Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTH SHORE UNIVERSITY HOSPITAL

NPI: 1457369381 · BAY SHORE, NY 11706 · General Acute Care Hospital · NPI assigned 08/04/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CUSACK, MICHELE controls 20+ related entities in our dataset. Read more

$47.45M
Total Medicaid Paid
877,922
Total Claims
710,855
Beneficiaries
235
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCUSACK, MICHELE (SENIOR VICE PRESIDENT & CFO)
NPI Enumeration Date08/04/2006

Related Entities

Other providers sharing the same authorized official: CUSACK, MICHELE

ProviderCityStateTotal Paid
LONG ISLAND JEWISH MEDICAL CENTER NEW HYDE PARK NY $370.91M
NORTH SHORE UNIVERSITY HOSPITAL NEW HYDE PARK NY $166.53M
STATEN ISLAND UNIVERSITY HOSPITAL STATEN ISLAND NY $118.12M
REGIONCARE INC. GARDEN CITY NY $96.55M
NORTH SHORE UNIVERSITY HOSPITAL MANHASSET NY $87.68M
LENOX HILL HOSPITAL NEW YORK NY $63.17M
JOHN T. MATHER MEMORIAL HOSPITAL PORT JEFFERSON NY $20.34M
PHELPS MEMORIAL HOSPITAL ASSOCIATION SLEEPY HOLLOW NY $20.17M
NORTH SHORE UNIVERSITY HOSPITAL WESTBURY NY $17.90M
TRUE NORTH MEDICAL GROUP PC MERRICK NY $12.56M
HUNTINGTON HOSPITAL ASSOCIATION HUNTINGTON NY $9.83M
THE LONG ISLAND HOME AMITYVILLE NY $9.49M
REGIONCARE INC. GREAT NECK NY $9.43M
LONG ISLAND JEWISH MEDICAL CENTER VALLEY STREAM NY $8.41M
HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH CENTER GREENLAWN NY $8.03M
GLEN COVE HOSPITAL GLEN COVE NY $7.72M
CENTRAL SUFFOLK HOSPITAL RIVERHEAD NY $7.66M
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION MOUNT KISCO NY $7.58M
PLAINVIEW HOSPITAL PLAINVIEW NY $6.39M
NORTH SHORE - LIJ ANESTHESIOLOGY, PC CHAPPAQUA NY $6.07M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,977 $788K
2019 56,021 $2.96M
2020 114,639 $6.74M
2021 178,345 $10.35M
2022 165,926 $9.17M
2023 187,238 $9.84M
2024 156,776 $7.60M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 38,395 36,347 $6.63M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 44,009 12,144 $5.30M
99284 Emergency department visit for the evaluation and management, high severity 32,025 30,149 $5.20M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 16,578 15,192 $2.78M
36415 Collection of venous blood by venipuncture 123,914 50,566 $1.92M
70450 Computed tomography, head or brain; without contrast material 6,786 6,501 $1.85M
99282 Emergency department visit for the evaluation and management, low to moderate severity 9,547 9,220 $1.64M
74177 Computed tomography, abdomen and pelvis; with contrast material 5,680 5,498 $1.61M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,830 1,819 $1.26M
96361 Intravenous infusion, hydration; each additional hour 4,518 4,360 $1.24M
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,811 1,772 $1.23M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,541 8,059 $1.14M
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 16,637 5,277 $1.10M
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 7,579 7,336 $1.03M
G0378 Hospital observation service, per hour 4,246 3,847 $1.02M
80053 Comprehensive metabolic panel 39,831 36,665 $1.00M
45380 Colonoscopy, flexible; with biopsy, single or multiple 691 689 $571K
59025 Fetal non-stress test 2,461 2,127 $526K
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 8,615 7,956 $525K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,609 1,579 $458K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 4,891 1,487 $447K
95800 1,019 1,007 $438K
95806 424 410 $386K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 8,941 7,450 $376K
95810 Polysomnography; sleep staging with 4 or more additional parameters 429 427 $358K
71275 Computed tomographic angiography, chest, with contrast material 1,231 1,211 $333K
12001 680 675 $332K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,755 1,581 $308K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 18,252 17,177 $290K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 986 973 $237K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 251 250 $227K
T1013 Sign language or oral interpretive services, per 15 minutes 11,973 10,685 $219K
86850 6,487 6,210 $218K
97161 2,075 2,072 $208K
