Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Falmouth Hospital Association INC

Falmouth Hospital Association INC was paid $25.40M by Medicaid between Jan 2018 and Dec 2024, across 244 billing codes. Its largest line is 99285, emergency room visit (most serious) — 15% of everything it billed.

33Billing provider infoFALMOUTH HOSPITAL ASSOCIATION INC
FALMOUTH, MA 02540
33aNPI1336106806assigned 04/28/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$25.40M
24GClaims614,307
24DCodes billed244
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Massachusetts

Rank by total paid#37 of 66
Median peer was paid$29.11M
This provider vs. median0.9×

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$200K$400K$600K2018201920202021202220232024
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
201886,407$4.05M
201987,628$3.74M
202072,067$2.57M
202192,061$3.32M
2022102,218$4.14M
202396,377$4.22M
2024incomplete77,549$3.36M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 15% 24,972 22,075 $3.90M
96361 Intravenous infusion, hydration; each additional hour 13% 8,945 7,832 $3.19M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 10.0% 16,424 15,100 $2.53M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 9.0% 15,132 13,691 $2.28M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5.2% 19,005 5,938 $1.31M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3.1% 7,734 6,573 $787K
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 2.7% 13,372 11,630 $685K
70450 Computed tomography, head or brain; without contrast material 2.6% 5,676 5,226 $669K
74177 Computed tomography, abdomen and pelvis; with contrast material 2.6% 4,312 4,046 $652K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2.0% 2,787 1,249 $516K
77067 Screening mammography, bilateral, including computer-aided detection 1.4% 4,692 4,595 $348K
71046 Radiologic examination, chest; 2 views 1.4% 10,120 9,548 $344K
232 more codes
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.3% 2,293 $338K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1.2% 7,093 $305K
99213 Doctor's office visit, returning patient (routine) 1.1% 1,663 $275K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.1% 2,195 $273K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1.1% 2,260 $268K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,178 $244K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 8,691 $240K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 881 $226K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,646 $222K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,177 $207K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 6,502 $206K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,509 $199K
76830 Ultrasound, transvaginal <1% 2,110 $196K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 1,230 $187K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 214 $185K
93971 <1% 1,058 $176K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 4,398 $160K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 33,070 $152K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,604 $141K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 3,743 $139K
76642 <1% 1,575 $137K
J3490 Unclassified drugs <1% 3,884 $127K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 6,701 $120K
71275 Computed tomographic angiography, chest, with contrast material <1% 834 $113K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 3,335 $110K
S9485 Crisis intervention mental health services, per diem <1% 221 $109K
99214 Doctor's office visit, returning patient (more involved) <1% 670 $87K
73630 <1% 2,705 $80K
G0378 Hospital observation service, per hour <1% 4,514 $77K
97162 <1% 1,286 $74K
72100 <1% 2,422 $73K
77063 Screening digital breast tomosynthesis, bilateral <1% 4,662 $73K
76801 <1% 497 $69K
73610 <1% 1,908 $65K
73030 <1% 2,093 $65K
76536 <1% 610 $63K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 78 $62K
ATP15 <1% 7,003 $62K
77065 Tomosynthesis, mammo <1% 877 $61K
73564 <1% 1,734 $57K
84484 <1% 10,130 $56K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 161 $54K
83735 <1% 13,164 $52K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 835 $52K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 64 $49K
73130 <1% 1,576 $48K
97161 <1% 806 $48K
ATP08 <1% 6,920 $48K
87086 Culture, bacterial; quantitative colony count, urine <1% 9,613 $47K
62323 <1% 77 $47K
71250 <1% 692 $46K
93017 <1% 677 $46K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 63 $46K
83690 <1% 10,366 $45K
ATP14 <1% 5,160 $45K
93975 <1% 412 $41K
83880 <1% 2,355 $41K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 1,901 $36K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 121 $36K
70551 Magnetic resonance imaging, brain; without contrast material <1% 124 $35K
59025 Fetal non-stress test <1% 150 $35K
83605 <1% 5,556 $35K
73110 <1% 1,088 $34K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 17,322 $34K
84703 <1% 5,829 $33K
80053 Comprehensive metabolic panel <1% 17,359 $32K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 12,190 $32K
77080 <1% 617 $31K
73502 <1% 1,107 $31K
73221 <1% 95 $29K
87430 <1% 2,291 $27K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 844 $27K
80048 Basic metabolic panel (calcium, ionized) <1% 20,092 $27K
77066 Tomosynthesis, mammo <1% 380 $26K
87040 <1% 4,094 $26K
94060 <1% 223 $25K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 1,747 $23K
74018 <1% 509 $21K
76770 <1% 142 $20K
93970 <1% 58 $20K
71045 Radiologic examination, chest; single view <1% 10,795 $20K
71271 <1% 446 $19K
85027 <1% 5,167 $18K
87070 <1% 3,132 $18K
96375 Therapeutic injection; each additional sequential IV push <1% 11,835 $18K
84443 Thyroid stimulating hormone (TSH) <1% 1,947 $18K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 379 $17K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 683 $16K
85610 <1% 7,502 $16K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 673 $16K
