Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

York Hospital

York Hospital was paid $5.88M by Medicaid between Jan 2018 and Dec 2024, across 287 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.

33Billing provider infoYORK HOSPITAL
YORK, ME 03909
33aNPI1376528398assigned 12/13/2005
33bProvider typeClinic/Center
28Total paid$5.88M
24GClaims680,874
24DCodes billed287
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinic/Center providers in Maine

Rank by total paid#2 of 16
Median peer was paid$49K
This provider vs. median120×

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$100K$200K$300K2018201920202021202220232024
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
201878,408$550K
201991,126$649K
202084,611$565K
2021121,068$783K
2022116,610$885K
2023102,909$802K
2024incomplete86,142$1.64M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29% 47,603 44,023 $1.69M
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 15% 20,835 19,288 $859K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 12% 77,544 59,524 $711K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4.0% 4,529 3,968 $238K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 4.0% 4,731 4,235 $235K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 3.3% 5,127 4,466 $192K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.6% 5,682 5,208 $153K
Q3014 Telehealth originating site facility fee 2.3% 16,101 9,519 $136K
J0585 Injection, onabotulinumtoxina, 1 unit 2.0% 1,732 1,005 $119K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1.4% 1,563 974 $85K
71046 Radiologic examination, chest; 2 views 1.3% 7,044 6,521 $77K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.3% 1,757 1,629 $74K
275 more codes
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1.2% 18,818 $69K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.1% 19,818 $64K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.0% 2,337 $62K
99215 Doctor's office visit, returning patient (complex) <1% 1,176 $58K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 13,167 $57K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 3,069 $48K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 5,971 $41K
77067 Screening mammography, bilateral, including computer-aided detection <1% 3,743 $36K
64615 <1% 1,001 $35K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,672 $34K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 527 $28K
96361 Intravenous infusion, hydration; each additional hour <1% 2,688 $28K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 8,016 $26K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r <1% 6,422 $24K
96375 Therapeutic injection; each additional sequential IV push <1% 2,938 $24K
90853 Group psychotherapy (other than of a multiple-family group) <1% 2,271 $23K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 12,918 $23K
80053 Comprehensive metabolic panel <1% 25,208 $23K
77063 Screening digital breast tomosynthesis, bilateral <1% 3,520 $20K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 30,464 $20K
70450 Computed tomography, head or brain; without contrast material <1% 896 $20K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 373 $19K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,350 $19K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 1,229 $18K
97161 <1% 2,445 $17K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 5,843 $17K
93017 <1% 355 $16K
97597 <1% 871 $15K
84443 Thyroid stimulating hormone (TSH) <1% 11,593 $14K
G0008 Administration of influenza virus vaccine <1% 1,706 $11K
73630 <1% 1,593 $11K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 3,105 $10K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 464 $10K
87428 <1% 966 $9K
99443 <1% 325 $9K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 4,885 $9K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 1,520 $9K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 2,475 $8K
73562 <1% 685 $8K
80061 Lipid panel <1% 9,308 $8K
J7050 Infusion, normal saline solution, 250 cc <1% 2,650 $7K
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% 6,499 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 7,648 $7K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 38 $6K
