Medicaid Provider Spending

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

LENOX HILL HOSPITAL

NPI: 1477616571 · NEW YORK, NY 10075 · Psychiatric Hospital Unit · NPI assigned 12/19/2006

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

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

$63.17M
Total Medicaid Paid
869,370
Total Claims
776,350
Beneficiaries
335
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCUSACK, MICHELE (SENIOR VICE PRESIDENT & CFO)
NPI Enumeration Date12/19/2006

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
SOUTH SHORE UNIVERSITY HOSPITAL BAY SHORE NY $47.45M
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 12,525 $554K
2019 58,736 $3.79M
2020 132,735 $8.29M
2021 186,616 $13.47M
2022 167,699 $12.20M
2023 176,717 $14.18M
2024 134,342 $10.69M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 37,645 33,744 $6.94M
99284 Emergency department visit for the evaluation and management, high severity 33,088 30,877 $5.51M
19318 733 722 $3.59M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 17,512 15,975 $3.33M
93458 1,179 1,161 $2.58M
90834 Psychotherapy, 45 minutes with patient 11,586 3,632 $2.10M
C1889 Implantable/insertable device, not otherwise classified 3,850 3,791 $2.04M
70450 Computed tomography, head or brain; without contrast material 7,218 6,968 $1.94M
74177 Computed tomography, abdomen and pelvis; with contrast material 6,135 5,959 $1.69M
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 807 759 $1.48M
99282 Emergency department visit for the evaluation and management, low to moderate severity 7,827 7,118 $1.46M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 12,323 3,861 $1.30M
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,185 2,151 $1.17M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,191 5,072 $1.13M
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 10,630 10,237 $1.01M
80053 Comprehensive metabolic panel 42,064 37,725 $971K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,580 1,569 $855K
96361 Intravenous infusion, hydration; each additional hour 3,192 2,994 $800K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,294 1,288 $789K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 447 441 $730K
95800 1,020 992 $640K
42820 Tonsillectomy and adenoidectomy; younger than age 12 379 379 $637K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 102 78 $606K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,125 2,069 $571K
58558 367 367 $559K
42830 303 303 $507K
71275 Computed tomographic angiography, chest, with contrast material 1,823 1,779 $475K
C9600 Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch 70 67 $449K
36415 Collection of venous blood by venipuncture 60,608 44,869 $447K
C1769 Guide wire 2,771 2,711 $434K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 3,045 2,224 $412K
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 6,610 6,002 $412K
30140 263 245 $403K
45380 Colonoscopy, flexible; with biopsy, single or multiple 621 616 $390K
99215 Prolong outpt/office vis 1,897 1,610 $390K
96375 Therapeutic injection; each additional sequential IV push 12,660 11,192 $383K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 18,534 17,369 $381K
70551 Magnetic resonance imaging, brain; without contrast material 821 812 $370K
72197 723 718 $368K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,572 2,171 $365K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 8,402 2,716 $332K
C1887 Catheter, guiding (may include infusion/perfusion capability) 1,960 1,933 $325K
G0378 Hospital observation service, per hour 1,819 1,445 $323K
96415 892 775 $322K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 673 670 $289K
75574 1,407 1,398 $276K
90853 Group psychotherapy (other than of a multiple-family group) 2,965 942 $262K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,978 5,567 $258K
88305 Level IV - Surgical pathology, gross and microscopic examination 6,017 5,940 $249K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 156 138 $248K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,118 1,098 $237K