87077 <1% 3,122 $15K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,366 $14K
81003 <1% 10,081 $14K
72141 <1% 97 $13K
86317 <1% 755 $13K
73560 <1% 233 $13K
86850 <1% 2,218 $13K
72125 Computed tomography, cervical spine; without contrast material <1% 1,721 $12K
81025 <1% 2,205 $12K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,606 $12K
85730 <1% 3,316 $12K
87186 <1% 2,347 $12K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 237 $12K
43235 <1% 12 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 4,332 $11K
76819 Fetal biophysical profile; without non-stress testing <1% 152 $11K
85379 <1% 1,754 $10K
95811 <1% 12 $10K
J7999 Compounded drug, not otherwise classified <1% 278 $10K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 147 $10K
94726 <1% 245 $10K
72050 <1% 176 $10K
73140 <1% 239 $10K
99203 Doctor's office visit, new patient (routine) <1% 55 $9K
73080 <1% 203 $9K
86618 <1% 774 $9K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 57 $9K
86140 <1% 2,929 $9K
96367 <1% 529 $8K
82948 <1% 2,847 $8K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 2,585 $8K
81001 <1% 4,254 $8K
94729 <1% 173 $8K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 129 $8K
80076 <1% 6,897 $7K
74019 <1% 1,007 $7K
82803 <1% 582 $7K
87081 <1% 1,197 $7K
87476 <1% 314 $7K
87088 <1% 1,368 $6K
97035 <1% 126 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 28 $5K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 100 $5K
82248 <1% 5,000 $5K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 6,308 $4K
86900 <1% 2,272 $4K
12001 <1% 13 $4K
86901 <1% 2,268 $4K
77002 <1% 55 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 26 $3K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 2,453 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,519 $3K
J2704 Injection, propofol, 10 mg <1% 4,082 $3K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 60 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 4,730 $3K
90715 <1% 112 $3K
85652 <1% 1,697 $3K
87632 <1% 17 $2K
J7120 Ringers lactate infusion, up to 1000 cc <1% 997 $2K
84702 <1% 175 $2K
87205 <1% 933 $2K
73562 <1% 53 $2K
84439 <1% 294 $2K
85007 <1% 829 $2K
97597 <1% 135 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 2,234 $2K
71101 <1% 106 $2K
76813 <1% 14 $1K
70496 <1% 12 $1K
93880 <1% 26 $1K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 17 $1K
S0028 Injection, famotidine, 20 mg <1% 19 $1K
81015 <1% 651 $1K
J1170 Injection, hydromorphone, up to 4 mg <1% 2,289 $1K
94664 <1% 22 $926.94
86880 <1% 321 $888.32
J2060 Injection, lorazepam, 2 mg <1% 1,827 $809.23
82550 <1% 1,206 $751.90
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 54 $732.96
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,217 $628.11
72040 <1% 12 $605.76
ATP17 <1% 77 $548.50
J7030 Infusion, normal saline solution , 1000 cc <1% 4,610 $535.45
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 987 $534.78
0011A <1% 74 $508.20
88342 <1% 54 $507.17
73700 <1% 32 $486.73
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg <1% 182 $480.72
70486 <1% 13 $476.54
87210 <1% 113 $428.16
0012A <1% 22 $397.46
97116 <1% 18 $395.02
73590 <1% 15 $323.33
72070 <1% 12 $319.79
ATP16 <1% 43 $315.81
87469 <1% 17 $313.04
87484 <1% 17 $313.04
J7050 Infusion, normal saline solution, 250 cc <1% 1,291 $311.74
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 6,050 $305.77
80061 Lipid panel <1% 236 $282.63
82150 <1% 71 $280.56
82140 <1% 46 $274.25
36415 Collection of venous blood by venipuncture <1% 11,591 $269.37
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 369 $264.18
J0690 Injection, cefazolin sodium, 500 mg <1% 798 $258.74
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 521 $228.17
96376 <1% 3,968 $216.95
87420 <1% 17 $208.59
90656 <1% 20 $203.70
83036 Hemoglobin; glycosylated (A1C) <1% 40 $200.20
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg <1% 260 $166.85
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 194 $156.66
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 84 $149.16
73090 <1% 13 $107.78
J3475 Injection, magnesium sulfate, per 500 mg <1% 841 $103.76
Q3014 Telehealth originating site facility fee <1% 420 $74.39
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 12 $74.08
80178 <1% 13 $47.74
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 1,460 $23.94
82962 <1% 1,767 $8.35
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 693 $2.72
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 161 $1.94
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 306 $0.00
84100 0% 365 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 390 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 274 $0.00
A4649 Surgical supply; miscellaneous 0% 13 $0.00
93356 0% 47 $0.00
80179 0% 54 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 71 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 21 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 1,285 $0.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 0% 73 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 124 $0.00
94760 0% 935 $0.00
G0008 Administration of influenza virus vaccine 0% 42 $0.00
C9290 Injection, bupivacaine liposome, 1 mg 0% 45 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 0% 179 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 80 $0.00
80320 0% 52 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 0% 15 $0.00
91301 0% 90 $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 officialDAYTON, REBECCA (VP OF REVENUE CYCLE)
Same official

Other billing entities under DAYTON, REBECCA

Full network →
ProviderLocationPaid
Cape Cod Hospital INCHyannis, MA$86.94M
Medical Affiliates of Cape Cod, INC.Hyannis, MA$5.91M
Urgi Center Medical GroupSandwich, MA$5.85M
Physicians of Cape Cod HospitalHyannis, MA$5.21M
Emergency Physicians of FalmouthFalmouth, MA$2.69M
Physicians of Falmouth HospitalFalmouth, MA$346K
Cape Cod Hospital INCHyannis, MA$291K
Radiologists of Cape Cod HospitalHyannis, MA$51K

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