Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Far Rockaway › NPI 1346274537
Hospital

Episcopal Health Services INC

Episcopal Health Services INC was paid $46.36M by Medicaid between Jan 2018 and Dec 2024, across 286 billing codes. Its largest line is 99283, emergency room visit (moderate) — 15% of everything it billed.

33Billing provider infoEPISCOPAL HEALTH SERVICES INC
FAR ROCKAWAY, NY 11691
33aNPI1346274537assigned 07/11/2006
28Total paid$46.36M
24GClaims742,904
24DCodes billed286
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Psychiatric Hospital Unit providers in New York

Rank by total paid#6 of 33
Median peer was paid$171K
This provider vs. median271×

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$500K$1.0M$1.5M2018201920202021202220232024
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
20188,731$384K
201951,549$2.25M
2020120,031$4.97M
2021163,366$6.86M
2022145,445$13.38M
2023150,381$11.77M
2024incomplete103,401$6.74M
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 15% 30,650 27,993 $6.96M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 41,056 34,879 $6.61M
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 12% 30,984 17,076 $5.52M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 7.6% 16,906 15,703 $3.53M
99282 Emergency department visit for the evaluation and management, low to moderate severity 6.7% 12,991 12,326 $3.10M
36415 Collection of venous blood by venipuncture 6.1% 114,114 30,647 $2.85M
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3.4% 9,530 8,554 $1.58M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.9% 6,979 6,489 $1.33M
G0378 Hospital observation service, per hour 2.3% 1,468 946 $1.07M
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1.6% 1,067 468 $757K
80053 Comprehensive metabolic panel 1.6% 47,935 27,252 $751K
96361 Intravenous infusion, hydration; each additional hour 1.6% 5,684 5,272 $724K
274 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.5% 6,145 $717K
70450 Computed tomography, head or brain; without contrast material 1.5% 4,283 $673K
90834 Psychotherapy session, about 45 minutes 1.3% 2,624 $581K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.1% 3,933 $522K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.0% 3,914 $470K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,466 $444K
90791 Psychiatric diagnostic evaluation <1% 1,572 $426K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 2,778 $369K
99203 Doctor's office visit, new patient (routine) <1% 1,837 $337K
90853 Group psychotherapy (other than of a multiple-family group) <1% 3,294 $301K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 10,318 $301K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 3,083 $300K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 7,934 $277K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 2,108 $271K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 8,716 $271K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 2,243 $267K
59025 Fetal non-stress test <1% 1,900 $233K
86850 <1% 4,594 $231K
81025 <1% 10,774 $190K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 1,238 $173K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,259 $149K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,700 $147K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 954 $141K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 2,572 $134K
99204 Doctor's office visit, new patient (more involved) <1% 572 $128K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 767 $123K
90792 Psychiatric diagnostic evaluation with medical services <1% 399 $121K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 778 $108K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 6,005 $107K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 6,301 $103K
99215 Doctor's office visit, returning patient (complex) <1% 789 $97K
76801 <1% 1,447 $89K
99188 <1% 2,273 $85K
99443 <1% 1,048 $85K
86703 <1% 4,233 $80K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 4,151 $79K
76641 <1% 1,999 $77K
