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

Rome Memorial Hospital, INC.

Rome Memorial Hospital, INC. was paid $25.85M by Medicaid between Jan 2018 and Dec 2024, across 296 billing codes. Its largest line is 99283, emergency room visit (moderate) — 11% of everything it billed.

33Billing provider infoROME MEMORIAL HOSPITAL, INC.
ROME, NY 13440
33aNPI1376546440assigned 05/23/2005
28Total paid$25.85M
24GClaims627,114
24DCodes billed296
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in New York

Rank by total paid#53 of 231
Median peer was paid$561K
This provider vs. median46×

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$200K$400K$600K2018201920202021202220232024
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
2018548$28K
201935,272$1.26M
2020101,935$3.63M
2021119,366$4.51M
2022127,408$5.69M
2023129,544$5.72M
2024incomplete113,041$5.01M
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 11% 20,494 19,400 $2.81M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 8.7% 16,381 15,430 $2.24M
74176 Computed tomography, abdomen and pelvis; without contrast material 6.0% 3,882 3,800 $1.55M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.3% 9,869 9,363 $1.37M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 5.1% 15,552 12,784 $1.32M
96361 Intravenous infusion, hydration; each additional hour 4.4% 6,209 5,548 $1.14M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.4% 11,669 8,806 $1.13M
80053 Comprehensive metabolic panel 3.5% 47,328 32,406 $902K
70450 Computed tomography, head or brain; without contrast material 3.2% 2,799 2,746 $823K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.7% 10,712 3,524 $705K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2.6% 2,596 1,207 $661K
H0005 Alcohol and/or drug services; group counseling by a clinician 2.5% 11,113 2,320 $657K
284 more codes
74177 Computed tomography, abdomen and pelvis; with contrast material 2.3% 1,554 $584K
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 2.2% 4,159 $562K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1.4% 1,610 $370K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.3% 2,690 $341K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 1.3% 3,238 $332K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1.3% 2,526 $326K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.1% 6,830 $288K
99214 Doctor's office visit, returning patient (more involved) <1% 2,806 $256K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 2,280 $256K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,747 $231K
36415 Collection of venous blood by venipuncture <1% 34,703 $226K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,871 $191K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 410 $187K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,468 $179K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 5,712 $158K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 2,657 $152K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 7,115 $149K
59025 Fetal non-stress test <1% 3,647 $148K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 4,034 $142K
76830 Ultrasound, transvaginal <1% 1,955 $140K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 36,188 $138K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 5,697 $130K
71275 Computed tomographic angiography, chest, with contrast material <1% 380 $130K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 2,760 $130K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 11,178 $128K
86850 <1% 4,631 $125K
76801 <1% 1,284 $114K
97161 <1% 1,482 $114K
76770 <1% 740 $108K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 877 $108K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,185 $107K
84443 Thyroid stimulating hormone (TSH) <1% 10,318 $107K
71046 Radiologic examination, chest; 2 views <1% 6,939 $104K
72125 Computed tomography, cervical spine; without contrast material <1% 892 $100K
76641 <1% 1,706 $96K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,371 $94K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 408 $90K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 2,163 $89K
71250 <1% 572 $86K
86901 <1% 4,646 $83K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,206 $81K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 699 $80K
80061 Lipid panel <1% 8,083 $69K
86900 <1% 4,641 $67K
