Medicaid Provider Spending

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

ALICE HYDE MEDICAL CENTER

NPI: 1114954682 · MALONE, NY 12953 · Rural Health Clinic/Center · NPI assigned 06/28/2006

$4.95M
Total Medicaid Paid
104,118
Total Claims
82,887
Beneficiaries
63
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKOLLAR, MATEJ (CFO)
NPI Enumeration Date06/28/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,571 $309K
2019 10,522 $447K
2020 16,705 $634K
2021 19,746 $805K
2022 18,054 $1.02M
2023 18,585 $1.01M
2024 13,935 $723K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 11,278 9,962 $773K
D0120 18,669 14,308 $723K
99213 6,759 6,061 $633K
D2392 3,124 2,627 $388K
99214 2,939 2,505 $253K
D0274 5,809 5,033 $214K
D0210 3,450 3,312 $181K
36415 9,870 2,279 $163K
D2393 1,019 868 $146K
D0140 5,693 4,687 $129K
D0220 6,285 5,492 $129K
D1120 2,287 2,179 $124K
D2391 1,325 1,070 $111K
D0150 3,382 2,510 $111K
D5110 340 189 $98K
D1208 3,879 3,754 $74K
99442 1,585 1,498 $70K
80053 1,981 1,728 $69K
99283 353 338 $64K
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 752 704 $59K
99392 798 796 $56K
99391 779 668 $54K
99393 740 737 $52K
97110 228 64 $36K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,793 1,276 $30K
D0230 1,024 809 $21K
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 692 657 $15K
D2331 121 90 $15K
82306 390 390 $11K
88305 254 251 $11K
D0330 246 212 $11K
99394 129 129 $10K
D2330 101 93 $10K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 706 654 $10K
87631 54 52 $9K
99284 53 51 $9K
D2740 15 12 $9K
80061 805 801 $8K
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) 489 439 $7K
99406 749 733 $7K
D2394 40 36 $7K
99285 44 39 $6K
84443 611 602 $6K
85025 1,426 1,311 $5K
D2335 13 13 $3K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 83 79 $3K
87637 27 25 $3K
83036 314 313 $3K
D0272 100 84 $2K
90460 34 13 $2K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 15 14 $1K
81003 183 77 $1K
99211 33 25 $1K
D7140 13 13 $767.78
20610 12 12 $614.40
99441 24 23 $259.30
88304 12 12 $224.64
51798 15 12 $190.23
96110 12 12 $148.78
87086 28 27 $84.14
85027 12 12 $47.83
83690 13 12 $21.80
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 109 103 $0.00