Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › FAR ROCKAWAY › EPISCOPAL HEALTH SERVICES INC

EPISCOPAL HEALTH SERVICES INC

NPI: 1346274537 · FAR ROCKAWAY, NY 11691 · Psychiatric Hospital Unit · NPI assigned 07/11/2006

$46.36M
Total Medicaid Paid
742,904
Total Claims
571,476
Beneficiaries
286
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGUIDO, STEVEN (CFO - CHIEF FINANCIAL OFFICER)
NPI Enumeration Date07/11/2006

Related Entities

Other providers sharing the same authorized official: GUIDO, STEVEN

ProviderCityStateTotal Paid
EPISCOPAL HEALTH SERVICES INC FAR ROCKAWAY NY $4.19M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,731 $384K
2019 51,549 $2.25M
2020 120,031 $4.97M
2021 163,366 $6.86M
2022 145,445 $13.38M
2023 150,381 $11.77M
2024 103,401 $6.74M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 30,650 27,993 $6.96M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41,056 34,879 $6.61M
90832 Psychotherapy, 30 minutes with patient 30,984 17,076 $5.52M
99284 Emergency department visit for the evaluation and management, high severity 16,906 15,703 $3.53M
99282 Emergency department visit for the evaluation and management, low to moderate severity 12,991 12,326 $3.10M
36415 Collection of venous blood by venipuncture 114,114 30,647 $2.85M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,530 8,554 $1.58M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 6,979 6,489 $1.33M
G0378 Hospital observation service, per hour 1,468 946 $1.07M
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,067 468 $757K
80053 Comprehensive metabolic panel 47,935 27,252 $751K
96361 Intravenous infusion, hydration; each additional hour 5,684 5,272 $724K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,145 5,574 $717K
70450 Computed tomography, head or brain; without contrast material 4,283 4,082 $673K
90834 Psychotherapy, 45 minutes with patient 2,624 1,837 $581K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,933 3,723 $522K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,914 3,893 $470K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,466 1,410 $444K
90791 Psychiatric diagnostic evaluation 1,572 1,334 $426K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,778 2,680 $369K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,837 1,818 $337K
90853 Group psychotherapy (other than of a multiple-family group) 3,294 1,144 $301K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 10,318 9,369 $301K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,083 2,642 $300K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 7,934 5,693 $277K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,108 2,042 $271K
90460 Immunization administration through 18 years of age via any route, first or only component 8,716 8,625 $271K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,243 2,237 $267K
59025 Fetal non-stress test 1,900 1,251 $233K
86850 4,594 4,264 $231K
81025 10,774 10,148 $190K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,238 1,226 $173K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,259 1,255 $149K
77067 Screening mammography, bilateral, including computer-aided detection 1,700 1,697 $147K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 954 949 $141K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,572 856 $134K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 572 572 $128K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 767 758 $123K
90792 Psychiatric diagnostic evaluation with medical services 399 397 $121K
74176 Computed tomography, abdomen and pelvis; without contrast material 778 769 $108K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 6,005 5,862 $107K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 6,301 5,968 $103K
99215 Prolong outpt/office vis 789 738 $97K
76801 1,447 1,285 $89K
99188 2,273 2,258 $85K
99443 1,048 534 $85K
86703 4,233 4,173 $80K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4,151 4,133 $79K
76641 1,999 1,501 $77K
86480 1,341 1,320 $76K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,938 2,780 $75K