84484 <1% 6,275 $66K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 1,359 $66K
S9480 Intensive outpatient psychiatric services, per diem <1% 625 $66K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 748 $65K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 648 $61K
83036 Hemoglobin; glycosylated (A1C) <1% 5,712 $61K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,935 $60K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 6,332 $60K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 108 $57K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 1,895 $57K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 1,844 $57K
96375 Therapeutic injection; each additional sequential IV push <1% 4,959 $54K
87086 Culture, bacterial; quantitative colony count, urine <1% 9,001 $54K
12001 <1% 148 $53K
93971 <1% 607 $49K
87660 <1% 3,689 $48K
77065 Tomosynthesis, mammo <1% 447 $44K
71045 Radiologic examination, chest; single view <1% 4,997 $43K
80048 Basic metabolic panel (calcium, ionized) <1% 3,400 $42K
87480 <1% 3,351 $41K
84439 <1% 4,050 $41K
87510 <1% 3,250 $40K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 1,164 $37K
70486 <1% 286 $36K
81001 <1% 13,135 $36K
G0378 Hospital observation service, per hour <1% 518 $35K
84702 <1% 3,749 $35K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 2,399 $34K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 704 $34K
81025 <1% 5,151 $33K
82607 <1% 2,342 $33K
H0002 Behavioral health screening to determine eligibility for admission to treatment program <1% 193 $32K
97162 <1% 325 $32K
77066 Tomosynthesis, mammo <1% 380 $31K
90715 <1% 1,098 $30K
83880 <1% 931 $30K
73564 <1% 1,011 $29K
76536 <1% 579 $28K
83655 <1% 1,858 $28K
83735 <1% 7,151 $27K
82746 <1% 1,922 $27K
87077 <1% 3,210 $27K
73630 <1% 1,521 $26K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 843 $24K
73130 <1% 1,596 $24K
83690 <1% 8,107 $24K
82728 <1% 1,530 $24K
11045 <1% 19 $23K
72110 <1% 608 $23K
85610 <1% 4,621 $23K
73030 <1% 1,126 $23K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 814 $23K
73110 <1% 1,177 $22K
73610 <1% 1,438 $21K
74018 <1% 1,558 $21K
94060 <1% 500 $21K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,470 $20K
84403 <1% 627 $19K
85730 <1% 3,701 $18K
82248 <1% 3,386 $17K
87040 <1% 1,668 $17K
86803 <1% 1,961 $17K
97165 <1% 290 $17K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,948 $16K
87430 <1% 4,222 $15K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 400 $15K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel <1% 28 $15K
87081 <1% 5,261 $14K
90834 Psychotherapy session, about 45 minutes <1% 102 $14K
84100 <1% 4,845 $13K
85027 <1% 3,187 $13K
86762 <1% 1,244 $13K
76376 <1% 301 $12K
96376 <1% 1,077 $12K
83540 <1% 2,032 $12K
87340 <1% 1,538 $12K
84703 <1% 2,754 $12K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 491 $12K
84480 <1% 1,534 $11K
94726 <1% 359 $11K
87150 <1% 288 $11K
86592 <1% 4,439 $10K
93017 <1% 78 $10K
94729 <1% 352 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 93 $9K
84153 <1% 408 $9K
83550 <1% 1,381 $8K
82570 <1% 1,637 $8K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 29 $8K
81329 <1% 63 $8K
86140 <1% 1,698 $8K
80076 <1% 932 $7K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 66 $7K
82043 <1% 1,218 $7K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 714 $7K
87075 <1% 794 $7K
92526 <1% 72 $7K
62323 <1% 12 $7K
85379 <1% 1,233 $5K
83605 <1% 1,723 $5K
84146 <1% 234 $5K
83001 <1% 225 $5K
12011 <1% 13 $5K
85651 <1% 1,641 $5K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 93 $5K
12002 <1% 12 $5K
84402 <1% 155 $5K
81003 <1% 7,051 $5K
82950 <1% 1,314 $5K
80299 <1% 1,357 $4K
99215 Doctor's office visit, returning patient (complex) <1% 38 $4K
73502 <1% 175 $4K
87070 <1% 575 $4K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 13 $4K
83002 <1% 176 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,606 $4K
73080 <1% 159 $4K
87186 <1% 687 $4K
97116 <1% 105 $4K
86618 <1% 174 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 31 $3K
90674 <1% 147 $3K
86703 <1% 200 $3K
29125 <1% 13 $3K
70496 <1% 13 $3K
76870 <1% 61 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 25 $3K
88142 <1% 93 $3K
90756 <1% 107 $3K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 13 $3K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 341 $3K
82105 <1% 365 $2K
