Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › BATH › IRA DAVENPORT MEMORIAL HOSPITAL, INC.

IRA DAVENPORT MEMORIAL HOSPITAL, INC.

NPI: 1306930318 · BATH, NY 14810 · Adult Day Care Clinic/Center · NPI assigned 10/03/2006

$4.69M
Total Medicaid Paid
148,156
Total Claims
125,801
Beneficiaries
114
Codes Billed
2019-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLAWRENCE, JONATHAN (PRESIDENT & CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date10/03/2006

Related Entities

Other providers sharing the same authorized official: LAWRENCE, JONATHAN

ProviderCityStateTotal Paid
ARNOT OGDEN MEDICAL CENTER ELMIRA NY $60.80M
ARNOT OGDEN MEDICAL CENTER ELMIRA NY $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 6,315 $201K
2020 21,396 $727K
2021 28,523 $948K
2022 29,046 $967K
2023 33,443 $1.03M
2024 29,433 $816K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 6,587 6,286 $861K
99284 Emergency department visit for the evaluation and management, high severity 3,653 3,493 $447K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,385 3,277 $443K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,194 1,725 $359K
96361 Intravenous infusion, hydration; each additional hour 1,602 1,529 $340K
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 3,592 3,127 $290K
70450 Computed tomography, head or brain; without contrast material 860 842 $245K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,673 1,575 $196K
80053 Comprehensive metabolic panel 10,841 9,969 $183K
74177 Computed tomography, abdomen and pelvis; with contrast material 580 558 $164K
36415 Collection of venous blood by venipuncture 19,331 7,875 $146K
99281 Emergency department visit for the evaluation and management, self-limited or minor 933 901 $131K
74176 Computed tomography, abdomen and pelvis; without contrast material 397 391 $112K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 955 744 $104K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,678 2,556 $87K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,368 1,353 $67K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,470 1,464 $43K
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 1,648 1,545 $40K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 923 916 $34K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,462 1,304 $33K
77067 Screening mammography, bilateral, including computer-aided detection 517 516 $29K
84443 Thyroid stimulating hormone (TSH) 4,105 4,025 $26K
80061 Lipid panel 4,158 4,144 $25K
80048 Basic metabolic panel (calcium, ionized) 2,103 1,983 $24K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 553 240 $20K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 11,440 10,301 $20K
83036 Hemoglobin; glycosylated (A1C) 1,936 1,932 $18K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 578 534 $18K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,424 1,289 $14K
84439 1,477 1,463 $12K
82607 966 957 $12K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 432 427 $11K
87631 113 113 $11K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 80 78 $9K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 431 425 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 71 69 $9K
83880 278 261 $8K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 40 38 $7K
71275 Computed tomographic angiography, chest, with contrast material 27 25 $7K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 181 99 $6K
87086 Culture, bacterial; quantitative colony count, urine 1,316 1,258 $5K
87634 251 246 $4K
81025 1,355 1,296 $4K
82746 346 342 $4K
82728 304 300 $4K
71046 Radiologic examination, chest; 2 views 1,332 1,303 $4K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 40 40 $3K
85610 1,017 906 $3K
83735 2,461 2,214 $3K
77063 Screening digital breast tomosynthesis, bilateral 519 518 $3K
90715 94 94 $3K
83540 502 496 $2K
87077 587 574 $2K
83550 412 407 $2K
87186 530 518 $1K
82570 303 303 $1K
82043 271 271 $1K
84460 252 252 $1K
85651 933 871 $1K
84450 238 238 $1K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,609 2,397 $1K
81001 2,225 2,115 $1K
83690 1,604 1,512 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 54 54 $989.51
97161 12 12 $942.57
87070 28 28 $862.53
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,499 2,361 $634.82
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,210 1,163 $570.15
81003 2,206 2,117 $503.35
96375 Therapeutic injection; each additional sequential IV push 1,919 1,781 $491.54
76705 Ultrasound, abdominal, real time with image documentation; limited 28 27 $482.40
80306 1,659 1,550 $452.05
84153 28 28 $426.70
86618 55 55 $426.21
73630 144 138 $423.36
86592 294 280 $391.86
82150 359 338 $370.67
84484 1,758 1,576 $369.63
86803 38 38 $343.40
87340 36 36 $330.56
86140 137 127 $240.61
73562 64 64 $232.53
71045 Radiologic examination, chest; single view 1,506 1,468 $222.29
85730 547 519 $212.55
83655 13 13 $157.43
73030 37 36 $154.53
85379 322 309 $147.04
73130 44 41 $135.40
73610 55 52 $105.88
84702 14 13 $74.94
84436 13 13 $74.10
84703 60 58 $44.14
83605 846 795 $37.08
74018 13 13 $18.00
87040 78 74 $16.30
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,517 1,413 $5.96
J1885 Injection, ketorolac tromethamine, per 15 mg 1,583 1,522 $3.55
J3010 Injection, fentanyl citrate, 0.1 mg 143 137 $1.26
80179 376 348 $0.00
80143 471 434 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 94 93 $0.00
94664 16 16 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 24 24 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 12 12 $0.00
J2060 Injection, lorazepam, 2 mg 135 124 $0.00
82077 906 835 $0.00
A9270 Non-covered item or service 7,090 6,692 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 30 27 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 28 27 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 46 38 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 12 12 $0.00
J2704 Injection, propofol, 10 mg 12 12 $0.00
96376 28 26 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 14 12 $0.00