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 · 273Y00000X

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

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 14,635 13,985 $2.63M
99283 14,148 13,611 $2.62M
36415 115,558 28,714 $2.20M
99285 6,435 6,187 $1.17M
99282 4,992 4,861 $892K
90834 4,326 2,577 $856K
96365 3,245 2,381 $743K
96361 2,778 2,568 $732K
74177 2,325 2,301 $677K
70450 2,325 2,274 $647K
80053 20,937 19,198 $439K
43239 542 537 $402K
96360 1,652 1,620 $377K
74176 1,260 1,229 $339K
U0003 Cov-19 amp prb hgh thruput 4,404 4,251 $331K
99213 1,894 1,689 $297K
97530 3,673 1,200 $186K
99281 991 968 $170K
87635 8,555 8,279 $167K
45378 166 165 $154K
90832 844 648 $142K
T1030 Rn home care per diem 901 235 $140K
76856 225 223 $126K
97110 2,136 680 $115K
97140 2,681 782 $114K
86850 3,627 3,495 $113K
86900 3,675 3,535 $108K
99214 631 572 $107K
86901 3,676 3,534 $103K
80307 2,146 2,010 $96K
59820 81 81 $83K
80048 4,591 4,260 $78K
76815 638 616 $78K
88305 2,488 2,427 $72K
U0005 Infec agen detec ampli probe 2,918 2,823 $68K
77067 1,149 1,149 $67K
88342 973 966 $64K
71275 234 231 $63K
59025 255 239 $62K
G0378 Hospital observation per hr 379 365 $61K
76700 159 159 $53K
76705 939 928 $52K
97161 423 418 $45K
76817 333 312 $41K
96372 2,844 2,540 $38K
76819 426 387 $37K
96374 5,914 5,629 $32K
83880 1,049 1,012 $31K
97112 741 254 $31K
93971 411 404 $31K
70551 97 95 $29K
69436 15 15 $28K
96413 712 577 $27K
76801 190 188 $27K
71046 3,673 3,571 $27K
93005 7,216 6,772 $26K
81025 7,196 6,947 $24K
88304 862 856 $24K
76641 718 592 $23K
95810 26 26 $22K
85025 21,042 18,906 $22K
71045 4,618 4,458 $21K
84443 2,529 2,476 $17K
80061 1,846 1,818 $17K
93970 41 40 $16K
96375 3,025 2,772 $15K
82306 485 484 $15K
G2066 Inter devc remote 30d 198 154 $13K
90791 53 52 $13K
83036 1,647 1,626 $13K
59812 12 12 $11K
0012A 409 409 $11K
76770 57 57 $11K
76820 177 161 $10K
87086 5,386 5,171 $10K
80076 1,028 1,002 $9K
U0002 Covid-19 lab test non-cdc 386 379 $8K
90833 90 80 $7K
93306 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 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 Locm 300-399mg/ml iodine,1ml 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 25 12 $3K
72125 49 41 $3K
87040 1,542 1,417 $3K
97010 138 52 $2K
83690 4,806 4,619 $2K
87804 4,363 2,535 $2K
84484 5,203 4,403 $2K
86920 31 28 $2K
94640 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 Iron sucrose injection 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 12 12 $960.60
87070 1,156 1,136 $946.28
86140 246 231 $936.04
84153 56 56 $900.19
87491 25 24 $869.43
85652 496 484 $725.01
93010 98 87 $720.00
82962 2,223 1,238 $718.05
87088 370 360 $653.68
M0239 Bamlanivimab-xxxx infusion 21 21 $619.20
M0243 Casirivi and imdevi inj 83 81 $619.20
82077 1,253 1,146 $607.20
90715 25 25 $535.52
87591 25 24 $511.09
74018 88 87 $497.10
87077 191 186 $481.83
J2405 Ondansetron hcl injection 5,280 4,961 $451.72
86769 16 15 $450.27
82746 51 50 $442.40
97116 16 13 $441.61
J1100 Dexamethasone sodium phos 2,988 2,820 $431.78
82248 98 84 $397.14
73610 125 123 $346.46
87880 758 749 $339.87
84550 116 113 $309.43
73562 39 38 $274.59
84703 1,105 1,086 $270.16
J7030 Normal saline solution infus 356 340 $256.13
87807 609 603 $226.98
J7120 Ringers lactate infusion 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 Ceftriaxone sodium injection 1,064 831 $178.94
92557 55 55 $175.00
J2704 Inj, propofol, 10 mg 1,504 1,481 $139.66
J0690 Cefazolin sodium injection 441 405 $139.53
86141 24 24 $126.46
J1885 Ketorolac tromethamine inj 1,212 1,156 $125.24
86780 49 48 $124.37
76870 13 13 $109.08
80179 144 141 $92.75
J2543 Piperacillin/tazobactam 44 38 $84.44
Q9963 Hocm 350-399mg/ml iodine,1ml 153 149 $79.57
J0134 Inj acetaminophen -fresenius 835 796 $79.16
85046 52 52 $77.14
J3490 Drugs unclassified injection 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 Normal saline solution infus 432 369 $56.60
86592 59 58 $54.98
81015 1,026 980 $42.85
84100 27 25 $29.07
J2765 Metoclopramide hcl injection 348 334 $26.86
J0131 Inj, acetaminophen (nos) 304 293 $20.33
73130 14 13 $15.00
J2930 Methylprednisolone injection 13 13 $11.43
J1200 Diphenhydramine hcl injectio 195 174 $7.65
J3010 Fentanyl citrate injection 993 965 $5.50
J2001 Lidocaine injection 646 629 $5.30
J1170 Hydromorphone injection 197 172 $4.24
J2250 Inj midazolam hydrochloride 871 853 $3.18
J7620 Albuterol ipratrop non-comp 48 44 $1.00
Q0162 Ondansetron oral 70 70 $0.56
Q0163 Diphenhydramine hcl 50mg 13 13 $0.00
A4550 Surgical trays 61 61 $0.00
10E0XZZ 36 36 $0.00
A4649 Surgical supplies 202 200 $0.00
84145 27 26 $0.00
J2274 Inj morphine pf epid ithc 57 40 $0.00
C9113 Inj pantoprazole sodium, via 37 33 $0.00
J1644 Inj heparin sodium per 1000u 21 14 $0.00
99080 227 33 $0.00
C9290 Inj, bupivacaine liposome 13 13 $0.00
G0399 Home sleep test/type 3 porta 26 26 $0.00
90471 66 62 $0.00
J2003 Inj, lidocaine hcl, 1 mg 22 22 $0.00