Hospital
Margaretville Memorial Hospital
Margaretville Memorial Hospital was paid $1.10M by Medicaid between Aug 2019 and Nov 2024, across 40 billing codes. Its largest line is 99283, emergency room visit (moderate) — 56% of everything it billed.
33Billing provider infoMARGARETVILLE MEMORIAL HOSPITAL
MARGARETVILLE, NY 12455
MARGARETVILLE, NY 12455
33aNPI1164473039assigned 05/15/2006
33bProvider typeCritical Access Hospital
28Total paid$1.10M
24GClaims13,999
24DCodes billed40
24AFirst – last monthAug 2019 – Nov 2024
Compared with peers
Next to other Critical Access Hospital providers in New York
Rank by total paid#8 of 12
Median peer was paid$5.23M
This provider vs. median0.2×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 1,116 | $35K | |
| 2020 | 2,719 | $87K | |
| 2021 | 3,564 | $162K | |
| 2022 | 2,375 | $413K | |
| 2023 | 2,641 | $274K | |
| 2024incomplete | 1,584 | $130K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 56% | 2,287 | 2,194 | $611K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 13% | 642 | 611 | $148K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 13% | 742 | 711 | $138K |
| 80053 | Comprehensive metabolic panel | 4.8% | 1,719 | 1,660 | $53K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.8% | 951 | 579 | $42K |
| 80047 | 3.4% | 500 | 485 | $38K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.3% | 41 | 12 | $14K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 1.1% | 74 | 71 | $12K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 78 | 78 | $8K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 447 | 445 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 864 | 824 | $4K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 464 | 463 | $4K |
28 more codes
| 80061 | Lipid panel | <1% | 656 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,633 | $4K |
| 99285 | Emergency room visit (most serious) | <1% | 25 | $3K |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 26 | $2K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 69 | $2K |
| 86618 | <1% | 53 | $2K | |
| 82803 | <1% | 125 | $1K | |
| 0012A | <1% | 43 | $1K | |
| 82607 | <1% | 52 | $612.25 | |
| 0011A | <1% | 43 | $568.89 | |
| 94760 | <1% | 1,039 | $480.18 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 26 | $435.95 |
| 0031A | <1% | 12 | $426.46 | |
| 81003 | <1% | 392 | $292.78 | |
| 86666 | <1% | 12 | $208.78 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 104 | $154.48 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 37 | $141.92 |
| 81001 | <1% | 26 | $100.42 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 27 | $69.95 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 47 | $58.30 |
| 85014 | <1% | 474 | $57.66 | |
| 83690 | <1% | 12 | $17.25 | |
| 83605 | <1% | 113 | $14.45 | |
| 87807 | <1% | 25 | $13.10 | |
| 85730 | <1% | 12 | $12.02 | |
| 85610 | <1% | 12 | $7.82 | |
| 83721 | 0% | 83 | $0.00 | |
| 87070 | 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 officialBAKER, PATRICK (AVP, REVENUE CYCLE)
| Provider | Location | Paid |
|---|---|---|
| Healthalliance Hospital Marys Avenue Campus | Kingston, NY | $12.84M |
| Healthalliance Hospital Marys Avenue Campus | Kingston, NY | $34K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.