Hospital
Mount ST. Mary's Hospital of Niagara Falls
Mount ST. Mary's Hospital of Niagara Falls was paid $418K by Medicaid between Jan 2018 and Oct 2020, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoMOUNT ST. MARY'S HOSPITAL OF NIAGARA FALLS
LEWISTON, NY 14092
LEWISTON, NY 14092
33aNPI1417285891assigned 11/24/2009
33bProvider typeGeneral Acute Care Hospital
28Total paid$418K
24GClaims8,826
24DCodes billed17
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers
Next to other General Acute Care Hospital providers in New York
Rank by total paid#120 of 231
Median peer was paid$561K
This provider vs. median0.7×
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 | 3,190 | $168K | |
| 2019 | 3,672 | $168K | |
| 2020 | 1,964 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 2,853 | 2,131 | $163K |
| 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% | 792 | 748 | $65K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 728 | 728 | $59K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 8.2% | 328 | 321 | $34K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 4.8% | 547 | 538 | $20K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.8% | 297 | 123 | $16K |
| 99221 | 3.7% | 387 | 384 | $15K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.5% | 484 | 368 | $15K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.6% | 1,488 | 1,393 | $11K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.5% | 362 | 262 | $6K |
| 69210 | <1% | 101 | 98 | $4K | |
| 90785 | <1% | 301 | 296 | $3K |
5 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 90 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 25 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 18 | $1K |
| 88307 | <1% | 13 | $243.36 |
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 officialMANESS, JUDITH (PRESIDENT & CHIEF EXECUTIVE OFFICER)