71250 1,607 1,589 $227K
77067 Screening mammography, bilateral, including computer-aided detection 2,075 2,065 $222K
93970 465 457 $221K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,248 1,243 $218K
76641 2,021 1,902 $210K
70486 1,855 1,828 $206K
90832 Psychotherapy, 30 minutes with patient 1,580 845 $202K
70498 769 747 $188K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,042 931 $188K
95810 Polysomnography; sleep staging with 4 or more additional parameters 194 194 $182K
86900 4,194 3,988 $175K
C9290 Injection, bupivacaine liposome, 1 mg 768 763 $175K
80048 Basic metabolic panel (calcium, ionized) 8,188 7,885 $173K
J0561 Injection, penicillin g benzathine, 100,000 units 371 350 $172K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7,594 7,334 $164K
J3490 Unclassified drugs 15,570 14,487 $162K
C1874 Stent, coated/covered, with delivery system 109 108 $157K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 332 307 $156K
71046 Radiologic examination, chest; 2 views 10,933 10,587 $141K
86901 4,592 4,365 $139K
71260 Computed tomography, thorax, diagnostic; with contrast material 885 872 $139K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,262 1,100 $138K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,884 3,794 $138K
74183 278 276 $128K
83880 4,464 4,315 $126K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 2,244 2,027 $126K
97161 1,239 1,228 $125K
76830 Ultrasound, transvaginal 2,188 2,154 $123K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,885 7,326 $115K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 570 538 $113K
76536 1,423 1,417 $111K
72141 249 247 $107K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 4,145 4,052 $103K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 161 160 $102K
93971 1,269 1,242 $102K
86850 4,592 4,364 $101K
A9585 Injection, gadobutrol, 0.1 ml 3,036 2,993 $101K
C8908 Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral 83 83 $99K
30520 183 180 $93K
70496 729 714 $91K
99281 Emergency department visit for the evaluation and management, self-limited or minor 504 472 $87K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,521 588 $85K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,909 3,820 $84K
76801 1,022 879 $83K
A4648 Tissue marker, implantable, any type, each 237 228 $77K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,320 1,299 $77K
88307 910 904 $76K
73564 2,776 2,675 $75K
76770 416 409 $75K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 251 245 $71K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 519 373 $66K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 3,216 3,147 $64K
72125 Computed tomography, cervical spine; without contrast material 1,626 1,600 $64K
0225U 2,522 2,486 $63K
88321 408 403 $62K
10060 159 155 $60K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 1,057 816 $60K
82803 2,774 2,670 $56K
88304 1,856 1,843 $52K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 19,641 17,892 $51K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,154 550 $47K
J7030 Infusion, normal saline solution , 1000 cc 17,180 15,781 $45K
90715 1,585 1,576 $43K
74174 145 143 $43K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 187 181 $42K
87631 707 698 $41K
76000 690 671 $40K
86360 1,122 1,104 $39K
73030 2,082 2,001 $38K
77063 Screening digital breast tomosynthesis, bilateral 2,076 2,066 $38K
85610 13,132 12,634 $38K
77336 315 144 $37K
77065 Tomosynthesis, mammo 359 327 $37K
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 555 415 $36K
12001 73 73 $35K
97530 Therapeutic activities, direct patient contact, each 15 minutes 630 258 $34K
J2704 Injection, propofol, 10 mg 4,367 4,315 $32K
Q3014 Telehealth originating site facility fee 1,197 519 $32K
70491 124 123 $32K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 36,362 33,564 $29K
73610 1,930 1,857 $29K
87536 1,409 1,373 $28K
82962 15,223 13,714 $28K
80061 Lipid panel 2,926 2,882 $27K
73630 2,026 1,955 $27K
78815 Positron emission tomography (PET) for limited area imaging 53 53 $27K
