Medicaid Provider Spending

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

CATHOLIC HEALTH SYSTEM PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY,

NPI: 1124268305 · LACKAWANNA, NY 14218 · Health Maintenance Organization · NPI assigned 02/27/2009

$683.39
Total Medicaid Paid
86,215
Total Claims
46,785
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialKLUCKHOHN, CHRISTINE (PRESIDENT & CHIEF EXECUTIVE OFFICER)
Parent OrganizationCATHOLOC HEALTH SYSTEM, INC.
NPI Enumeration Date02/27/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,012 $0.00
2019 14,748 $683.39
2020 12,549 $0.00
2021 15,558 $0.00
2022 15,558 $0.00
2023 14,659 $0.00
2024 4,131 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1002 Rn services, up to 15 minutes 22,587 10,969 $432.74
S9123 Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) 4,661 3,499 $118.02
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 9,060 3,679 $44.37
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,098 821 $29.06
97116 3,603 1,249 $19.84
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 8,883 2,624 $14.76
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,441 669 $9.84
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,182 1,489 $4.92
97124 762 380 $4.92
97010 3,307 1,370 $4.92
99215 Prolong outpt/office vis 484 463 $0.00
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 232 230 $0.00
97168 207 205 $0.00
T2024 Service assessment/plan of care development, waiver 1,186 1,185 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 372 321 $0.00
97803 1,250 1,248 $0.00
S9127 Social work visit, in the home, per diem 62 53 $0.00
T1001 Nursing assessment / evaluation 1,224 1,223 $0.00
97164 2,599 2,416 $0.00
99600 Unlisted home visit service or procedure 562 188 $0.00
T2003 Non-emergency transportation; encounter/trip 601 601 $0.00
97542 41 26 $0.00
90658 154 150 $0.00
99442 110 95 $0.00
G0008 Administration of influenza virus vaccine 285 283 $0.00
S9129 Occupational therapy, in the home, per diem 5,135 2,675 $0.00
99417 Prolong home eval add 15m 462 443 $0.00
97535 Self-care/home management training, each 15 minutes 566 432 $0.00
97165 359 351 $0.00
S9131 Physical therapy; in the home, per diem 4,840 2,200 $0.00
T1016 Case management, each 15 minutes 4,818 3,720 $0.00
S9128 Speech therapy, in the home, per diem 667 216 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 834 763 $0.00
99441 73 54 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 154 150 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 111 111 $0.00
90688 123 123 $0.00
Q2039 Influenza virus vaccine, not otherwise specified 48 48 $0.00
99443 52 51 $0.00
97139 20 12 $0.00