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

Delaware Valley Hospital, INC

Delaware Valley Hospital, INC was paid $9.45M by Medicaid between Jan 2018 and Nov 2024, across 140 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.

33Billing provider infoDELAWARE VALLEY HOSPITAL, INC
WALTON, NY 13856
33aNPI1417940719assigned 08/23/2005
28Total paid$9.45M
24GClaims96,157
24DCodes billed140
24AFirst – last monthJan 2018 – Nov 2024
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
2018222$9K
20194,951$321K
202012,050$824K
202116,218$1.24M
202217,208$3.27M
202323,252$2.23M
2024incomplete22,256$1.56M
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 24% 16,367 14,357 $2.30M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 13% 4,642 4,396 $1.26M
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 9.5% 5,615 5,062 $899K
80053 Comprehensive metabolic panel 6.3% 5,776 5,222 $598K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5.5% 3,675 1,298 $520K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4.7% 2,560 2,498 $439K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4.5% 3,307 2,848 $422K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 3.6% 1,630 1,550 $341K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.9% 1,460 1,401 $276K
36415 Collection of venous blood by venipuncture 2.8% 6,814 6,054 $267K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 1.9% 965 900 $179K
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 1.7% 2,088 1,993 $164K
128 more codes
99281 Emergency department visit for the evaluation and management, self-limited or minor 1.5% 581 $146K
99441 1.3% 638 $124K
84443 Thyroid stimulating hormone (TSH) 1.2% 2,317 $114K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.2% 5,740 $112K
99442 1.1% 495 $103K
80061 Lipid panel 1.1% 1,708 $100K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 906 $92K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 812 $69K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 285 $55K
90837 Psychotherapy session, about an hour <1% 323 $53K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 268 $52K
96361 Intravenous infusion, hydration; each additional hour <1% 143 $50K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 165 $42K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 486 $41K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 65 $40K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 380 $39K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 562 $38K
99203 Doctor's office visit, new patient (routine) <1% 260 $33K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 601 $33K
84439 <1% 739 $29K
90686 <1% 782 $24K
71046 Radiologic examination, chest; 2 views <1% 831 $22K
83036 Hemoglobin; glycosylated (A1C) <1% 1,276 $21K
97161 <1% 102 $21K
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% 994 $16K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 44 $16K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 28 $16K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 50 $16K
80048 Basic metabolic panel (calcium, ionized) <1% 148 $14K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 71 $13K
99204 Doctor's office visit, new patient (more involved) <1% 97 $13K
81025 <1% 257 $13K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 33 $12K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 967 $12K
87631 <1% 133 $11K
85027 <1% 427 $10K
99215 Doctor's office visit, returning patient (complex) <1% 81 $10K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 116 $9K
90792 Psychiatric diagnostic evaluation with medical services <1% 37 $9K
85610 <1% 395 $8K
81003 <1% 2,172 $7K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 67 $7K
70450 Computed tomography, head or brain; without contrast material <1% 17 $7K
77067 Screening mammography, bilateral, including computer-aided detection <1% 30 $6K
99173 <1% 126 $6K
87086 Culture, bacterial; quantitative colony count, urine <1% 716 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 73 $5K
82607 <1% 69 $5K
36416 <1% 176 $5K
90734 <1% 147 $5K
86140 <1% 303 $5K
90715 <1% 109 $4K
99205 Prolong outpt/office vis <1% 24 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 17 $4K
G0482 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; 15-21 drug class(es), including metabolite(s) if performed <1% 81 $3K
G0483 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; 22 or more drug class(es), including metabolite(s) if performed <1% 16 $3K
83735 <1% 200 $3K
85652 <1% 186 $2K
90656 <1% 89 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 305 $2K
Q3014 Telehealth originating site facility fee <1% 316 $2K
0012A <1% 65 $2K
87070 <1% 208 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 931 $2K
83690 <1% 492 $2K
81001 <1% 264 $2K
0011A <1% 56 $2K
0064A <1% 39 $1K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 47 $1K
87581 <1% 33 $1K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 16 $1K
90651 <1% 25 $1K
87634 <1% 14 $1K
90832 Psychotherapy session, about 30 minutes <1% 12 $1K
86803 <1% 25 $1K
80050 General health panel <1% 13 $1K
77063 Screening digital breast tomosynthesis, bilateral <1% 30 $1K
82150 <1% 174 $1K
84702 <1% 24 $996.45
87486 <1% 34 $985.74
83721 <1% 29 $909.01
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 103 $874.76
85379 <1% 78 $815.01
92551 <1% 13 $805.48
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 342 $802.79
82728 <1% 13 $796.24
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) <1% 1,701 $653.09
85730 <1% 217 $620.91
87081 <1% 31 $534.00
87400 <1% 270 $478.59
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 712 $463.70
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% 13 $452.95
90682 <1% 19 $382.69
97010 <1% 20 $339.41
84484 <1% 364 $333.51
96375 Therapeutic injection; each additional sequential IV push <1% 506 $303.17
87040 <1% 13 $291.75
85651 <1% 12 $287.42
73630 <1% 15 $285.00
83540 <1% 12 $265.13
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 12 $250.98
J7030 Infusion, normal saline solution , 1000 cc <1% 776 $225.87
73564 <1% 12 $188.56
87420 <1% 127 $178.46
73610 <1% 12 $147.79
A4221 Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) <1% 333 $131.48
93000 <1% 473 $112.18
90460 Immunization administration through 18 years of age via any route, first or only component <1% 391 $23.74
A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) <1% 151 $17.98
A4222 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) <1% 61 $8.28
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 431 $6.44
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 72 $3.75
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml <1% 512 $3.63
A4657 Syringe, with or without needle, each <1% 223 $1.40
A4215 Needle, sterile, any size, each <1% 143 $1.34
A4556 Electrodes, (e.g., apnea monitor), per pair <1% 107 $1.13
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 205 $0.76
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 127 $0.21
S1015 Iv tubing extension set 0% 187 $0.00
94664 0% 13 $0.00
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 0% 13 $0.00
90461 0% 14 $0.00
83605 0% 15 $0.00
82962 0% 119 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 0% 63 $0.00
71045 Radiologic examination, chest; single view 0% 48 $0.00
94760 0% 39 $0.00
82553 0% 12 $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 officialBOJO, ROLLAND (PRESIDENT/CEO)
Same official

Other billing entities under BOJO, ROLLAND

Full network →
ProviderLocationPaid
Delaware Valley Hospital, INCWalton, NY$193K

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