Kaleida Health

Kaleida Health was paid $22.02M by Medicaid between Jan 2018 and Feb 2024, across 391 billing codes. Its largest line is G0378, Hospital observation service, per hour — 12% of everything it billed.

33Billing provider infoKALEIDA HEALTH
BUFFALO, NY 14203

33aNPI1366473183assigned 07/06/2006

33bProvider typeGeneral Acute Care Hospital

28Total paid$22.02M

24GClaims423,241

24DCodes billed391

24AFirst – last monthJan 2018 – Feb 2024

Compared with peers

Next to other General Acute Care Hospital providers in New York

Rank by total paid#58 of 231

Median peer was paid$561K

This provider vs. median39×

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

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

Year	Claims	Paid
2018	357	$17K
2019	70,047	$3.59M
2020	219,574	$11.62M
2021	130,746	$6.72M
2022	969	$29K
2023	1,490	$46K
2024incomplete	58	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G0378	Hospital observation service, per hour	12%	1,729	1,674	$2.60M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	8.7%	14,815	13,945	$1.92M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.7%	16,295	13,868	$1.69M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	5.1%	9,746	9,174	$1.12M
D2930	Prefabricated stainless steel crown - primary tooth	4.5%	1,287	1,287	$993K
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	3.6%	7,313	6,887	$795K
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	3.2%	10,154	9,040	$707K
96361	Intravenous infusion, hydration; each additional hour	3.1%	3,170	2,970	$689K
42820	Tonsillectomy and adenoidectomy; younger than age 12	2.4%	411	411	$521K
59025	Fetal non-stress test	2.1%	2,889	1,893	$472K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	2.1%	4,468	4,260	$452K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	1.9%	354	354	$415K

