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

Mercy Hospital of Buffalo

Mercy Hospital of Buffalo was paid $29.86M by Medicaid between Jan 2018 and Dec 2024, across 311 billing codes. Its largest line is 99283, emergency room visit (moderate) — 19% of everything it billed.

33Billing provider infoMERCY HOSPITAL OF BUFFALO
BUFFALO, NY 14220
33aNPI1164464921assigned 06/13/2006
28Total paid$29.86M
24GClaims812,902
24DCodes billed311
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Cardiac Rehabilitation Clinic/Center providers in New York

Rank by total paid#1 of 5
Median peer was paid$13.42M
This provider vs. median2.2×

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
201825,833$922K
201975,415$2.72M
2020127,404$4.73M
2021143,819$5.58M
2022143,121$5.56M
2023165,528$5.96M
2024incomplete131,782$4.39M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 19% 31,290 29,560 $5.77M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 14% 19,815 18,801 $4.07M
G0378 Hospital observation service, per hour 12% 3,677 2,375 $3.49M
99282 Emergency department visit for the evaluation and management, low to moderate severity 5.5% 10,370 10,038 $1.65M
96361 Intravenous infusion, hydration; each additional hour 3.9% 7,271 6,857 $1.15M
74177 Computed tomography, abdomen and pelvis; with contrast material 3.3% 5,034 4,914 $994K
36415 Collection of venous blood by venipuncture 2.8% 106,602 41,116 $836K
70450 Computed tomography, head or brain; without contrast material 2.6% 3,945 3,845 $770K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2.4% 6,916 5,671 $711K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.2% 16,892 15,684 $670K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1.9% 327 246 $568K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 1.8% 2,994 2,938 $538K
299 more codes
99214 Doctor's office visit, returning patient (more involved) 1.8% 9,796 $534K
76700 Ultrasound, abdominal, real time with image documentation; complete 1.8% 1,873 $529K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1.8% 1,664 $524K
93976 1.5% 1,710 $444K
80053 Comprehensive metabolic panel 1.4% 30,399 $418K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.4% 2,055 $411K
93458 1.0% 250 $313K
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% 5,730 $289K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,452 $274K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 7,795 $219K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,869 $201K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 7,520 $197K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 25,038 $184K
80048 Basic metabolic panel (calcium, ionized) <1% 12,635 $178K
47562 <1% 52 $171K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 4,633 $158K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 5,168 $138K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 1,463 $128K
C1821 Interspinous process distraction device (implantable) <1% 25 $123K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 3,183 $112K
76801 <1% 1,415 $91K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 3,769 $89K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 8,358 $88K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 4,796 $88K
97161 <1% 1,531 $86K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 19,934 $80K
87631 <1% 1,878 $76K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 2,916 $76K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 4,228 $75K
86850 <1% 4,537 $74K
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% 3,868 $69K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,147 $68K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 3,372 $64K
76819 Fetal biophysical profile; without non-stress testing <1% 1,950 $64K
93970 <1% 230 $60K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 896 $60K
87481 <1% 1,831 $59K
12001 <1% 209 $59K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 872 $55K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 17,252 $55K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 814 $54K
93971 <1% 1,256 $52K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,798 $49K
93975 <1% 146 $48K
10060 <1% 225 $45K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,120 $45K
99460 <1% 703 $42K
86900 <1% 4,681 $42K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,123 $42K
83880 <1% 2,120 $40K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 256 $36K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 506 $35K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 764 $34K
