Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › SUFFERN › GOOD SAMARITAN HOSPITAL OF SUFFERN

GOOD SAMARITAN HOSPITAL OF SUFFERN

NPI: 1346213469 · SUFFERN, NY 10901 · Rehabilitation Hospital Unit · NPI assigned 02/09/2006

$18.96M
Total Medicaid Paid
419,471
Total Claims
304,364
Beneficiaries
208
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDIFIGLIA, MARIO (VICE PRESIDENT)
NPI Enumeration Date02/09/2006

Related Entities

Other providers sharing the same authorized official: DIFIGLIA, MARIO

ProviderCityStateTotal Paid
BON SECOURS COMMUNITY HOSPITAL PORT JERVIS NY $10.48M
ST. ANTHONY COMMUNITY HOSPITAL WARWICK NY $4.31M
GOOD SAMARITAN HOSPITAL OF SUFFERN WEST NYACK NY $81K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,916 $247K
2019 25,319 $1.25M
2020 58,489 $2.62M
2021 77,981 $3.63M
2022 87,418 $3.93M
2023 89,240 $3.91M
2024 77,108 $3.39M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 14,635 13,985 $2.63M
99283 Emergency department visit for the evaluation and management, moderate severity 14,148 13,611 $2.62M
36415 Collection of venous blood by venipuncture 115,558 28,714 $2.20M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 6,435 6,187 $1.17M
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,992 4,861 $892K
90834 Psychotherapy, 45 minutes with patient 4,326 2,577 $856K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,245 2,381 $743K
96361 Intravenous infusion, hydration; each additional hour 2,778 2,568 $732K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,325 2,301 $677K
70450 Computed tomography, head or brain; without contrast material 2,325 2,274 $647K
80053 Comprehensive metabolic panel 20,937 19,198 $439K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 542 537 $402K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,652 1,620 $377K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,260 1,229 $339K
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 4,404 4,251 $331K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,894 1,689 $297K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,673 1,200 $186K
99281 Emergency department visit for the evaluation and management, self-limited or minor 991 968 $170K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 8,555 8,279 $167K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 166 165 $154K
90832 Psychotherapy, 30 minutes with patient 844 648 $142K
T1030 Nursing care, in the home, by registered nurse, per diem 901 235 $140K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 225 223 $126K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,136 680 $115K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,681 782 $114K
86850 3,627 3,495 $113K
86900 3,675 3,535 $108K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 631 572 $107K
86901 3,676 3,534 $103K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,146 2,010 $96K
59820 81 81 $83K
80048 Basic metabolic panel (calcium, ionized) 4,591 4,260 $78K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 638 616 $78K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,488 2,427 $72K
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 2,918 2,823 $68K
77067 Screening mammography, bilateral, including computer-aided detection 1,149 1,149 $67K
88342 973 966 $64K
71275 Computed tomographic angiography, chest, with contrast material 234 231 $63K
59025 Fetal non-stress test 255 239 $62K
G0378 Hospital observation service, per hour 379 365 $61K
76700 Ultrasound, abdominal, real time with image documentation; complete 159 159 $53K
76705 Ultrasound, abdominal, real time with image documentation; limited 939 928 $52K
97161 423 418 $45K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 333 312 $41K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,844 2,540 $38K
76819 Fetal biophysical profile; without non-stress testing 426 387 $37K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,914 5,629 $32K
83880 1,049 1,012 $31K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 741 254 $31K
93971 411 404 $31K
70551 Magnetic resonance imaging, brain; without contrast material 97 95 $29K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 15 15 $28K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 712 577 $27K
76801 190 188 $27K
71046 Radiologic examination, chest; 2 views 3,673 3,571 $27K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 7,216 6,772 $26K
81025 7,196 6,947 $24K
88304 862 856 $24K
76641 718 592 $23K
95810 Polysomnography; sleep staging with 4 or more additional parameters 26 26 $22K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 21,042 18,906 $22K
71045 Radiologic examination, chest; single view 4,618 4,458 $21K
84443 Thyroid stimulating hormone (TSH) 2,529 2,476 $17K
80061 Lipid panel 1,846 1,818 $17K
93970 41 40 $16K
96375 Therapeutic injection; each additional sequential IV push 3,025 2,772 $15K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 485 484 $15K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 198 154 $13K
90791 Psychiatric diagnostic evaluation 53 52 $13K