86480 <1% 1,341 $76K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 2,938 $75K
90686 <1% 4,638 $75K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 453 $75K
97014 <1% 1,898 $75K
92551 <1% 1,922 $72K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 3,019 $65K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 482 $61K
80061 Lipid panel <1% 5,944 $60K
76830 Ultrasound, transvaginal <1% 970 $57K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 1,057 $49K
77066 Tomosynthesis, mammo <1% 489 $47K
99381 <1% 375 $44K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 1,419 $44K
98968 <1% 1,274 $43K
97124 <1% 1,559 $40K
71046 Radiologic examination, chest; 2 views <1% 4,664 $39K
90671 <1% 801 $39K
90847 Family psychotherapy with the patient present, 50 minutes <1% 107 $39K
83655 <1% 2,274 $38K
36416 <1% 637 $36K
96127 <1% 3,632 $35K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 29,049 $35K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 285 $34K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 796 $34K
90715 <1% 1,582 $32K
90461 <1% 2,089 $31K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 3,174 $30K
99442 <1% 399 $29K
82962 <1% 8,581 $29K
80048 Basic metabolic panel (calcium, ionized) <1% 2,492 $28K
99385 <1% 148 $26K
98967 <1% 323 $24K
0002A <1% 540 $24K
83880 <1% 1,749 $23K
99173 <1% 1,735 $23K
73630 <1% 1,715 $21K
97035 <1% 1,626 $20K
84439 <1% 4,872 $19K
99383 <1% 159 $19K
0001A <1% 552 $19K
90670 <1% 1,870 $18K
77063 Screening digital breast tomosynthesis, bilateral <1% 657 $17K
73562 <1% 1,527 $16K
72125 Computed tomography, cervical spine; without contrast material <1% 836 $16K
12001 <1% 54 $16K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 123 $14K
87086 Culture, bacterial; quantitative colony count, urine <1% 2,987 $14K
90680 <1% 1,844 $14K
83036 Hemoglobin; glycosylated (A1C) <1% 5,576 $14K
29581 <1% 137 $13K
70486 <1% 258 $13K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 255 $13K
71045 Radiologic examination, chest; single view <1% 6,476 $13K
86803 <1% 1,790 $13K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 8,603 $13K
99441 <1% 232 $13K
81003 <1% 16,556 $13K
84443 Thyroid stimulating hormone (TSH) <1% 5,018 $12K
90633 <1% 1,410 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,656 $12K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 436 $11K
82607 <1% 1,393 $11K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 3,023 $10K
73610 <1% 961 $10K
97802 <1% 105 $10K
90723 <1% 1,261 $10K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 6,059 $9K
10060 <1% 41 $9K
86762 <1% 845 $9K
90716 <1% 980 $9K
90707 <1% 1,001 $9K
73130 <1% 1,077 $9K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 104 $9K
0072A <1% 105 $9K
12011 <1% 25 $9K
73030 <1% 739 $8K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 157 $8K
87210 <1% 8,986 $8K
90647 <1% 1,091 $7K
93970 <1% 38 $7K
90648 <1% 577 $7K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 24 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 188 $7K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session <1% 143 $6K
99386 <1% 29 $6K
90662 <1% 377 $6K
86592 <1% 3,438 $6K
84702 <1% 3,135 $6K
94060 <1% 44 $6K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 91 $6K
82746 <1% 808 $5K
90688 <1% 727 $5K
87340 <1% 2,143 $5K
96375 Therapeutic injection; each additional sequential IV push <1% 3,994 $5K
85730 <1% 5,661 $5K
85610 <1% 6,165 $5K
86706 <1% 728 $5K
91307 <1% 48 $5K
92550 <1% 35 $4K
82728 <1% 787 $4K
93971 <1% 59 $4K
0071A <1% 62 $4K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 13 $4K
99384 <1% 38 $4K
77065 Tomosynthesis, mammo <1% 25 $4K
90651 <1% 410 $4K
99382 <1% 29 $4K
90697 <1% 541 $4K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 22 $3K
J0401 Injection, aripiprazole (abilify maintena), 1 mg <1% 120 $3K
90656 <1% 75 $3K
86765 <1% 296 $3K
90714 <1% 211 $3K
86787 <1% 461 $3K
95819 <1% 12 $3K
97162 <1% 31 $3K
99051 <1% 85 $3K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 94 $2K
90672 <1% 374 $2K
90700 <1% 268 $2K
99401 <1% 52 $2K
90734 <1% 297 $2K
76770 <1% 12 $2K