97010 <1% 2,580 $33K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 7,599 $32K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 2,158 $30K
71046 Radiologic examination, chest; 2 views <1% 7,091 $30K
72125 Computed tomography, cervical spine; without contrast material <1% 917 $30K
99238 Hospital discharge day management, 30 minutes or less <1% 588 $30K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 3,673 $29K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 476 $29K
77067 Screening mammography, bilateral, including computer-aided detection <1% 556 $28K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 1,216 $28K
84443 Thyroid stimulating hormone (TSH) <1% 3,945 $28K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 38,537 $25K
76830 Ultrasound, transvaginal <1% 1,320 $23K
81025 <1% 9,175 $23K
80061 Lipid panel <1% 3,664 $20K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 276 $20K
81513 <1% 1,992 $20K
84702 <1% 6,676 $18K
83036 Hemoglobin; glycosylated (A1C) <1% 2,570 $18K
88304 <1% 931 $16K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 286 $16K
82607 <1% 1,729 $16K
84439 <1% 2,097 $16K
80076 <1% 1,976 $15K
85027 <1% 5,829 $14K
86901 <1% 1,183 $13K
59426 <1% 109 $13K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 204 $13K
59425 <1% 96 $12K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 65 $12K
70551 Magnetic resonance imaging, brain; without contrast material <1% 65 $12K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 161 $11K
59025 Fetal non-stress test <1% 520 $11K
87086 Culture, bacterial; quantitative colony count, urine <1% 6,533 $11K
90715 <1% 507 $11K
72131 <1% 86 $11K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,624 $10K
82746 <1% 1,178 $10K
99000 <1% 755 $10K
85610 <1% 10,988 $10K
C1781 Mesh (implantable) <1% 24 $10K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 123 $10K
72110 <1% 1,020 $9K
12002 <1% 37 $9K
90714 <1% 396 $9K
85730 <1% 9,533 $9K
86701 <1% 987 $8K
81001 <1% 13,131 $8K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 620 $8K
99462 <1% 280 $8K
87563 <1% 477 $8K
76813 <1% 212 $8K
82803 <1% 618 $7K
90472 Immunization administration, each additional vaccine (list separately) <1% 944 $7K
97113 <1% 209 $7K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 283 $7K
86803 <1% 1,134 $7K
71045 Radiologic examination, chest; single view <1% 7,985 $6K
C1769 Guide wire <1% 957 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 136 $6K
22853 <1% 28 $6K
G9007 Coordinated care fee, scheduled team conference <1% 59 $6K
87660 <1% 3,170 $6K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 104 $6K
29125 <1% 36 $5K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 26 $5K
87340 <1% 673 $4K
81003 <1% 6,191 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,209 $4K
94727 <1% 267 $4K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 98 $4K
83735 <1% 7,055 $4K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 13 $4K
97162 <1% 69 $4K
96375 Therapeutic injection; each additional sequential IV push <1% 8,754 $4K
72100 <1% 439 $4K
73630 <1% 1,607 $3K
99201 <1% 34 $3K
70486 <1% 76 $3K
86780 <1% 328 $3K
99406 <1% 340 $3K
85652 <1% 2,009 $3K
94729 <1% 160 $3K
82948 <1% 4,593 $3K
86762 <1% 236 $2K
82728 <1% 213 $2K
99385 <1% 27 $2K
73030 <1% 1,118 $2K
99441 <1% 78 $2K
72040 <1% 373 $2K
93041 <1% 185 $2K
88312 <1% 215 $2K
J3370 Injection, vancomycin hcl, 500 mg <1% 38 $2K
73610 <1% 1,430 $2K
77063 Screening digital breast tomosynthesis, bilateral <1% 211 $2K
84484 <1% 13,082 $2K
76818 <1% 51 $2K
73564 <1% 621 $2K
99223 Prolong inpt eval add15 m <1% 12 $2K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 21 $2K
83655 <1% 110 $2K
73130 <1% 1,250 $1K
93017 <1% 43 $1K
87077 <1% 2,193 $1K
73562 <1% 422 $1K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 12 $1K
97535 Self-care/home management training, each 15 minutes <1% 57 $1K
J3490 Unclassified drugs <1% 2,454 $1K
90686 <1% 60 $1K
99153 Mod sedat endo service >5yrs <1% 302 $1K
83550 <1% 326 $1K
88311 <1% 50 $1K
76536 <1% 26 $1K
74018 <1% 355 $1K
83690 <1% 10,624 $1K
81002 <1% 1,840 $1K
99204 Doctor's office visit, new patient (more involved) <1% 12 $1K
87186 <1% 1,941 $1K
82043 <1% 233 $1K
85379 <1% 2,592 $1K
86140 <1% 402 $1K
90688 <1% 60 $1K
82150 <1% 6,650 $1K
94060 <1% 32 $989.22
J1170 Injection, hydromorphone, up to 4 mg <1% 4,829 $962.31
87070 <1% 1,708 $924.16
99383 <1% 12 $842.66
99442 <1% 15 $837.69
90670 <1% 112 $759.97
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 10,600 $754.89
87040 <1% 3,132 $712.54
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 12 $671.56
76775 <1% 13 $651.57