86901 6,478 6,203 $204K
86900 6,481 6,207 $202K
C1889 Implantable/insertable device, not otherwise classified 469 466 $201K
0225U 9,088 8,323 $182K
96375 Therapeutic injection; each additional sequential IV push 11,391 10,574 $162K
93970 236 234 $157K
12011 308 307 $155K
80048 Basic metabolic panel (calcium, ionized) 6,838 6,652 $154K
88342 1,955 1,943 $143K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,130 1,026 $141K
76801 1,357 1,237 $139K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,128 1,043 $126K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,031 2,000 $126K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 4,247 4,164 $124K
97162 1,005 1,000 $114K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,602 3,559 $108K
83880 3,343 3,224 $103K
64483 120 117 $96K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,301 5,879 $82K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 2,178 2,167 $77K
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 8,068 7,185 $74K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 356 352 $67K
70498 240 239 $65K
62323 102 102 $64K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 197 196 $64K
J3490 Unclassified drugs 8,680 7,999 $63K
76000 1,690 1,593 $60K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 25,215 23,193 $59K
99281 Emergency department visit for the evaluation and management, self-limited or minor 327 308 $55K
J7030 Infusion, normal saline solution , 1000 cc 14,890 13,975 $52K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 630 392 $51K
82803 2,315 2,210 $48K
C1769 Guide wire 385 379 $43K
90715 1,503 1,491 $42K
87631 611 605 $41K
12002 81 80 $41K
93971 619 614 $40K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,338 1,325 $38K
97165 300 300 $37K
77002 86 65 $36K
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 1,652 1,511 $36K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,309 1,296 $36K
85610 9,152 8,796 $35K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,840 1,828 $35K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 43 43 $35K
97116 838 335 $35K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 146 144 $35K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 37 37 $33K
62321 48 47 $33K
72125 Computed tomography, cervical spine; without contrast material 1,919 1,842 $33K
20610 86 65 $32K
86703 2,266 2,251 $32K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 3,706 3,574 $31K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 953 929 $30K
29125 122 121 $30K
96376 2,375 2,109 $27K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,468 3,761 $27K
10060 71 70 $26K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 83 83 $25K
76830 Ultrasound, transvaginal 1,340 1,310 $25K
97535 Self-care/home management training, each 15 minutes 331 182 $23K
71046 Radiologic examination, chest; 2 views 6,966 6,848 $21K
84702 15,580 14,568 $21K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 82 79 $18K
85027 12,612 11,562 $16K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 31,482 29,026 $14K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 243 240 $14K
71045 Radiologic examination, chest; single view 9,862 9,470 $14K
J2270 Injection, morphine sulfate, up to 10 mg 4,176 3,743 $14K
C1887 Catheter, guiding (may include infusion/perfusion capability) 172 170 $13K
81025 4,012 3,929 $13K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 112 110 $13K
70486 343 340 $13K
G0400 Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels 13 13 $12K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 46 45 $12K
J7120 Ringers lactate infusion, up to 1000 cc 3,371 3,224 $11K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 245 245 $11K
J1030 Injection, methylprednisolone acetate, 40 mg 758 707 $11K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography 37 37 $11K
72131 68 66 $11K
J1885 Injection, ketorolac tromethamine, per 15 mg 10,426 9,861 $11K
J7050 Infusion, normal saline solution, 250 cc 1,986 1,563 $10K
64493 12 12 $10K
J2704 Injection, propofol, 10 mg 3,778 3,659 $10K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 925 874 $10K
