Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Bath › NPI 1306930318
Clinic

Ira Davenport Memorial Hospital, INC.

Ira Davenport Memorial Hospital, INC. was paid $4.69M by Medicaid between Apr 2019 and Nov 2024, across 114 billing codes. Its largest line is 99283, emergency room visit (moderate) — 18% of everything it billed.

33Billing provider infoIRA DAVENPORT MEMORIAL HOSPITAL, INC.
BATH, NY 14810
33aNPI1306930318assigned 10/03/2006
28Total paid$4.69M
24GClaims148,156
24DCodes billed114
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers

Next to other Adult Day Care Clinic/Center providers in New York

Rank by total paid#164 of 394
Median peer was paid$3.44M
This provider vs. median1.4×

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$50K$100K$150K2018201920202021202220232024
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
20196,315$201K
202021,396$727K
202128,523$948K
202229,046$967K
202333,443$1.03M
2024incomplete29,433$816K
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 18% 6,587 6,286 $861K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 9.5% 3,653 3,493 $447K
99282 Emergency department visit for the evaluation and management, low to moderate severity 9.5% 3,385 3,277 $443K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7.7% 5,194 1,725 $359K
96361 Intravenous infusion, hydration; each additional hour 7.3% 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 6.2% 3,592 3,127 $290K
70450 Computed tomography, head or brain; without contrast material 5.2% 860 842 $245K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 4.2% 1,673 1,575 $196K
80053 Comprehensive metabolic panel 3.9% 10,841 9,969 $183K
74177 Computed tomography, abdomen and pelvis; with contrast material 3.5% 580 558 $164K
36415 Collection of venous blood by venipuncture 3.1% 19,331 7,875 $146K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2.8% 933 901 $131K
102 more codes
74176 Computed tomography, abdomen and pelvis; without contrast material 2.4% 397 $112K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2.2% 955 $104K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.8% 2,678 $87K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1.4% 1,368 $67K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,470 $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% 1,648 $40K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 923 $34K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 1,462 $33K
77067 Screening mammography, bilateral, including computer-aided detection <1% 517 $29K
84443 Thyroid stimulating hormone (TSH) <1% 4,105 $26K
80061 Lipid panel <1% 4,158 $25K
80048 Basic metabolic panel (calcium, ionized) <1% 2,103 $24K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 553 $20K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 11,440 $20K
83036 Hemoglobin; glycosylated (A1C) <1% 1,936 $18K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 578 $18K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,424 $14K
84439 <1% 1,477 $12K
82607 <1% 966 $12K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 432 $11K
87631 <1% 113 $11K
99213 Doctor's office visit, returning patient (routine) <1% 80 $9K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 431 $9K
99214 Doctor's office visit, returning patient (more involved) <1% 71 $9K
83880 <1% 278 $8K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 40 $7K
71275 Computed tomographic angiography, chest, with contrast material <1% 27 $7K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 181 $6K
87086 Culture, bacterial; quantitative colony count, urine <1% 1,316 $5K
87634 <1% 251 $4K
81025 <1% 1,355 $4K
82746 <1% 346 $4K
82728 <1% 304 $4K
71046 Radiologic examination, chest; 2 views <1% 1,332 $4K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 40 $3K
85610 <1% 1,017 $3K
83735 <1% 2,461 $3K
77063 Screening digital breast tomosynthesis, bilateral <1% 519 $3K
90715 <1% 94 $3K
83540 <1% 502 $2K
87077 <1% 587 $2K
83550 <1% 412 $2K
87186 <1% 530 $1K
82570 <1% 303 $1K
82043 <1% 271 $1K
84460 <1% 252 $1K
85651 <1% 933 $1K
84450 <1% 238 $1K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 2,609 $1K
81001 <1% 2,225 $1K
83690 <1% 1,604 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 54 $989.51
97161 <1% 12 $942.57
87070 <1% 28 $862.53
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 2,499 $634.82
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,210 $570.15
81003 <1% 2,206 $503.35
96375 Therapeutic injection; each additional sequential IV push <1% 1,919 $491.54
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 28 $482.40
80306 <1% 1,659 $452.05
84153 <1% 28 $426.70
86618 <1% 55 $426.21
73630 <1% 144 $423.36
86592 <1% 294 $391.86
82150 <1% 359 $370.67
84484 <1% 1,758 $369.63
86803 <1% 38 $343.40
87340 <1% 36 $330.56
86140 <1% 137 $240.61
73562 <1% 64 $232.53
71045 Radiologic examination, chest; single view <1% 1,506 $222.29
85730 <1% 547 $212.55
83655 <1% 13 $157.43
73030 <1% 37 $154.53
85379 <1% 322 $147.04
73130 <1% 44 $135.40
73610 <1% 55 $105.88
84702 <1% 14 $74.94
84436 <1% 13 $74.10
84703 <1% 60 $44.14
83605 <1% 846 $37.08
74018 <1% 13 $18.00
87040 <1% 78 $16.30
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 1,517 $5.96
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,583 $3.55
J3010 Injection, fentanyl citrate, 0.1 mg <1% 143 $1.26
80179 0% 376 $0.00
80143 0% 471 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 0% 94 $0.00
94664 0% 16 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 0% 24 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 12 $0.00
J2060 Injection, lorazepam, 2 mg 0% 135 $0.00
82077 0% 906 $0.00
A9270 Non-covered item or service 0% 7,090 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 30 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 28 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 46 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 12 $0.00
J2704 Injection, propofol, 10 mg 0% 12 $0.00
96376 0% 28 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 0% 14 $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 officialLAWRENCE, JONATHAN (PRESIDENT & CHIEF EXECUTIVE OFFICER)
Same official

Other billing entities under LAWRENCE, JONATHAN

Full network →
ProviderLocationPaid
Arnot Ogden Medical CenterElmira, NY$60.80M
Arnot Ogden Medical CenterElmira, NY$1K

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