84153 <1% 38 $630.83
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 132 $627.97
82550 <1% 1,472 $621.81
72050 <1% 54 $610.28
87081 <1% 1,491 $600.22
J7030 Infusion, normal saline solution , 1000 cc <1% 8,687 $573.45
97597 <1% 19 $529.84
J7120 Ringers lactate infusion, up to 1000 cc <1% 3,512 $522.98
90648 <1% 100 $519.81
73502 <1% 144 $439.43
J2704 Injection, propofol, 10 mg <1% 3,197 $389.97
J3010 Injection, fentanyl citrate, 0.1 mg <1% 3,755 $385.16
73110 <1% 436 $378.53
J0690 Injection, cefazolin sodium, 500 mg <1% 1,927 $374.11
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 391 $368.72
83605 <1% 2,130 $359.49
99152 <1% 847 $354.11
73100 <1% 207 $336.99
90658 <1% 268 $292.40
73590 <1% 209 $286.85
83021 <1% 13 $284.41
85007 <1% 1,267 $254.97
90710 <1% 26 $246.39
76641 <1% 12 $233.44
90696 <1% 29 $232.05
90633 <1% 24 $215.82
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 10,807 $209.17
83540 <1% 53 $199.37
90723 <1% 27 $198.51
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 3,800 $193.28
86787 <1% 22 $183.10
87205 <1% 779 $174.04
84146 <1% 12 $169.33
81015 <1% 982 $157.74
83001 <1% 12 $148.24
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,875 $144.37
J1644 Injection, heparin sodium, per 1000 units <1% 1,633 $138.52
82947 <1% 57 $134.15
A9270 Non-covered item or service <1% 14,523 $123.27
J1650 Injection, enoxaparin sodium, 10 mg <1% 1,714 $122.34
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 54 $121.30
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 721 $121.15
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 3,231 $119.17
82570 <1% 45 $118.43
84156 <1% 56 $79.21
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose <1% 41 $78.96
J7050 Infusion, normal saline solution, 250 cc <1% 327 $76.72
82247 <1% 44 $75.90
73090 <1% 57 $69.07
86308 <1% 403 $61.98
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,576 $56.68
73080 <1% 123 $55.95
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% 584 $52.72
87480 <1% 96 $51.51
87510 <1% 96 $46.68
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 2,064 $43.01
71101 <1% 66 $42.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 519 $41.82
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 915 $36.25
C9113 Injection, pantoprazole sodium, per vial <1% 691 $34.88
84550 <1% 14 $31.64
99173 <1% 73 $30.82
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,995 $30.33
80348 <1% 65 $30.10
94760 <1% 249 $29.73
80320 <1% 725 $26.58
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 283 $24.80
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 1,165 $23.79
84460 <1% 26 $20.32
87075 <1% 47 $18.94
86403 <1% 54 $17.83
73140 <1% 12 $17.29
J3475 Injection, magnesium sulfate, per 500 mg <1% 726 $15.90
80179 <1% 179 $15.58
82565 <1% 14 $15.34
84155 <1% 27 $14.68
J2305 Injection, nitroglycerin, 5 mg <1% 42 $13.64
74019 <1% 14 $13.45
87590 <1% 201 $12.99
J2060 Injection, lorazepam, 2 mg <1% 910 $11.95
J0780 Injection, prochlorperazine, up to 10 mg <1% 220 $11.49
87285 <1% 25 $10.95
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 77 $7.20
82040 <1% 15 $6.74
96376 <1% 2,037 $6.60
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 367 $6.24
73060 <1% 12 $6.00
J2470 Injection, pantoprazole sodium, 40 mg <1% 57 $3.87
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 865 $2.92
J1643 Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units <1% 275 $2.80
87147 <1% 58 $2.58
J0132 Injection, acetylcysteine, 100 mg <1% 229 $1.04
80329 <1% 149 $0.83
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% 26 $0.36
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% 144 $0.12
J1171 Injection, hydromorphone, 0.1 mg 0% 81 $0.00
99080 0% 1,452 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 0% 80 $0.00
82010 0% 144 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 150 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 14 $0.00
90734 0% 32 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 16 $0.00
71100 0% 13 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 37 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 43 $0.00
84075 0% 12 $0.00
74022 0% 145 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 94 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 0% 30 $0.00
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 0% 39 $0.00
J1815 Injection, insulin, per 5 units 0% 23 $0.00
90651 0% 19 $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 officialMACHOLZ, DAVID (CHIEF FINANCIAL OFFICER)
Same official

Other billing entities under MACHOLZ, DAVID

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