Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KALEIDA HEALTH

NPI: 1366473183 · BUFFALO, NY 14203 · General Acute Care Hospital · NPI assigned 07/06/2006

$22.02M
Total Medicaid Paid
423,241
Total Claims
392,158
Beneficiaries
391
Codes Billed
2018-01
First Month
2024-02
Last Month

Provider Details

Authorized OfficialPUCCIO, JOANNE (CRENTIALING AR RECEIVABLES MANAGER)
NPI Enumeration Date07/06/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 58 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0378 Hospital observation service, per hour 1,729 1,674 $2.60M
99283 Emergency department visit for the evaluation and management, moderate severity 14,815 13,945 $1.92M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,295 13,868 $1.69M
99284 Emergency department visit for the evaluation and management, high severity 9,746 9,174 $1.12M
D2930 Prefabricated stainless steel crown - primary tooth 1,287 1,287 $993K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 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 10,154 9,040 $707K
96361 Intravenous infusion, hydration; each additional hour 3,170 2,970 $689K
42820 Tonsillectomy and adenoidectomy; younger than age 12 411 411 $521K
59025 Fetal non-stress test 2,889 1,893 $472K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,468 4,260 $452K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 354 354 $415K
70450 Computed tomography, head or brain; without contrast material 1,437 1,416 $360K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,064 2,964 $357K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,254 3,228 $342K
52000 251 250 $341K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 454 453 $327K
80053 Comprehensive metabolic panel 16,708 15,230 $312K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 8,459 8,284 $259K
74177 Computed tomography, abdomen and pelvis; with contrast material 921 909 $259K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,089 2,071 $249K
93975 533 528 $216K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,315 1,295 $210K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,635 1,534 $205K
99215 Prolong outpt/office vis 1,803 1,726 $190K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,114 1,624 $180K
96415 356 311 $176K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 8,408 8,237 $161K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 808 808 $161K
D7140 Extraction, erupted tooth or exposed root 436 415 $140K
90847 Family psychotherapy with the patient present, 50 minutes 777 525 $137K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,238 1,051 $135K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,940 1,788 $135K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 505 501 $129K
90834 Psychotherapy, 45 minutes with patient 973 689 $127K
99442 1,151 1,106 $127K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 6,765 6,638 $127K
70551 Magnetic resonance imaging, brain; without contrast material 524 519 $123K
76770 521 520 $115K
74176 Computed tomography, abdomen and pelvis; without contrast material 368 365 $115K
12001 271 271 $107K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 863 860 $104K
42830 81 81 $104K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,675 1,662 $100K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 80 70 $99K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 3,280 3,275 $98K
12011 259 259 $97K
99205 Prolong outpt/office vis 856 854 $94K
96112 647 644 $86K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,448 641 $84K
99443 752 722 $83K
71275 Computed tomographic angiography, chest, with contrast material 333 329 $78K
45380 Colonoscopy, flexible; with biopsy, single or multiple 144 144 $75K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 497 391 $75K
90832 Psychotherapy, 30 minutes with patient 751 562 $73K
86900 2,146 2,063 $68K
D2390 292 292 $68K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 405 404 $64K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,013 992 $63K
99441 590 560 $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 2,605 2,483 $62K
80048 Basic metabolic panel (calcium, ionized) 4,323 3,789 $61K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,737 1,726 $61K
86901 2,153 2,073 $60K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 859 807 $59K
76705 Ultrasound, abdominal, real time with image documentation; limited 781 770 $56K
95819 427 421 $55K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 719 577 $54K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,962 2,285 $48K
76000 379 367 $45K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,715 1,713 $44K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,511 3,173 $41K
84443 Thyroid stimulating hormone (TSH) 5,016 4,959 $40K
76801 638 607 $39K
76820 654 315 $36K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 429 427 $35K
86850 2,143 2,075 $35K
D2391 Resin-based composite - one surface, posterior, primary or permanent 178 178 $35K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 311 310 $33K