85027 <1% 1,834 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 24 $2K
91300 <1% 783 $2K
84484 <1% 7,588 $2K
97597 <1% 15 $2K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 753 $2K
87420 <1% 892 $2K
84703 <1% 3,544 $2K
83540 <1% 617 $2K
86710 <1% 1,607 $2K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 426 $2K
73110 <1% 197 $2K
0004A <1% 26 $2K
82043 <1% 313 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,175 $1K
83020 <1% 138 $1K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 40 $1K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 57 $1K
90696 <1% 199 $1K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 26 $1K
92557 <1% 12 $1K
84146 <1% 69 $1K
90620 <1% 139 $1K
86735 <1% 166 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 3,205 $971.52
90746 <1% 37 $969.65
83735 <1% 2,070 $959.76
29125 <1% 12 $926.65
96367 <1% 50 $916.88
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 458 $908.55
80320 <1% 1,263 $889.38
71250 <1% 12 $886.40
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 680 $882.87
83690 <1% 4,540 $866.45
72100 <1% 71 $866.23
72110 <1% 33 $799.34
90472 Immunization administration, each additional vaccine (list separately) <1% 84 $779.44
82550 <1% 5,816 $756.20
97161 <1% 12 $756.14
11721 <1% 16 $728.91
80076 <1% 107 $713.95
86900 <1% 24 $679.20
90710 <1% 88 $583.45
J1650 Injection, enoxaparin sodium, 10 mg <1% 523 $566.17
73590 <1% 41 $552.00
90685 <1% 76 $535.52
84207 <1% 13 $509.80
86140 <1% 521 $503.64
90480 <1% 12 $493.04
81401 <1% 16 $479.09
86704 <1% 84 $464.28
97164 <1% 67 $458.96
83605 <1% 2,840 $403.11
82465 <1% 249 $386.23
73080 <1% 42 $366.15
73090 <1% 27 $321.72
0003A <1% 12 $318.00
85651 <1% 464 $312.48
86256 <1% 14 $308.20
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 13 $307.42
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 584 $299.35
87102 <1% 31 $297.55
J3490 Unclassified drugs <1% 655 $292.57
82553 <1% 2,228 $274.22
83550 <1% 124 $254.21
82947 <1% 54 $231.62
84100 <1% 516 $222.46
97803 <1% 13 $191.73
J7120 Ringers lactate infusion, up to 1000 cc <1% 2,239 $190.33
85048 <1% 223 $188.62
96380 <1% 13 $182.23
J7030 Infusion, normal saline solution , 1000 cc <1% 4,876 $169.93
90750 <1% 13 $167.69
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,533 $161.30
85378 <1% 1,113 $157.58
82803 <1% 140 $145.65
85007 <1% 2,292 $145.09
87070 <1% 68 $130.40
84132 <1% 1,220 $124.11
87040 <1% 750 $92.43
96376 <1% 537 $91.36
86708 <1% 24 $70.70
94760 <1% 2,259 $67.32
82570 <1% 28 $65.44
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml <1% 221 $57.75
83615 <1% 190 $56.35
82009 <1% 298 $53.50
J1630 Injection, haloperidol, up to 5 mg <1% 880 $52.07
80164 <1% 17 $49.50
84155 <1% 24 $37.33
87184 <1% 20 $32.95
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 4,020 $32.70
J7060 5% dextrose/water (500 ml = 1 unit) <1% 1,048 $29.05
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,432 $23.22
74018 <1% 15 $20.00
J0690 Injection, cefazolin sodium, 500 mg <1% 27 $16.60
J2060 Injection, lorazepam, 2 mg <1% 773 $11.94
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 923 $5.09
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 621 $4.71
J3475 Injection, magnesium sulfate, per 500 mg <1% 206 $3.08
J3010 Injection, fentanyl citrate, 0.1 mg <1% 273 $2.25
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 <1% 268 $0.42
90381 <1% 12 $0.07
90380 <1% 13 $0.07
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 28 $0.00
94761 0% 28 $0.00
74019 0% 14 $0.00
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 0% 12 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 13 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 114 $0.00
J1953 Injection, levetiracetam, 10 mg 0% 13 $0.00
99080 0% 464 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 27 $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 officialGUIDO, STEVEN (CFO - CHIEF FINANCIAL OFFICER)
Same official

Other billing entities under GUIDO, STEVEN

Full network →
ProviderLocationPaid
Episcopal Health Services INCFar Rockaway, NY$4.19M

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