379 more codes

70450	Computed tomography, head or brain; without contrast material	1.6%	1,437	$360K
99282	Emergency department visit for the evaluation and management, low to moderate severity	1.6%	3,064	$357K
99203	Doctor's office visit, new patient (routine)	1.6%	3,254	$342K
52000		1.5%	251	$341K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	1.5%	454	$327K
80053	Comprehensive metabolic panel	1.4%	16,708	$312K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	1.2%	8,459	$259K
74177	Computed tomography, abdomen and pelvis; with contrast material	1.2%	921	$259K
99204	Doctor's office visit, new patient (more involved)	1.1%	2,089	$249K
93975		<1%	533	$216K
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	<1%	1,315	$210K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	1,635	$205K
99215	Doctor's office visit, returning patient (complex)	<1%	1,803	$190K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	2,114	$180K
96415		<1%	356	$176K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	8,408	$161K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	<1%	808	$161K
D7140	Extraction, erupted tooth or exposed root	<1%	436	$140K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	777	$137K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	1,238	$135K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	1,940	$135K
70553	Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences	<1%	505	$129K
90834	Psychotherapy session, about 45 minutes	<1%	973	$127K
99442		<1%	1,151	$127K
87661	Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe	<1%	6,765	$127K
70551	Magnetic resonance imaging, brain; without contrast material	<1%	524	$123K
76770		<1%	521	$115K
74176	Computed tomography, abdomen and pelvis; without contrast material	<1%	368	$115K
12001		<1%	271	$107K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	863	$104K
42830		<1%	81	$104K
88305	Level IV - Surgical pathology, gross and microscopic examination	<1%	1,675	$100K
Q5103	Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg	<1%	80	$99K
88175	Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer	<1%	3,280	$98K
12011		<1%	259	$97K
99205	Prolong outpt/office vis	<1%	856	$94K
96112		<1%	647	$86K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	1,448	$84K
99443		<1%	752	$83K
71275	Computed tomographic angiography, chest, with contrast material	<1%	333	$78K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	144	$75K
96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour	<1%	497	$75K
90832	Psychotherapy session, about 30 minutes	<1%	751	$73K
86900		<1%	2,146	$68K
D2390		<1%	292	$68K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	405	$64K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	1,013	$63K
99441		<1%	590	$63K
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	<1%	2,605	$62K
80048	Basic metabolic panel (calcium, ionized)	<1%	4,323	$61K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	1,737	$61K
86901		<1%	2,153	$60K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	859	$59K
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	781	$56K
95819		<1%	427	$55K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	<1%	719	$54K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	2,962	$48K
76000		<1%	379	$45K
87624	Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types	<1%	1,715	$44K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	3,511	$41K
84443	Thyroid stimulating hormone (TSH)	<1%	5,016	$40K
76801		<1%	638	$39K
76820		<1%	654	$36K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	<1%	429	$35K
86850		<1%	2,143	$35K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	178	$35K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	311	$33K
88304		<1%	515	$32K
76813		<1%	467	$32K
51600		<1%	67	$31K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	17,046	$30K
80061	Lipid panel	<1%	3,981	$30K
10060		<1%	100	$30K
D2330		<1%	174	$27K
83655		<1%	1,783	$27K
87389	Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies	<1%	4,066	$26K
87086	Culture, bacterial; quantitative colony count, urine	<1%	6,556	$25K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	170	$25K
90791	Psychiatric diagnostic evaluation	<1%	157	$25K
76819	Fetal biophysical profile; without non-stress testing	<1%	491	$25K
97161		<1%	363	$24K
87631		<1%	470	$22K
76821		<1%	491	$22K
99385		<1%	191	$22K
84153		<1%	1,058	$22K
83880		<1%	744	$21K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	400	$21K
81025		<1%	6,350	$20K
70496		<1%	79	$20K
76830	Ultrasound, transvaginal	<1%	400	$19K
83036	Hemoglobin; glycosylated (A1C)	<1%	2,979	$19K
84439		<1%	2,054	$18K
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	437	$18K