90686 4,638 4,612 $75K
76700 Ultrasound, abdominal, real time with image documentation; complete 453 453 $75K
97014 1,898 604 $75K
92551 1,922 1,912 $72K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,019 2,930 $65K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 482 446 $61K
80061 Lipid panel 5,944 5,899 $60K
76830 Ultrasound, transvaginal 970 964 $57K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,057 1,053 $49K
77066 Tomosynthesis, mammo 489 479 $47K
99381 375 369 $44K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,419 1,412 $44K
98968 1,274 812 $43K
97124 1,559 546 $40K
71046 Radiologic examination, chest; 2 views 4,664 4,596 $39K
90671 801 801 $39K
90847 Family psychotherapy with the patient present, 50 minutes 107 95 $39K
83655 2,274 2,263 $38K
36416 637 601 $36K
96127 3,632 3,476 $35K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 29,049 26,244 $35K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 285 284 $34K
88305 Level IV - Surgical pathology, gross and microscopic examination 796 780 $34K
90715 1,582 1,570 $32K
90461 2,089 2,076 $31K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,174 3,057 $30K
99442 399 325 $29K
82962 8,581 5,662 $29K
80048 Basic metabolic panel (calcium, ionized) 2,492 1,563 $28K
99385 148 147 $26K
98967 323 286 $24K
0002A 540 540 $24K
83880 1,749 1,668 $23K
99173 1,735 1,731 $23K
73630 1,715 1,445 $21K
97035 1,626 547 $20K
84439 4,872 4,781 $19K
99383 159 159 $19K
0001A 552 550 $19K
90670 1,870 1,861 $18K
77063 Screening digital breast tomosynthesis, bilateral 657 657 $17K
73562 1,527 1,325 $16K
72125 Computed tomography, cervical spine; without contrast material 836 806 $16K
12001 54 54 $16K
71260 Computed tomography, thorax, diagnostic; with contrast material 123 121 $14K
87086 Culture, bacterial; quantitative colony count, urine 2,987 2,858 $14K
90680 1,844 1,836 $14K
83036 Hemoglobin; glycosylated (A1C) 5,576 5,531 $14K
29581 137 36 $13K
70486 258 255 $13K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 255 228 $13K
71045 Radiologic examination, chest; single view 6,476 6,144 $13K
86803 1,790 1,777 $13K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,603 7,941 $13K
99441 232 189 $13K
81003 16,556 15,569 $13K
84443 Thyroid stimulating hormone (TSH) 5,018 4,902 $12K
90633 1,410 1,403 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,656 1,635 $12K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 436 422 $11K
82607 1,393 1,380 $11K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,023 2,639 $10K
73610 961 879 $10K
97802 105 104 $10K
90723 1,261 1,250 $10K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,059 5,676 $9K
10060 41 39 $9K
86762 845 837 $9K
90716 980 973 $9K
90707 1,001 997 $9K
73130 1,077 998 $9K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 104 77 $9K
0072A 105 104 $9K
12011 25 25 $9K
73030 739 651 $8K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 157 155 $8K
87210 8,986 8,435 $8K
90647 1,091 1,083 $7K
93970 38 38 $7K
90648 577 576 $7K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 24 24 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 188 181 $7K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 143 136 $6K
99386 29 29 $6K
90662 377 373 $6K
86592 3,438 3,396 $6K
84702 3,135 2,757 $6K
94060 44 43 $6K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 91 90 $6K
82746 808 801 $5K
90688 727 727 $5K
87340 2,143 2,126 $5K
96375 Therapeutic injection; each additional sequential IV push 3,994 3,677 $5K
85730 5,661 5,398 $5K
85610 6,165 5,881 $5K
86706 728 722 $5K
91307 48 47 $5K
92550 35 34 $4K
82728 787 767 $4K
93971 59 59 $4K
0071A 62 62 $4K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 13 13 $4K
99384 38 38 $4K
77065 Tomosynthesis, mammo 25 25 $4K
90651 410 410 $4K
99382 29 28 $4K
90697 541 541 $4K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 22 13 $3K
J0401 Injection, aripiprazole (abilify maintena), 1 mg 120 113 $3K
90656 75 75 $3K
86765 296 292 $3K
90714 211 209 $3K
86787 461 456 $3K
95819 12 12 $3K
97162 31 29 $3K