85730 9,441 9,086 $10K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 33 33 $9K
70551 Magnetic resonance imaging, brain; without contrast material 28 28 $9K
77003 658 616 $8K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 32 32 $8K
29515 28 28 $7K
71250 62 62 $7K
74174 24 24 $7K
81001 16,747 15,999 $7K
J2405 Injection, ondansetron hydrochloride, per 1 mg 9,254 8,628 $7K
87486 259 257 $6K
J3475 Injection, magnesium sulfate, per 500 mg 831 798 $6K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 2,930 2,690 $6K
J1170 Injection, hydromorphone, up to 4 mg 1,384 1,233 $6K
C9399 Unclassified drugs or biologicals 150 150 $6K
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 53 49 $6K
87086 Culture, bacterial; quantitative colony count, urine 11,310 10,945 $6K
97010 530 148 $6K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,658 3,507 $5K
87581 257 257 $5K
86769 381 364 $5K
87641 132 131 $4K
J2060 Injection, lorazepam, 2 mg 1,887 1,612 $4K
J0690 Injection, cefazolin sodium, 500 mg 930 900 $4K
70496 234 234 $4K
93017 76 75 $4K
J2765 Injection, metoclopramide hcl, up to 10 mg 3,663 3,492 $4K
83735 5,475 5,267 $4K
84484 10,273 9,266 $4K
J3010 Injection, fentanyl citrate, 0.1 mg 3,064 2,976 $4K
59050 14 13 $4K
J2250 Injection, midazolam hydrochloride, per 1 mg 3,339 3,204 $4K
75574 14 14 $4K
82962 7,689 6,791 $3K
83690 11,668 10,970 $3K
73610 1,364 1,329 $3K
97150 Therapeutic procedure(s), group (2 or more individuals) 85 63 $3K
84443 Thyroid stimulating hormone (TSH) 3,179 3,114 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,683 1,630 $2K
J3360 Injection, diazepam, up to 5 mg 115 108 $2K
C9113 Injection, pantoprazole sodium, per vial 472 453 $2K
83036 Hemoglobin; glycosylated (A1C) 2,088 2,072 $2K
85379 2,643 2,604 $2K
36000 65 64 $2K
88304 84 84 $2K
83605 4,534 4,289 $2K
73630 1,311 1,275 $2K
97163 14 14 $2K
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose 20 12 $2K
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,667 1,521 $1K
73130 1,348 1,310 $1K
87040 1,788 1,731 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,184 1,166 $1K
84100 917 867 $1K
81003 3,647 3,567 $1K
73110 730 708 $1K
71260 Computed tomography, thorax, diagnostic; with contrast material 28 28 $996.30
73030 1,047 1,010 $987.05
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 375 350 $828.67
J1630 Injection, haloperidol, up to 5 mg 942 786 $816.99
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 37 37 $813.95
J2919 Injection, methylprednisolone sodium succinate, 5 mg 98 87 $745.61
J7060 5% dextrose/water (500 ml = 1 unit) 160 150 $736.04
73564 576 560 $733.32
82728 227 223 $730.34
80061 Lipid panel 65 65 $726.78
87186 1,649 1,613 $546.98
73562 498 483 $544.81
S0028 Injection, famotidine, 20 mg 478 463 $525.84
73590 361 353 $524.56
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 65 36 $487.60
64484 12 12 $448.08
82330 1,681 1,613 $422.28
84436 1,079 1,070 $406.12
87077 916 893 $403.99
82550 1,789 1,720 $344.44
J1010 Injection, methylprednisolone acetate, 1 mg 46 40 $332.46
84132 1,582 1,515 $322.29
84295 1,522 1,459 $293.40
82435 1,519 1,457 $274.79
87640 136 134 $274.67
87800 13 13 $253.15
J0736 Injection, clindamycin phosphate, 300 mg 17 12 $248.91
82947 1,525 1,463 $246.80
86140 634 625 $240.73
73090 246 242 $224.90
J2003 Injection, lidocaine hydrochloride, 1 mg 75 72 $217.89
87070 70 68 $150.18
84480 280 278 $139.29
85014 1,540 1,478 $139.02
84466 14 13 $137.31
85018 1,493 1,434 $135.36
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 218 194 $119.23
J1171 Injection, hydromorphone, 0.1 mg 31 28 $114.19
85652 303 295 $113.82
84145 89 88 $111.73
86803 186 186 $94.80
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 17 13 $88.04
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 188 187 $85.85
82553 448 423 $65.28
83540 14 13 $55.25
85384 29 25 $54.09
83615 44 39 $43.62
86780 47 46 $37.30
87081 198 197 $32.73
76870 16 15 $30.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 12 12 $26.50
73080 128 125 $25.00
82009 110 109 $17.52
73502 13 12 $12.47
74018 39 38 $10.00
99080 3,388 671 $0.00
73140 13 13 $0.00
99152 15 14 $0.00
84550 15 14 $0.00
83986 12 12 $0.00