88304 515 514 $32K
76813 467 453 $32K
51600 67 67 $31K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 17,046 15,073 $30K
80061 Lipid panel 3,981 3,947 $30K
10060 100 96 $30K
D2330 174 174 $27K
83655 1,783 1,769 $27K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 4,066 4,033 $26K
87086 Culture, bacterial; quantitative colony count, urine 6,556 6,305 $25K
99281 Emergency department visit for the evaluation and management, self-limited or minor 170 162 $25K
90791 Psychiatric diagnostic evaluation 157 155 $25K
76819 Fetal biophysical profile; without non-stress testing 491 322 $25K
97161 363 357 $24K
87631 470 463 $22K
76821 491 227 $22K
99385 191 188 $22K
84153 1,058 1,050 $22K
83880 744 710 $21K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 400 371 $21K
81025 6,350 6,077 $20K
70496 79 79 $20K
76830 Ultrasound, transvaginal 400 399 $19K
83036 Hemoglobin; glycosylated (A1C) 2,979 2,941 $19K
84439 2,054 2,037 $18K
97530 Therapeutic activities, direct patient contact, each 15 minutes 437 226 $18K
97162 182 181 $18K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 224 222 $18K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 162 61 $17K
D1351 Sealant - per tooth 205 205 $16K
85008 1,661 1,526 $16K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 531 230 $15K
36415 Collection of venous blood by venipuncture 14,561 13,090 $15K
92567 706 688 $14K
74455 67 67 $14K
70486 135 134 $13K
86780 3,022 2,995 $13K
84403 531 508 $13K
76818 175 107 $12K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 64 64 $12K
90715 423 422 $12K
41010 27 27 $12K
86003 231 228 $12K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 711 703 $11K
82607 936 929 $11K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 95 91 $11K
85027 3,509 3,254 $11K
87070 4,062 3,937 $11K
87522 Neg quan hep c or qual rna 245 240 $10K
88342 238 236 $10K
92552 369 360 $10K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,101 5,702 $10K
54161 12 12 $10K
86769 398 390 $9K
83970 215 209 $9K
86141 2,058 1,761 $9K
71046 Radiologic examination, chest; 2 views 3,575 3,504 $9K
97010 415 174 $8K
81001 7,654 7,314 $8K
87077 1,428 1,397 $8K
97803 685 676 $8K
92555 367 360 $8K
90686 246 245 $7K
87480 996 983 $7K
87510 996 983 $7K
82746 650 647 $7K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 83 83 $7K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 179 169 $6K
69210 54 54 $6K
82728 607 598 $6K
76536 126 124 $6K
72125 Computed tomography, cervical spine; without contrast material 178 175 $6K
87660 1,075 1,061 $6K
90688 206 206 $6K
87088 1,353 1,332 $6K
59430 290 289 $6K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 227 227 $6K
76700 Ultrasound, abdominal, real time with image documentation; complete 103 103 $6K
85610 3,132 2,762 $5K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 24 24 $5K
88307 70 70 $5K
94010 218 217 $5K
83001 321 315 $5K
12002 12 12 $5K
87186 1,473 1,430 $5K
82570 1,365 1,272 $5K
84146 295 291 $5K
84702 912 746 $4K
82784 378 367 $4K
86803 2,184 2,176 $4K
82043 818 809 $4K
86762 874 873 $4K
85730 1,938 1,896 $4K
83735 2,400 2,067 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 33 30 $4K
93017 179 177 $3K
83002 216 213 $3K
97802 458 443 $3K
87340 1,317 1,313 $3K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 92 30 $3K
85651 1,881 1,615 $3K
81002 7,946 5,957 $3K
72141 12 12 $3K
83540 667 662 $3K
84100 955 762 $2K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 68 68 $2K
99406 106 102 $2K
84436 529 527 $2K
36416 84 84 $2K
84402 102 100 $2K
83550 556 552 $2K
96113 32 32 $2K
99422 17 17 $2K
80076 242 238 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 15 15 $2K
99423 17 17 $2K
85018 873 861 $2K
97116 75 42 $2K
84703 964 949 $2K
82627 86 86 $2K
D1120 Prophylaxis - child 32 32 $2K
86376 119 119 $2K
86038 338 337 $2K
84550 485 465 $1K
82785 119 119 $1K
82550 542 489 $1K
86696 145 145 $1K
70498 52 52 $1K
94060 66 65 $1K
80320 606 575 $1K
92588 24 24 $1K
82670 43 43 $1K
74018 1,059 1,009 $1K
86787 614 612 $1K
86706 196 195 $1K
71260 Computed tomography, thorax, diagnostic; with contrast material 14 13 $1K
83690 2,594 2,450 $979.63
84154 49 49 $970.59
92585 14 14 $970.08
84156 635 541 $938.82
86800 82 82 $907.36
97166 12 12 $899.68
83615 554 458 $863.57
83020 391 390 $861.98
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,041 1,982 $861.47
88142 33 33 $856.69
73630 723 706 $793.34
86039 176 176 $771.22
82105 406 404 $757.92
96110 Developmental screening, with scoring and documentation, per standardized instrument 12 12 $750.88
82977 197 173 $748.55
73610 737 699 $741.47
81003 714 699 $738.13
82150 299 289 $721.74
73564 352 350 $697.28
73030 427 400 $656.58
86431 146 146 $641.22
A9575 Injection, gadoterate meglumine, 0.1 ml 219 214 $600.39
84480 127 127 $598.15
76800 13 13 $592.80
84134 100 82 $583.81
92652 25 25 $511.66
85032 639 608 $490.14
76885 13 13 $485.10
88312 14 14 $484.40
87184 241 227 $463.26
72100 146 145 $452.88
88313 261 250 $412.80
82565 212 209 $403.85
73100 282 227 $398.65