97162		<1%	182	$18K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	224	$18K
92507	Treatment of speech, language, voice, communication, and/or auditory processing disorder	<1%	162	$17K
D1351	Sealant - per tooth	<1%	205	$16K
85008		<1%	1,661	$16K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	531	$15K
36415	Collection of venous blood by venipuncture	<1%	14,561	$15K
92567		<1%	706	$14K
74455		<1%	67	$14K
70486		<1%	135	$13K
86780		<1%	3,022	$13K
84403		<1%	531	$13K
76818		<1%	175	$12K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	64	$12K
90715		<1%	423	$12K
41010		<1%	27	$12K
86003		<1%	231	$12K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	711	$11K
82607		<1%	936	$11K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	95	$11K
85027		<1%	3,509	$11K
87070		<1%	4,062	$11K
87522	Neg quan hep c or qual rna	<1%	245	$10K
88342		<1%	238	$10K
92552		<1%	369	$10K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	6,101	$10K
54161		<1%	12	$10K
86769		<1%	398	$9K
83970		<1%	215	$9K
86141		<1%	2,058	$9K
71046	Radiologic examination, chest; 2 views	<1%	3,575	$9K
97010		<1%	415	$8K
81001		<1%	7,654	$8K
87077		<1%	1,428	$8K
97803		<1%	685	$8K
92555		<1%	367	$8K
90686		<1%	246	$7K
87480		<1%	996	$7K
87510		<1%	996	$7K
82746		<1%	650	$7K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	<1%	83	$7K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	<1%	179	$6K
69210		<1%	54	$6K
82728		<1%	607	$6K
76536		<1%	126	$6K
72125	Computed tomography, cervical spine; without contrast material	<1%	178	$6K
87660		<1%	1,075	$6K
90688		<1%	206	$6K
87088		<1%	1,353	$6K
59430		<1%	290	$6K
81220	CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants	<1%	227	$6K
76700	Ultrasound, abdominal, real time with image documentation; complete	<1%	103	$6K
85610		<1%	3,132	$5K
72148	Magnetic resonance imaging, lumbar spine; without contrast material	<1%	24	$5K
88307		<1%	70	$5K
94010		<1%	218	$5K
83001		<1%	321	$5K
12002		<1%	12	$5K
87186		<1%	1,473	$5K
82570		<1%	1,365	$5K
84146		<1%	295	$5K
84702		<1%	912	$4K
82784		<1%	378	$4K
86803		<1%	2,184	$4K
82043		<1%	818	$4K
86762		<1%	874	$4K
85730		<1%	1,938	$4K
83735		<1%	2,400	$4K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	33	$4K
93017		<1%	179	$3K
83002		<1%	216	$3K
97802		<1%	458	$3K
87340		<1%	1,317	$3K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	<1%	92	$3K
85651		<1%	1,881	$3K
81002		<1%	7,946	$3K
72141		<1%	12	$3K
83540		<1%	667	$3K
84100		<1%	955	$2K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	<1%	68	$2K
99406		<1%	106	$2K
84436		<1%	529	$2K
36416		<1%	84	$2K
84402		<1%	102	$2K
83550		<1%	556	$2K
96113		<1%	32	$2K
99422		<1%	17	$2K
80076		<1%	242	$2K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	<1%	15	$2K
99423		<1%	17	$2K
85018		<1%	873	$2K
97116		<1%	75	$2K
84703		<1%	964	$2K
82627		<1%	86	$2K
D1120	Dental cleaning, child	<1%	32	$2K
86376		<1%	119	$2K
86038		<1%	338	$2K
84550		<1%	485	$1K
82785		<1%	119	$1K
82550		<1%	542	$1K
86696		<1%	145	$1K
70498		<1%	52	$1K
94060		<1%	66	$1K
80320		<1%	606	$1K
92588		<1%	24	$1K
82670		<1%	43	$1K
74018		<1%	1,059	$1K
86787		<1%	614	$1K
86706		<1%	196	$1K
71260	Computed tomography, thorax, diagnostic; with contrast material	<1%	14	$1K
83690		<1%	2,594	$979.63
84154		<1%	49	$970.59
92585		<1%	14	$970.08
84156		<1%	635	$938.82
86800		<1%	82	$907.36
97166		<1%	12	$899.68
83615		<1%	554	$863.57
83020		<1%	391	$861.98
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	2,041	$861.47
88142		<1%	33	$856.69
73630		<1%	723	$793.34
86039		<1%	176	$771.22
82105		<1%	406	$757.92
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	12	$750.88
82977		<1%	197	$748.55
73610		<1%	737	$741.47
81003		<1%	714	$738.13
82150		<1%	299	$721.74
73564		<1%	352	$697.28
73030		<1%	427	$656.58
86431		<1%	146	$641.22
A9575	Injection, gadoterate meglumine, 0.1 ml	<1%	219	$600.39
84480		<1%	127	$598.15
76800		<1%	13	$592.80
84134		<1%	100	$583.81
92652		<1%	25	$511.66
85032		<1%	639	$490.14
76885		<1%	13	$485.10
88312		<1%	14	$484.40
87184		<1%	241	$463.26
72100		<1%	146	$452.88
88313		<1%	261	$412.80
82565		<1%	212	$403.85
73100		<1%	282	$398.65
72040		<1%	163	$393.42
Q9958	High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml	<1%	87	$391.68
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	47	$381.28
83516		<1%	46	$362.64
84484		<1%	3,131	$356.93
73590		<1%	418	$356.76
74019		<1%	492	$336.06
84460		<1%	74	$334.68
73090		<1%	429	$304.48
86765		<1%	27	$303.51
72170		<1%	272	$279.36
73130		<1%	499	$278.85
86256		<1%	48	$266.75
86235		<1%	14	$259.18
85379		<1%	457	$258.41
80348		<1%	59	$254.20
73502		<1%	123	$233.35
82803		<1%	723	$229.37
72082		<1%	158	$225.41
87075		<1%	43	$223.88
87040		<1%	740	$221.20
J1050	Injection, medroxyprogesterone acetate, 1 mg	<1%	587	$220.95