76830 Ultrasound, transvaginal <1% 576 $6K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 654 $6K
71250 <1% 213 $6K
90834 Psychotherapy session, about 45 minutes <1% 862 $6K
97162 <1% 908 $6K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,059 $6K
93296 <1% 626 $6K
36415 Collection of venous blood by venipuncture <1% 34,204 $6K
J7030 Infusion, normal saline solution , 1000 cc <1% 3,418 $5K
73610 <1% 924 $5K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,363 $5K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 3,211 $5K
83036 Hemoglobin; glycosylated (A1C) <1% 8,721 $5K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 3,204 $5K
73110 <1% 343 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 875 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 610 $5K
97035 <1% 4,847 $5K
72100 <1% 416 $5K
73030 <1% 622 $5K
99442 <1% 376 $5K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 3,847 $5K
J0690 Injection, cefazolin sodium, 500 mg <1% 1,229 $4K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 102 $4K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 48 $4K
82607 <1% 3,176 $4K
C9290 Injection, bupivacaine liposome, 1 mg <1% 74 $4K
82728 <1% 2,879 $3K
96160 <1% 543 $3K
87086 Culture, bacterial; quantitative colony count, urine <1% 6,135 $3K
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 <1% 824 $3K
99001 <1% 10,693 $3K
90677 <1% 318 $3K
80048 Basic metabolic panel (calcium, ionized) <1% 4,367 $3K
84439 <1% 3,136 $3K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 146 $3K
87081 <1% 6,208 $3K
84484 <1% 2,377 $3K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 2,902 $3K
93975 <1% 13 $3K
J7120 Ringers lactate infusion, up to 1000 cc <1% 1,978 $3K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 2,038 $2K
73130 <1% 264 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 39 $2K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 1,453 $2K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 1,028 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 132 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 2,695 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 38 $2K
90480 <1% 147 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,489 $2K
81025 <1% 4,522 $2K
83550 <1% 2,860 $2K
83540 <1% 2,981 $2K
83880 <1% 403 $2K
87660 <1% 1,080 $2K
87077 <1% 2,247 $2K
87480 <1% 1,081 $2K
87510 <1% 1,081 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 2,833 $1K
71045 Radiologic examination, chest; single view <1% 205 $1K
87186 <1% 2,122 $1K
59025 Fetal non-stress test <1% 187 $1K
G0378 Hospital observation service, per hour <1% 100 $1K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 1,250 $1K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 1,431 $1K
76770 <1% 46 $1K
97116 <1% 1,015 $1K
82746 <1% 1,039 $1K
73502 <1% 155 $1K
81003 <1% 6,776 $1K
74018 <1% 44 $1K
83735 <1% 2,624 $1K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 2,167 $1K
83690 <1% 2,622 $1K
96161 <1% 1,662 $1K
36591 <1% 177 $1K
96367 <1% 121 $1K
94060 <1% 50 $1K
94726 <1% 93 $1K
86618 <1% 804 $1K
96415 <1% 80 $1K
86703 <1% 1,001 $1K
76801 <1% 134 $1K
85610 <1% 4,023 $1K
76642 <1% 149 $1K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 2,037 $1K
90715 <1% 2,271 $1K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 689 $1K
J2785 Injection, regadenoson, 0.1 mg <1% 12 $993.28
80306 <1% 977 $992.20
97165 <1% 249 $964.35
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 368 $919.17
86803 <1% 1,358 $916.72
71271 <1% 66 $915.44
90832 Psychotherapy session, about 30 minutes <1% 44 $882.57
90662 <1% 657 $873.22
82784 <1% 556 $846.99
86140 <1% 2,236 $820.03
85651 <1% 2,512 $796.03
A9270 Non-covered item or service <1% 1,263 $784.47
97535 Self-care/home management training, each 15 minutes <1% 382 $768.49
96127 <1% 1,460 $730.57
81002 <1% 3,177 $723.10
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 295 $712.92
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 226 $677.64
88342 <1% 206 $616.48
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 702 $611.69
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 172 $606.89
