Medicaid Provider Spending

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

LONG ISLAND JEWISH MEDICAL CENTER

NPI: 1174530349 · NEW HYDE PARK, NY 11040 · Children's Hospital · NPI assigned 08/01/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CUSACK, MICHELE controls 20+ related entities in our dataset. Read more

$2.29M
Total Medicaid Paid
74,265
Total Claims
68,249
Beneficiaries
55
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCUSACK, MICHELE (SENIOR VICE PRESIDENT & CFO)
NPI Enumeration Date08/01/2006

Related Entities

Other providers sharing the same authorized official: CUSACK, MICHELE

ProviderCityStateTotal Paid
LONG ISLAND JEWISH MEDICAL CENTER NEW HYDE PARK NY $370.91M
NORTH SHORE UNIVERSITY HOSPITAL NEW HYDE PARK NY $166.53M
STATEN ISLAND UNIVERSITY HOSPITAL STATEN ISLAND NY $118.12M
REGIONCARE INC. GARDEN CITY NY $96.55M
NORTH SHORE UNIVERSITY HOSPITAL MANHASSET NY $87.68M
LENOX HILL HOSPITAL NEW YORK NY $63.17M
SOUTH SHORE UNIVERSITY HOSPITAL BAY SHORE NY $47.45M
JOHN T. MATHER MEMORIAL HOSPITAL PORT JEFFERSON NY $20.34M
PHELPS MEMORIAL HOSPITAL ASSOCIATION SLEEPY HOLLOW NY $20.17M
NORTH SHORE UNIVERSITY HOSPITAL WESTBURY NY $17.90M
TRUE NORTH MEDICAL GROUP PC MERRICK NY $12.56M
HUNTINGTON HOSPITAL ASSOCIATION HUNTINGTON NY $9.83M
THE LONG ISLAND HOME AMITYVILLE NY $9.49M
REGIONCARE INC. GREAT NECK NY $9.43M
LONG ISLAND JEWISH MEDICAL CENTER VALLEY STREAM NY $8.41M
HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH CENTER GREENLAWN NY $8.03M
GLEN COVE HOSPITAL GLEN COVE NY $7.72M
CENTRAL SUFFOLK HOSPITAL RIVERHEAD NY $7.66M
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION MOUNT KISCO NY $7.58M
PLAINVIEW HOSPITAL PLAINVIEW NY $6.39M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,833 $222K
2019 10,682 $329K
2020 11,056 $374K
2021 14,920 $525K
2022 17,692 $523K
2023 10,288 $295K
2024 1,794 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 8,879 8,877 $328K
D0120 Periodic oral evaluation - established patient 10,723 10,721 $252K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 223 222 $181K
D1354 6,294 3,518 $148K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,970 1,699 $148K
D1206 Topical application of fluoride varnish 5,453 5,444 $142K
D1110 Prophylaxis - adult 3,020 3,018 $130K
D7140 Extraction, erupted tooth or exposed root 2,230 1,917 $127K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2,076 1,827 $112K
D1351 Sealant - per tooth 1,757 1,265 $95K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 600 595 $85K
D1208 Topical application of fluoride, excluding varnish 5,430 5,427 $68K
D2930 Prefabricated stainless steel crown - primary tooth 572 489 $66K
D0150 Comprehensive oral evaluation - new or established patient 2,309 2,308 $58K
D0330 Panoramic radiographic image 2,007 2,007 $58K
D0272 Bitewings - two radiographic images 3,543 3,541 $47K
D0274 Bitewings - four radiographic images 1,846 1,845 $42K
D0140 Limited oral evaluation - problem focused 3,126 2,992 $35K
J3490 Unclassified drugs 2,640 1,469 $26K
G0378 Hospital observation service, per hour 62 38 $26K
D0220 Intraoral - periapical first radiographic image 1,796 1,769 $16K
D0210 Intraoral - complete series of radiographic images 684 682 $15K
C1889 Implantable/insertable device, not otherwise classified 80 78 $12K
80053 Comprehensive metabolic panel 254 250 $12K
J3010 Injection, fentanyl citrate, 0.1 mg 631 616 $10K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 108 100 $9K
J2405 Injection, ondansetron hydrochloride, per 1 mg 741 733 $8K
D0240 581 581 $8K
88305 Level IV - Surgical pathology, gross and microscopic examination 599 596 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 56 55 $4K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 30 30 $2K
T1013 Sign language or oral interpretive services, per 15 minutes 104 102 $2K
J2704 Injection, propofol, 10 mg 1,019 838 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15 15 $2K
0225U 28 28 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 220 216 $1K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 788 784 $1K
76705 Ultrasound, abdominal, real time with image documentation; limited 12 12 $1K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 13 13 $924.37
D9920 65 64 $692.70
D2330 14 13 $647.20
94760 102 99 $632.08
D0251 37 37 $425.40
C9399 Unclassified drugs or biologicals 103 103 $343.47
J7030 Infusion, normal saline solution , 1000 cc 145 135 $185.48
D0230 Intraoral - periapical each additional radiographic image 16 16 $151.92
J1100 Injection, dexamethasone sodium phosphate, 1 mg 708 697 $104.52
J3480 Injection, potassium chloride, per 2 meq 21 21 $87.78
J1885 Injection, ketorolac tromethamine, per 15 mg 104 101 $40.98
82962 15 14 $16.43
J0690 Injection, cefazolin sodium, 500 mg 37 37 $14.70
81025 24 24 $5.29
99080 209 25 $0.00
D1330 133 133 $0.00
36000 13 13 $0.00