85045		<1%	145	$218.01
73070		<1%	363	$212.64
80361		<1%	30	$211.66
0012A		<1%	13	$204.00
82248		<1%	63	$202.73
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	14	$200.20
74240		<1%	12	$198.00
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	15	$196.32
73562		<1%	88	$189.00
83605		<1%	1,099	$185.06
71045	Radiologic examination, chest; single view	<1%	2,463	$164.79
J1170	Injection, hydromorphone, up to 4 mg	<1%	898	$163.59
A9579	Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml	<1%	124	$159.90
82533		<1%	12	$159.54
87147		<1%	903	$143.00
82103		<1%	14	$141.25
88302		<1%	64	$133.14
72110		<1%	40	$126.00
83525		<1%	13	$125.12
73110		<1%	348	$120.75
87116		<1%	13	$120.06
82947		<1%	119	$116.63
87181		<1%	23	$112.50
86225		<1%	27	$111.30
82948		<1%	2,420	$111.07
86255		<1%	16	$104.24
77072		<1%	12	$100.98
86160		<1%	13	$99.61
86735		<1%	13	$96.36
82330		<1%	59	$92.13
73552		<1%	90	$90.70
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	1,235	$85.20
80177		<1%	27	$82.84
84450		<1%	17	$82.08
87101		<1%	27	$80.27
86580		<1%	16	$80.00
77073		<1%	117	$77.68
84132		<1%	89	$73.81
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	827	$63.56
89060		<1%	17	$62.46
76377		<1%	335	$60.00
86709		<1%	14	$60.00
86708		<1%	14	$60.00
76870		<1%	95	$55.08
74022		<1%	81	$47.42
J0131	Injection, acetaminophen, not otherwise specified,10 mg	<1%	121	$45.10
73560		<1%	51	$36.36
85014		<1%	150	$36.36
87210		<1%	498	$36.25
94760		<1%	444	$33.86
85004		<1%	25	$31.70
73060		<1%	35	$30.34
94664		<1%	29	$30.06
J2405	Injection, ondansetron hydrochloride, per 1 mg	<1%	4,175	$28.71
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	13	$24.49
76857		<1%	12	$24.48
86317		<1%	12	$23.74
83874		<1%	2,328	$21.50
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	1,150	$17.52
87081		<1%	16	$15.60
87015		<1%	12	$14.58
89051		<1%	15	$11.20
J2704	Injection, propofol, 10 mg	<1%	2,924	$11.18
86308		<1%	52	$9.55
J7040	Infusion, normal saline solution, sterile (500 ml = 1 unit)	<1%	123	$5.75
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	454	$4.92
84295		<1%	38	$4.91
85007		<1%	18	$2.86
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	<1%	88	$2.32
J3010	Injection, fentanyl citrate, 0.1 mg	<1%	1,083	$1.86
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	2,976	$1.72
J7050	Infusion, normal saline solution, 250 cc	<1%	106	$0.60
J2250	Injection, midazolam hydrochloride, per 1 mg	<1%	1,235	$0.41
J1642	Injection, heparin sodium, (heparin lock flush), per 10 units	<1%	75	$0.39
J0330	Injection, succinylcholine chloride, up to 20 mg	0%	88	$0.00
96375	Therapeutic injection; each additional sequential IV push	0%	2,989	$0.00
J0690	Injection, cefazolin sodium, 500 mg	0%	644	$0.00
88300		0%	482	$0.00
96127		0%	391	$0.00
96376		0%	739	$0.00
J2765	Injection, metoclopramide hcl, up to 10 mg	0%	396	$0.00
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	0%	4,961	$0.00
C1769	Guide wire	0%	568	$0.00
80329		0%	208	$0.00
J1885	Injection, ketorolac tromethamine, per 15 mg	0%	3,775	$0.00
87430		0%	237	$0.00
99417	Prolong home eval add 15m	0%	151	$0.00
J3480	Injection, potassium chloride, per 2 meq	0%	316	$0.00
S2900	Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure)	0%	37	$0.00
86710		0%	2,146	$0.00
87451		0%	25	$0.00
J2060	Injection, lorazepam, 2 mg	0%	150	$0.00
J2370	Injection, phenylephrine hcl, up to 1 ml	0%	85	$0.00
Q9969	Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose	0%	24	$0.00
82677		0%	13	$0.00
94761		0%	14	$0.00
87625		0%	12	$0.00
81050		0%	12	$0.00
J1644	Injection, heparin sodium, per 1000 units	0%	579	$0.00
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	0%	146	$0.00
J3475	Injection, magnesium sulfate, per 500 mg	0%	45	$0.00
J2270	Injection, morphine sulfate, up to 10 mg	0%	2,154	$0.00
C1894	Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser	0%	342	$0.00
Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	0%	670	$0.00
83721		0%	330	$0.00
87420		0%	1,185	$0.00
J1200	Injection, diphenhydramine hcl, up to 50 mg	0%	625	$0.00
A0100	Non-emergency taxi ride to a medical appointment	0%	317	$0.00
J2710	Injection, neostigmine methylsulfate, up to 0.5 mg	0%	97	$0.00
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	0%	96	$0.00
S0215	Non-emergency transportation; mileage, per mile	0%	317	$0.00
90472	Immunization administration, each additional vaccine (list separately)	0%	46	$0.00
99354		0%	83	$0.00
87400		0%	2,568	$0.00
82010		0%	133	$0.00
J0780	Injection, prochlorperazine, up to 10 mg	0%	67	$0.00
J0694	Injection, cefoxitin sodium, 1 gm	0%	16	$0.00
86336		0%	13	$0.00
92610		0%	16	$0.00
73140		0%	26	$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 officialPUCCIO, JOANNE (CRENTIALING AR RECEIVABLES MANAGER)