Hospital
Gouverneur Hospital
Gouverneur Hospital was paid $246K by Medicaid between Jan 2020 and Nov 2024, across 7 billing codes. Its largest line is 99284, emergency room visit (serious) — 74% of everything it billed.
33Billing provider infoGOUVERNEUR HOSPITAL
GOUVERNEUR, NY 13642
GOUVERNEUR, NY 13642
33aNPI1295156412assigned 12/16/2013
33bProvider typeCritical Access Hospital
28Total paid$246K
24GClaims2,849
24DCodes billed7
24AFirst – last monthJan 2020 – Nov 2024
Compared with peers
Next to other Critical Access Hospital providers in New York
Rank by total paid#10 of 12
Median peer was paid$5.23M
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2020 | 47 | $2K | |
| 2021 | 199 | $16K | |
| 2022 | 589 | $48K | |
| 2023 | 1,304 | $119K | |
| 2024incomplete | 710 | $62K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 74% | 1,873 | 1,848 | $183K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 17% | 712 | 707 | $42K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5.2% | 145 | 138 | $13K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.0% | 60 | 55 | $5K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.5% | 28 | 27 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 19 | 19 | $326.83 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 12 | 12 | $61.66 |
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 officialMCGREGOR, DONNA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Canton-Potsdam Hospital | Potsdam, NY | $61.54M |
| Gouverneur Hospital | Gouverneur, NY | $12.66M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.