioral health screening to determine eligibility for admission to treatment program <1% 172 $29K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 114 $29K
S9480 Intensive outpatient psychiatric services, per diem <1% 188 $28K
90375 <1% 17 $27K
77065 Tomosynthesis, mammo <1% 454 $27K
96375 Therapeutic injection; each additional sequential IV push <1% 5,959 $27K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 8,577 $26K
83036 Hemoglobin; glycosylated (A1C) <1% 4,259 $26K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 38 $26K
19318 <1% 13 $25K
99000 <1% 1,582 $25K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 91 $25K
76641 <1% 965 $24K
83880 <1% 731 $21K
86480 <1% 355 $19K
93971 <1% 301 $18K
J7030 Infusion, normal saline solution , 1000 cc <1% 7,602 $18K
86901 <1% 978 $18K
88304 <1% 563 $17K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 227 $16K
99222 Initial hospital care, per day, moderate complexity <1% 172 $15K
85610 <1% 4,972 $15K
82746 <1% 1,945 $15K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 827 $15K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 541 $14K
87086 Culture, bacterial; quantitative colony count, urine <1% 6,780 $14K
90715 <1% 521 $14K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 565 $14K
84153 <1% 1,004 $14K
87631 <1% 213 $13K
83540 <1% 6,503 $13K
96367 <1% 172 $13K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,403 $13K
83550 <1% 6,450 $13K
71250 <1% 176 $13K
76830 Ultrasound, transvaginal <1% 451 $13K
71046 Radiologic examination, chest; 2 views <1% 5,131 $12K
87481 <1% 301 $12K
82784 <1% 1,257 $12K
A9585 Injection, gadobutrol, 0.1 ml <1% 774 $12K
81025 <1% 4,068 $12K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 7,474 $12K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 552 $11K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,559 $11K
J3490 Unclassified drugs <1% 627 $11K
99221 <1% 256 $11K
76770 <1% 25 $11K
81003 <1% 13,871 $11K
J7050 Infusion, normal saline solution, 250 cc <1% 6,543 $11K
83735 <1% 6,586 $10K
86141 <1% 2,507 $10K
29125 <1% 41 $9K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 495 $9K
84550 <1% 4,775 $9K
80076 <1% 723 $8K
84702 <1% 5,693 $8K
84403 <1% 386 $8K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 101 $8K
86769 <1% 279 $8K
81002 <1% 3,690 $8K
81513 <1% 293 $8K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 370 $8K
72125 Computed tomography, cervical spine; without contrast material <1% 222 $8K
77066 Tomosynthesis, mammo <1% 141 $7K
86617 <1% 552 $7K
J2704 Injection, propofol, 10 mg <1% 2,516 $6K
J7120 Ringers lactate infusion, up to 1000 cc <1% 2,433 $6K
86880 <1% 179 $6K
94760 <1% 329 $6K
88342 <1% 86 $5K
83970 <1% 161 $5K
82378 <1% 1,396 $5K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 81 $5K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 14 $5K
86803 <1% 740 $5K
86762 <1% 455 $5K
84436 <1% 937 $4K
83615 <1% 4,037 $4K
86334 <1% 901 $4K
J0690 Injection, cefazolin sodium, 500 mg <1% 2,019 $4K
99401 <1% 91 $4K
86765 <1% 456 $4K
82570 <1% 1,038 $4K
87340 <1% 711 $4K
0002A <1% 111 $4K
90675 <1% 25 $4K
84439 <1% 530 $4K
98967 <1% 31 $4K
0012A <1% 138 $4K
87077 <1% 1,813 $4K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 4,629 $4K
90834 Psychotherapy session, about 45 minutes <1% 30 $3K
80069 <1% 318 $3K
86592 <1% 1,576 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 3,822 $3K
85651 <1% 3,399 $3K
83021 <1% 217 $3K
J1170 Injection, hydromorphone, up to 4 mg <1% 1,136 $3K
82550 <1% 1,205 $3K
0001A <1% 111 $3K
71045 Radiologic examination, chest; single view <1% 3,134 $3K
98966 <1% 27 $3K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 622 $3K
82248 <1% 5,187 $3K
J2270 Injection, morphine sulfate, up to 10 mg <1% 978 $3K
84238 <1% 103 $3K
85730 <1% 3,854 $3K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 53 $3K
87070 <1% 3,301 $3K
0011A <1% 162 $3K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 2,826 $3K
97802 <1% 87 $3K
70486 <1% 40 $3K
84479 <1% 834 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,242 $2K
77061 <1% 166 $2K
86038 <1% 597 $2K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 204 $2K
82043 <1% 528 $2K
83690 <1% 5,552 $2K
77062 <1% 88 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 7,237 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,124 $2K