88304 <1% 61 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 6,796 $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% 48 $2K
83021 <1% 95 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 3,770 $2K
82550 <1% 767 $2K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 89 $2K
72052 <1% 67 $2K
83020 <1% 225 $2K
59430 <1% 65 $2K
71271 <1% 54 $2K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 48 $2K
87153 <1% 27 $2K
80143 <1% 957 $2K
76642 <1% 55 $2K
88342 <1% 26 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 16 $2K
80179 <1% 942 $2K
94760 <1% 273 $2K
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 856 $2K
87800 <1% 59 $2K
97010 <1% 101 $2K
84550 <1% 413 $2K
84436 <1% 581 $1K
A9573 Injection, gadopiclenol, 1 ml <1% 74 $1K
82670 <1% 44 $1K
86787 <1% 301 $1K
J2704 Injection, propofol, 10 mg <1% 1,331 $1K
87653 <1% 52 $1K
96367 <1% 28 $1K
0011A <1% 84 $1K
H0038 Self-help/peer services, per 15 minutes <1% 23 $1K
82150 <1% 161 $1K
86038 <1% 159 $1K
86308 <1% 303 $1K
84481 <1% 97 $1K
0012A <1% 66 $1K
84630 <1% 101 $940.57
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 264 $855.35
J1097 Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml <1% 12 $639.75
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,940 $603.16
87420 <1% 114 $571.81
99204 Doctor's office visit, new patient (more involved) <1% 12 $562.94
90661 <1% 25 $558.80
90656 <1% 42 $546.39
73090 <1% 41 $537.92
82803 <1% 28 $536.73
87210 <1% 87 $532.92
83615 <1% 123 $526.29
73565 <1% 15 $519.12
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,297 $515.38
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 277 $486.38
73562 <1% 12 $481.44
J3010 Injection, fentanyl citrate, 0.1 mg <1% 2,273 $477.06
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 41 $475.12
J0690 Injection, cefazolin sodium, 500 mg <1% 1,317 $470.77
90686 <1% 16 $441.18
99401 <1% 14 $426.24
84145 <1% 15 $424.64
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 551 $403.38
80349 <1% 203 $398.00
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 5,240 $354.14
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 19 $336.02
82627 <1% 12 $313.28
J1650 Injection, enoxaparin sodium, 10 mg <1% 446 $310.16
84156 <1% 103 $281.23
82784 <1% 12 $262.07
73560 <1% 15 $257.63
72100 <1% 13 $256.66
80074 <1% 14 $256.39
84425 <1% 14 $256.09
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,884 $244.90
82375 <1% 15 $182.50
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 29 $181.50
99406 <1% 17 $173.90
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,518 $171.12
87205 <1% 65 $170.49
86141 <1% 13 $164.71
86706 <1% 14 $161.64
74021 <1% 13 $154.78
90671 <1% 12 $150.60
73590 <1% 15 $123.78
82677 <1% 12 $109.86
84479 <1% 241 $97.34
82247 <1% 15 $86.80
86709 <1% 25 $78.87
86431 <1% 12 $76.64
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 15 $75.50
C9113 Injection, pantoprazole sodium, per vial <1% 169 $71.49
82565 <1% 12 $70.44
86336 <1% 14 $69.17
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 1,539 $62.67
G1013 Clinical decision support mechanism evidencecare imagingcare, as defined by the medicare appropriate use criteria program <1% 3,043 $59.88
93356 <1% 25 $57.77
J2060 Injection, lorazepam, 2 mg <1% 466 $51.50
J8540 Dexamethasone, oral, 0.25 mg <1% 162 $46.79
86705 <1% 22 $45.59
J1630 Injection, haloperidol, up to 5 mg <1% 56 $38.83
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 37 $34.18
J1644 Injection, heparin sodium, per 1000 units <1% 53 $25.56
J3370 Injection, vancomycin hcl, 500 mg <1% 19 $22.72
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 60 $18.50
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 115 $14.11
90658 <1% 25 $11.80
85660 <1% 12 $10.53
90472 Immunization administration, each additional vaccine (list separately) <1% 12 $8.71
J1170 Injection, hydromorphone, up to 4 mg <1% 31 $4.41
Q0177 Hydroxyzine pamoate, 25 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% 31 $1.99

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 officialCZYZ, ANN MARIE (PRESIDENT/CEO)
Same official

Other billing entities under CZYZ, ANN MARIE

Full network →
ProviderLocationPaid
Rome Memorial HospitalRome, NY$1.42M
Rome Memorial Hospital, INCBoonville, NY$557K
Rome Memorial Hospital, INCCamden, NY$169K
Rome Memorial Hospital, INCRome, NY$102K
Rome Memorial Hospital, INCRome, NY$3K

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