99051 85 81 $3K
76705 Ultrasound, abdominal, real time with image documentation; limited 94 94 $2K
90672 374 374 $2K
90700 268 268 $2K
99401 52 51 $2K
90734 297 296 $2K
76770 12 12 $2K
85027 1,834 1,652 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 24 24 $2K
91300 783 686 $2K
84484 7,588 6,387 $2K
97597 15 12 $2K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 753 751 $2K
87420 892 875 $2K
84703 3,544 3,377 $2K
83540 617 614 $2K
86710 1,607 1,555 $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 426 296 $2K
73110 197 185 $2K
0004A 26 26 $2K
82043 313 312 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,175 1,109 $1K
83020 138 137 $1K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 40 40 $1K
97530 Therapeutic activities, direct patient contact, each 15 minutes 57 26 $1K
90696 199 199 $1K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 26 26 $1K
92557 12 12 $1K
84146 69 69 $1K
90620 139 139 $1K
86735 166 164 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,205 2,903 $971.52
90746 37 30 $969.65
83735 2,070 1,921 $959.76
29125 12 12 $926.65
96367 50 24 $916.88
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 458 443 $908.55
80320 1,263 1,166 $889.38
71250 12 12 $886.40
J1200 Injection, diphenhydramine hcl, up to 50 mg 680 600 $882.87
83690 4,540 4,246 $866.45
72100 71 71 $866.23
72110 33 31 $799.34
90472 Immunization administration, each additional vaccine (list separately) 84 81 $779.44
82550 5,816 5,257 $756.20
97161 12 12 $756.14
11721 16 16 $728.91
80076 107 106 $713.95
86900 24 24 $679.20
90710 88 88 $583.45
J1650 Injection, enoxaparin sodium, 10 mg 523 273 $566.17
73590 41 40 $552.00
90685 76 76 $535.52
84207 13 12 $509.80
86140 521 500 $503.64
90480 12 12 $493.04
81401 16 16 $479.09
86704 84 84 $464.28
97164 67 54 $458.96
83605 2,840 2,628 $403.11
82465 249 247 $386.23
73080 42 38 $366.15
73090 27 24 $321.72
0003A 12 12 $318.00
85651 464 452 $312.48
86256 14 14 $308.20
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 13 13 $307.42
J0696 Injection, ceftriaxone sodium, per 250 mg 584 498 $299.35
87102 31 31 $297.55
J3490 Unclassified drugs 655 615 $292.57
82553 2,228 2,000 $274.22
83550 124 123 $254.21
82947 54 52 $231.62
84100 516 464 $222.46
97803 13 12 $191.73
J7120 Ringers lactate infusion, up to 1000 cc 2,239 2,129 $190.33
85048 223 216 $188.62
96380 13 13 $182.23
J7030 Infusion, normal saline solution , 1000 cc 4,876 4,086 $169.93
90750 13 13 $167.69
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,533 1,900 $161.30
85378 1,113 1,067 $157.58
82803 140 123 $145.65
85007 2,292 2,114 $145.09
87070 68 63 $130.40
84132 1,220 1,156 $124.11
87040 750 474 $92.43
96376 537 477 $91.36
86708 24 24 $70.70
94760 2,259 2,150 $67.32
82570 28 28 $65.44
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 221 215 $57.75
83615 190 180 $56.35
82009 298 272 $53.50
J1630 Injection, haloperidol, up to 5 mg 880 606 $52.07
80164 17 14 $49.50
84155 24 24 $37.33
87184 20 19 $32.95
J1885 Injection, ketorolac tromethamine, per 15 mg 4,020 3,546 $32.70
J7060 5% dextrose/water (500 ml = 1 unit) 1,048 849 $29.05
J2270 Injection, morphine sulfate, up to 10 mg 1,432 1,206 $23.22
74018 15 15 $20.00
J0690 Injection, cefazolin sodium, 500 mg 27 26 $16.60
J2060 Injection, lorazepam, 2 mg 773 642 $11.94
J2765 Injection, metoclopramide hcl, up to 10 mg 923 849 $5.09
J2250 Injection, midazolam hydrochloride, per 1 mg 621 582 $4.71
J3475 Injection, magnesium sulfate, per 500 mg 206 193 $3.08
J3010 Injection, fentanyl citrate, 0.1 mg 273 259 $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 268 255 $0.42
90381 12 12 $0.07
90380 13 13 $0.07
J0131 Injection, acetaminophen, not otherwise specified,10 mg 28 28 $0.00
94761 28 27 $0.00
74019 14 14 $0.00
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 12 12 $0.00
C9113 Injection, pantoprazole sodium, per vial 13 12 $0.00
J1644 Injection, heparin sodium, per 1000 units 114 63 $0.00
J1953 Injection, levetiracetam, 10 mg 13 12 $0.00
99080 464 100 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 27 26 $0.00