83036 Hemoglobin; glycosylated (A1C) 1,647 1,626 $13K
59812 12 12 $11K
0012A 409 409 $11K
76770 57 57 $11K
76820 177 161 $10K
87086 Culture, bacterial; quantitative colony count, urine 5,386 5,171 $10K
80076 1,028 1,002 $9K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 386 379 $8K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 90 80 $7K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 28 28 $7K
82607 621 614 $7K
85027 2,692 2,467 $7K
95806 234 233 $7K
92588 94 94 $6K
0011A 340 340 $6K
76818 63 61 $6K
85730 6,478 6,146 $6K
77063 Screening digital breast tomosynthesis, bilateral 876 876 $6K
93296 117 81 $6K
96415 114 101 $5K
84439 741 721 $5K
12001 12 12 $5K
85610 7,018 6,629 $5K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 706 687 $4K
0001A 108 108 $4K
99051 221 174 $3K
81001 5,203 4,999 $3K
0002A 89 89 $3K
83735 4,187 3,850 $3K
82784 232 230 $3K
81003 6,653 6,410 $3K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 25 12 $3K
72125 Computed tomography, cervical spine; without contrast material 49 41 $3K
87040 1,542 1,417 $3K
97010 138 52 $2K
83690 4,806 4,619 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,363 2,535 $2K
84484 5,203 4,403 $2K
86920 31 28 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 608 560 $2K
85379 1,305 1,257 $2K
0031A 40 40 $2K
82977 316 283 $2K
82550 462 448 $2K
97162 13 12 $2K
0064A 37 37 $1K
83605 1,639 1,519 $1K
84702 1,954 1,834 $1K
73630 181 172 $1K
83540 299 294 $1K
OP250 196 104 $1K
J1756 Injection, iron sucrose, 1 mg 27 14 $1K
86364 97 97 $1K
87186 649 628 $1K
97164 13 13 $1K
86618 59 59 $1K
82728 102 101 $1K
96376 118 94 $973.41
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 12 12 $960.60
87070 1,156 1,136 $946.28
86140 246 231 $936.04
84153 56 56 $900.19
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 25 24 $869.43
85652 496 484 $725.01
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 98 87 $720.00
82962 2,223 1,238 $718.05
87088 370 360 $653.68
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 21 21 $619.20
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 83 81 $619.20
82077 1,253 1,146 $607.20
90715 25 25 $535.52
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 25 24 $511.09
74018 88 87 $497.10
87077 191 186 $481.83
J2405 Injection, ondansetron hydrochloride, per 1 mg 5,280 4,961 $451.72
86769 16 15 $450.27
82746 51 50 $442.40
97116 16 13 $441.61
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,988 2,820 $431.78
82248 98 84 $397.14
73610 125 123 $346.46
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 758 749 $339.87
84550 116 113 $309.43
73562 39 38 $274.59
84703 1,105 1,086 $270.16
J7030 Infusion, normal saline solution , 1000 cc 356 340 $256.13
87807 609 603 $226.98
J7120 Ringers lactate infusion, up to 1000 cc 1,286 1,218 $217.84
83550 42 42 $196.20
73030 56 55 $192.08
85007 428 408 $186.79
85651 129 128 $184.65
80143 239 228 $180.80
J0696 Injection, ceftriaxone sodium, per 250 mg 1,064 831 $178.94
92557 55 55 $175.00
J2704 Injection, propofol, 10 mg 1,504 1,481 $139.66
J0690 Injection, cefazolin sodium, 500 mg 441 405 $139.53
86141 24 24 $126.46
J1885 Injection, ketorolac tromethamine, per 15 mg 1,212 1,156 $125.24
86780 49 48 $124.37
76870 13 13 $109.08
80179 144 141 $92.75
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 44 38 $84.44
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 153 149 $79.57
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 835 796 $79.16
85046 52 52 $77.14
J3490 Unclassified drugs 459 401 $73.23
92567 55 55 $70.00
99406 12 12 $68.85
82570 24 24 $65.54
83615 14 12 $61.18
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 432 369 $56.60
86592 59 58 $54.98
81015 1,026 980 $42.85
84100 27 25 $29.07
J2765 Injection, metoclopramide hcl, up to 10 mg 348 334 $26.86
J0131 Injection, acetaminophen, not otherwise specified,10 mg 304 293 $20.33
73130 14 13 $15.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 13 13 $11.43
J1200 Injection, diphenhydramine hcl, up to 50 mg 195 174 $7.65
J3010 Injection, fentanyl citrate, 0.1 mg 993 965 $5.50
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 646 629 $5.30
J1170 Injection, hydromorphone, up to 4 mg 197 172 $4.24
J2250 Injection, midazolam hydrochloride, per 1 mg 871 853 $3.18
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 48 44 $1.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 70 70 $0.56
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 13 13 $0.00
A4550 Surgical trays 61 61 $0.00
10E0XZZ 36 36 $0.00
A4649 Surgical supply; miscellaneous 202 200 $0.00
84145 27 26 $0.00
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 57 40 $0.00
C9113 Injection, pantoprazole sodium, per vial 37 33 $0.00
J1644 Injection, heparin sodium, per 1000 units 21 14 $0.00
99080 227 33 $0.00
C9290 Injection, bupivacaine liposome, 1 mg 13 13 $0.00
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 26 26 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 66 62 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 22 22 $0.00