86735 <1% 301 $2K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 12 $2K
83655 <1% 152 $2K
84402 <1% 87 $2K
87184 <1% 1,123 $2K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 1,268 $2K
83883 <1% 127 $2K
86787 <1% 323 $2K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 418 $2K
83525 <1% 151 $2K
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 421 $2K
99223 Prolong inpt eval add15 m <1% 56 $2K
82670 <1% 76 $2K
84484 <1% 4,267 $2K
86618 <1% 129 $1K
85379 <1% 1,954 $1K
82947 <1% 4,227 $1K
84156 <1% 520 $1K
86706 <1% 185 $1K
83695 <1% 28 $1K
83521 <1% 368 $1K
86431 <1% 314 $1K
86300 <1% 232 $1K
81243 <1% 14 $1K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 42 $1K
73610 <1% 383 $1K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,268 $1K
73630 <1% 242 $999.20
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,182 $951.37
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 872 $917.66
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 125 $840.03
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 66 $800.30
J7060 5% dextrose/water (500 ml = 1 unit) <1% 440 $761.68
99204 Doctor's office visit, new patient (more involved) <1% 12 $740.71
82150 <1% 717 $697.39
82747 <1% 30 $680.25
82105 <1% 157 $607.93
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 2,669 $603.28
82950 <1% 230 $601.41
J2469 Injection, palonosetron hcl, 25 mcg <1% 91 $594.45
87040 <1% 1,556 $592.63
83001 <1% 31 $556.70
85245 <1% 12 $465.91
76642 <1% 27 $439.94
83090 <1% 43 $417.36
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 2,917 $415.19
74018 <1% 209 $412.87
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 385 $372.17
86140 <1% 299 $350.41
86360 <1% 12 $347.59
83605 <1% 796 $342.52
84165 <1% 99 $320.23
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,183 $287.24
73030 <1% 226 $286.94
85045 <1% 368 $258.91
85246 <1% 12 $244.48
83002 <1% 14 $240.43
82310 <1% 134 $232.18
72100 <1% 39 $221.55
96368 <1% 16 $206.28
80329 <1% 57 $206.25
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 944 $183.08
80179 <1% 475 $163.24
86301 <1% 19 $146.54
85041 <1% 206 $144.78
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 38 $137.52
83010 <1% 86 $131.97
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) <1% 39 $131.08
80143 <1% 525 $129.21
82077 <1% 998 $127.01
80320 <1% 481 $112.50
85018 <1% 228 $107.47
85014 <1% 243 $105.90
84481 <1% 12 $102.88
87186 <1% 41 $90.10
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 96 $89.24
96376 <1% 214 $88.00
J1650 Injection, enoxaparin sodium, 10 mg <1% 42 $85.24
J2060 Injection, lorazepam, 2 mg <1% 126 $79.43
86704 <1% 13 $78.91
J8540 Dexamethasone, oral, 0.25 mg <1% 27 $78.45
C1889 Implantable/insertable device, not otherwise classified <1% 30 $70.82
82040 <1% 371 $69.54
J7042 5% dextrose/normal saline (500 ml = 1 unit) <1% 42 $67.42
84480 <1% 16 $67.12
84155 <1% 151 $64.48
82668 <1% 16 $51.18
87490 <1% 196 $46.00
87899 <1% 262 $44.03
J1596 Injection, glycopyrrolate, 0.1 mg <1% 26 $39.32
J1630 Injection, haloperidol, up to 5 mg <1% 29 $39.08
87590 <1% 196 $36.91
73080 <1% 14 $31.12
J1171 Injection, hydromorphone, 0.1 mg <1% 47 $29.43
85384 <1% 14 $26.97
73564 <1% 55 $25.00
73130 <1% 53 $25.00
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 <1% 574 $23.60
85240 <1% 12 $17.90
87205 <1% 25 $16.65
81001 <1% 235 $14.22
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 40 $13.40
73110 <1% 31 $13.13
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 82 $11.99
J7510 Prednisolone oral, per 5 mg <1% 12 $10.44
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen <1% 486 $7.31
85027 <1% 130 $6.34
J1644 Injection, heparin sodium, per 1000 units <1% 14 $5.20
80349 <1% 25 $5.00
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 143 $2.38
85007 <1% 306 $1.43
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 0% 12 $0.00
A6222 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 0% 34 $0.00
A4648 Tissue marker, implantable, any type, each 0% 15 $0.00
99080 0% 1,759 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 0% 26 $0.00
73140 0% 25 $0.00
80354 0% 13 $0.00
84145 0% 12 $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 officialJONES, DENNIS (ADMINISTRATOR PT FINANCL SERVICE)
Same official

Other billing entities under JONES, DENNIS

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