86900 <1% 1,137 $602.62
84481 <1% 270 $590.75
86850 <1% 1,012 $569.16
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 12 $534.17
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 53 $531.10
90651 <1% 677 $516.12
90670 <1% 1,916 $512.78
87070 <1% 1,029 $485.96
87340 <1% 1,240 $474.26
90472 Immunization administration, each additional vaccine (list separately) <1% 4,681 $441.44
95251 <1% 42 $434.14
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 14 $418.13
90686 <1% 5,488 $410.94
82043 <1% 614 $400.64
0072A <1% 86 $400.00
0071A <1% 90 $400.00
80305 <1% 1,340 $386.79
93018 <1% 62 $382.73
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 88 $373.21
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,120 $358.02
87430 <1% 982 $356.28
87420 <1% 429 $353.46
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 427 $326.97
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 1,677 $313.53
86901 <1% 1,139 $290.17
93016 <1% 28 $279.41
90656 <1% 181 $276.86
90734 <1% 485 $275.02
94729 <1% 92 $274.85
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 67 $267.85
82947 <1% 1,209 $253.57
86038 <1% 297 $237.57
80076 <1% 513 $237.28
73140 <1% 96 $228.13
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 58 $201.84
93971 <1% 14 $201.42
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 12 $195.39
84460 <1% 521 $190.97
86592 <1% 813 $189.11
85730 <1% 417 $182.29
0011A <1% 886 $181.08
87147 <1% 687 $176.77
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 14 $168.16
81001 <1% 911 $156.52
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 401 $138.65
90474 <1% 1,015 $138.41
87653 <1% 85 $137.16
90710 <1% 86 $131.56
84403 <1% 137 $127.63
90694 <1% 74 $126.15
87469 <1% 12 $122.80
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% 27 $118.80
J2270 Injection, morphine sulfate, up to 10 mg <1% 147 $116.07
83516 <1% 128 $111.89
0012A <1% 866 $107.60
84702 <1% 169 $104.72
84450 <1% 337 $103.53
86762 <1% 120 $95.15
51798 <1% 13 $75.35
87205 <1% 392 $73.31
86706 <1% 122 $71.57
91322 <1% 57 $61.53
99406 <1% 14 $59.52
90698 <1% 1,599 $55.20
90680 <1% 1,082 $51.06
87088 <1% 227 $48.45
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 68 $48.30
83615 <1% 62 $47.49
99173 <1% 12 $42.30
0001A <1% 33 $40.00
0002A <1% 64 $40.00
84153 <1% 27 $38.27
86431 <1% 56 $32.46
98929 <1% 156 $30.84
82565 <1% 80 $27.34
82570 <1% 44 $26.80
90633 <1% 1,023 $24.84
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 2,607 $22.72
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 40 $21.29
73070 <1% 14 $17.67
84550 <1% 15 $16.42
99000 <1% 104 $15.95
J1170 Injection, hydromorphone, up to 4 mg <1% 31 $15.64
87040 <1% 25 $14.59
86376 <1% 29 $13.29
84165 <1% 12 $13.18
82950 <1% 64 $8.68
82948 <1% 40 $7.61
84402 <1% 15 $5.09
A9578 Injection, gadobenate dimeglumine (multihance multipack), per ml <1% 14 $2.21
82550 <1% 106 $1.47
J1644 Injection, heparin sodium, per 1000 units <1% 51 $1.21
G0009 Administration of pneumococcal vaccine <1% 33 $0.68
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 24 $0.19
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 99 $0.11
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 253 $0.02
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 202 $0.02
91301 <1% 1,816 $0.01
90744 0% 947 $0.00
96376 0% 39 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 38 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 46 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 0% 15 $0.00
90716 0% 79 $0.00
86308 0% 12 $0.00
90732 0% 13 $0.00
0134A 0% 44 $0.00
J2060 Injection, lorazepam, 2 mg 0% 33 $0.00
91307 0% 186 $0.00
90696 0% 16 $0.00
91306 0% 131 $0.00
0064A 0% 131 $0.00
0124A 0% 86 $0.00
91300 0% 115 $0.00
90685 0% 12 $0.00
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 0% 44 $0.00
91312 0% 86 $0.00
90707 0% 165 $0.00
91313 0% 43 $0.00
83655 0% 49 $0.00
77080 0% 14 $0.00
90671 0% 31 $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 officialLABONTE, ROBIN (CHIEF FINANCIAL OFFICER)
Same official

Other billing entities under LABONTE, ROBIN

Full network →
ProviderLocationPaid
York HospitalYork, ME$105K

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