72040 163 162 $393.42
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml 87 86 $391.68
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 47 47 $381.28
83516 46 45 $362.64
84484 3,131 2,832 $356.93
73590 418 380 $356.76
74019 492 485 $336.06
84460 74 68 $334.68
73090 429 386 $304.48
86765 27 27 $303.51
72170 272 270 $279.36
73130 499 485 $278.85
86256 48 48 $266.75
86235 14 12 $259.18
85379 457 455 $258.41
80348 59 57 $254.20
73502 123 120 $233.35
82803 723 677 $229.37
72082 158 158 $225.41
87075 43 43 $223.88
87040 740 713 $221.20
J1050 Injection, medroxyprogesterone acetate, 1 mg 587 587 $220.95
85045 145 132 $218.01
73070 363 298 $212.64
80361 30 30 $211.66
0012A 13 13 $204.00
82248 63 54 $202.73
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14 14 $200.20
74240 12 12 $198.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 15 15 $196.32
73562 88 88 $189.00
83605 1,099 1,042 $185.06
71045 Radiologic examination, chest; single view 2,463 2,381 $164.79
J1170 Injection, hydromorphone, up to 4 mg 898 789 $163.59
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 124 117 $159.90
82533 12 12 $159.54
87147 903 890 $143.00
82103 14 14 $141.25
88302 64 64 $133.14
72110 40 40 $126.00
83525 13 13 $125.12
73110 348 339 $120.75
87116 13 12 $120.06
82947 119 114 $116.63
87181 23 23 $112.50
86225 27 27 $111.30
82948 2,420 1,943 $111.07
86255 16 13 $104.24
77072 12 12 $100.98
86160 13 13 $99.61
86735 13 13 $96.36
82330 59 59 $92.13
73552 90 84 $90.70
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,235 1,221 $85.20
80177 27 27 $82.84
84450 17 16 $82.08
87101 27 27 $80.27
86580 16 16 $80.00
77073 117 115 $77.68
84132 89 85 $73.81
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 827 816 $63.56
89060 17 15 $62.46
76377 335 332 $60.00
86709 14 14 $60.00
86708 14 14 $60.00
76870 95 93 $55.08
74022 81 81 $47.42
J0131 Injection, acetaminophen, not otherwise specified,10 mg 121 118 $45.10
73560 51 50 $36.36
85014 150 143 $36.36
87210 498 491 $36.25
94760 444 398 $33.86
85004 25 23 $31.70
73060 35 33 $30.34
94664 29 28 $30.06
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,175 3,912 $28.71
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13 13 $24.49
76857 12 12 $24.48
86317 12 12 $23.74
83874 2,328 2,169 $21.50
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,150 977 $17.52
87081 16 16 $15.60
87015 12 12 $14.58
89051 15 15 $11.20
J2704 Injection, propofol, 10 mg 2,924 2,908 $11.18
86308 52 52 $9.55
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 123 93 $5.75
J0696 Injection, ceftriaxone sodium, per 250 mg 454 421 $4.92
84295 38 36 $4.91
85007 18 16 $2.86
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 88 67 $2.32
J3010 Injection, fentanyl citrate, 0.1 mg 1,083 1,070 $1.86
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,976 2,921 $1.72
J7050 Infusion, normal saline solution, 250 cc 106 96 $0.60
J2250 Injection, midazolam hydrochloride, per 1 mg 1,235 1,218 $0.41
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 75 52 $0.39
J0330 Injection, succinylcholine chloride, up to 20 mg 88 88 $0.00
96375 Therapeutic injection; each additional sequential IV push 2,989 2,625 $0.00
J0690 Injection, cefazolin sodium, 500 mg 644 612 $0.00
88300 482 482 $0.00
96127 391 383 $0.00
96376 739 697 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 396 364 $0.00
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,961 4,500 $0.00
C1769 Guide wire 568 547 $0.00
80329 208 204 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 3,775 3,583 $0.00
87430 237 235 $0.00
99417 Prolong home eval add 15m 151 144 $0.00
J3480 Injection, potassium chloride, per 2 meq 316 251 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 37 37 $0.00
86710 2,146 2,103 $0.00
87451 25 25 $0.00
J2060 Injection, lorazepam, 2 mg 150 144 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 85 83 $0.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 24 24 $0.00
82677 13 13 $0.00
94761 14 13 $0.00
87625 12 12 $0.00
81050 12 12 $0.00
J1644 Injection, heparin sodium, per 1000 units 579 422 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 146 145 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 45 42 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 2,154 2,091 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 342 327 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 670 653 $0.00
83721 330 329 $0.00
87420 1,185 1,156 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 625 570 $0.00
A0100 Non-emergency transportation; taxi 317 107 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 97 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 96 96 $0.00
S0215 Non-emergency transportation; mileage, per mile 317 107 $0.00
90472 Immunization administration, each additional vaccine (list separately) 46 45 $0.00
99354 83 74 $0.00
87400 2,568 2,309 $0.00
82010 133 119 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 67 63 $0.00
J0694 Injection, cefoxitin sodium, 1 gm 16 14 $0.00
86336 13 13 $0.00
92610 16 15 $0.00
73140 26 25 $0.00