Hospital
Kaleida Health
Kaleida Health was paid $3.02M by Medicaid between Jan 2018 and Nov 2024, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 15% of everything it billed.
33Billing provider infoKALEIDA HEALTH
BUFFALO, NY 14203
BUFFALO, NY 14203
33aNPI1427007046assigned 05/09/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$3.02M
24GClaims57,352
24DCodes billed60
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Acute Care Hospital providers in New York
Rank by total paid#102 of 231
Median peer was paid$561K
This provider vs. median5.4×
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 | 6,624 | $333K | |
| 2019 | 9,029 | $434K | |
| 2020 | 10,695 | $466K | |
| 2021 | 10,003 | $609K | |
| 2022 | 8,308 | $519K | |
| 2023 | 10,533 | $596K | |
| 2024incomplete | 2,160 | $62K |
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 | 15% | 9,791 | 8,814 | $462K |
| 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 | 10% | 4,393 | 4,333 | $311K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 8.7% | 6,245 | 5,922 | $261K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 8.5% | 1,238 | 1,236 | $257K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.9% | 1,667 | 1,623 | $207K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 6.3% | 2,249 | 2,181 | $189K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 5.8% | 1,503 | 1,375 | $175K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.2% | 2,310 | 2,305 | $158K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 5.0% | 3,331 | 3,247 | $152K |
| 76801 | 4.2% | 2,796 | 2,688 | $127K | |
| 76813 | 3.8% | 2,041 | 1,972 | $114K | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 1.7% | 1,115 | 1,078 | $52K |
48 more codes
| 42830 | 1.5% | 464 | $47K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.5% | 539 | $45K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.4% | 396 | $42K |
| 99205 | Prolong outpt/office vis | 1.4% | 257 | $41K |
| 76819 | Fetal biophysical profile; without non-stress testing | 1.3% | 1,116 | $39K |
| 71045 | Radiologic examination, chest; single view | 1.2% | 4,500 | $38K |
| 74018 | <1% | 3,179 | $27K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 2,559 | $25K |
| 76818 | <1% | 511 | $25K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 286 | $23K |
| 41520 | <1% | 102 | $18K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 429 | $15K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 25 | $15K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 448 | $13K |
| 59025 | Fetal non-stress test | <1% | 536 | $12K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 165 | $12K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 84 | $11K |
| 99223 | Prolong inpt eval add15 m | <1% | 83 | $11K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 97 | $11K |
| 76830 | Ultrasound, transvaginal | <1% | 474 | $10K |
| 59514 | <1% | 12 | $9K | |
| 76821 | <1% | 284 | $8K | |
| 76820 | <1% | 373 | $8K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 219 | $7K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 338 | $6K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 257 | $5K |
| 41115 | <1% | 52 | $4K | |
| 76770 | <1% | 169 | $4K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 67 | $3K |
| 74019 | <1% | 306 | $3K | |
| 40812 | <1% | 36 | $3K | |
| 99443 | <1% | 44 | $3K | |
| 93975 | <1% | 29 | $2K | |
| 54150 | <1% | 26 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 13 | $1K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 14 | $751.81 |
| 31575 | <1% | 12 | $637.72 | |
| 99442 | <1% | 14 | $611.25 | |
| 76376 | <1% | 27 | $291.66 | |
| 76377 | <1% | 12 | $281.97 | |
| 76506 | <1% | 14 | $227.22 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $224.88 |
| 73070 | <1% | 25 | $100.50 | |
| 73090 | <1% | 15 | $75.42 | |
| 73100 | <1% | 15 | $70.50 | |
| 73610 | <1% | 12 | $61.18 | |
| 73630 | <1% | 13 | $56.81 | |
| 73590 | <1% | 13 | $53.52 |
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 officialSWAITKOWSKI, JONATHAN (CFO)