96376 1,910 1,821 $25K
73562 1,858 1,781 $25K
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 4,372 4,027 $24K
76870 284 280 $24K
86359 1,344 1,319 $24K
93454 13 12 $24K
77066 Tomosynthesis, mammo 197 195 $22K
86703 1,590 1,563 $22K
96367 234 170 $22K
77085 87 86 $21K
72131 147 147 $21K
86480 313 311 $21K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,362 3,645 $21K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 447 438 $20K
88341 575 572 $19K
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 134 133 $19K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 29 29 $19K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 547 543 $19K
J1885 Injection, ketorolac tromethamine, per 15 mg 12,556 11,914 $18K
C9399 Unclassified drugs or biologicals 474 474 $18K
73130 1,575 1,514 $18K
73502 1,056 1,038 $18K
72110 478 475 $18K
72100 911 896 $18K
J7050 Infusion, normal saline solution, 250 cc 4,753 3,605 $16K
73110 946 897 $16K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 97 96 $15K
77080 161 160 $15K
71045 Radiologic examination, chest; single view 6,978 6,708 $14K
V2632 Posterior chamber intraocular lens 143 124 $14K
70544 36 36 $14K
81025 4,217 4,094 $14K
84702 7,262 6,697 $13K
J1756 Injection, iron sucrose, 1 mg 209 107 $13K
80076 880 856 $13K
85730 11,965 11,538 $12K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 210 207 $12K
C1782 Morcellator 25 25 $12K
C1781 Mesh (implantable) 25 25 $12K
74240 202 202 $12K
C8937 Computer-aided detection, including computer algorithm analysis of breast mri image data for lesion detection/characterization, pharmacokinetic analysis, with further physician review for interpretation (list separately in addition to code for primary procedure) 86 86 $12K
97165 119 118 $11K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 55 55 $11K
95811 13 13 $11K
85027 6,215 5,996 $10K
87086 Culture, bacterial; quantitative colony count, urine 7,767 7,470 $10K
86769 487 475 $10K
84999 82 80 $10K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 295 292 $9K
83690 10,828 10,229 $9K
88173 185 177 $9K
70543 12 12 $9K
J2405 Injection, ondansetron hydrochloride, per 1 mg 11,551 10,858 $9K
36000 259 259 $8K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 4,003 3,919 $8K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 709 632 $7K
J0690 Injection, cefazolin sodium, 500 mg 2,364 2,306 $7K
74178 24 24 $7K
81001 11,972 11,446 $7K
84484 11,437 10,580 $7K
J3010 Injection, fentanyl citrate, 0.1 mg 6,104 6,025 $7K
96417 102 68 $7K
76818 76 68 $7K
72170 384 382 $7K
J2270 Injection, morphine sulfate, up to 10 mg 3,112 2,880 $6K
82565 1,322 1,300 $6K
J3370 Injection, vancomycin hcl, 500 mg 665 613 $6K
83735 8,699 8,309 $6K
J1170 Injection, hydromorphone, up to 4 mg 2,207 2,092 $6K
59025 Fetal non-stress test 89 77 $6K
88342 111 110 $6K
72082 122 121 $6K
78195 13 13 $6K
J3475 Injection, magnesium sulfate, per 500 mg 1,062 944 $6K
82542 237 226 $6K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 82 58 $6K
88360 75 75 $5K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 5,395 4,701 $5K
81003 7,544 7,311 $5K
86140 2,674 2,570 $5K
83605 4,832 4,598 $5K
J0330 Injection, succinylcholine chloride, up to 20 mg 313 308 $5K
J7120 Ringers lactate infusion, up to 1000 cc 2,535 2,462 $5K
73521 194 194 $4K
72158 12 12 $4K
99152 939 927 $4K
99153 Mod sedat endo service >5yrs 513 494 $4K
87486 223 220 $4K
87581 223 220 $4K
J2250 Injection, midazolam hydrochloride, per 1 mg 4,490 4,408 $4K
87070 1,181 1,155 $4K
84443 Thyroid stimulating hormone (TSH) 2,141 2,099 $4K
83036 Hemoglobin; glycosylated (A1C) 2,779 2,735 $4K
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 472 466 $4K
A0425 Ground mileage, per statute mile 2,299 1,664 $3K
86780 1,970 1,938 $3K
88112 52 52 $3K
J2469 Injection, palonosetron hcl, 25 mcg 402 253 $3K
73590 236 230 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 156 152 $3K
J2765 Injection, metoclopramide hcl, up to 10 mg 3,421 3,293 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,954 2,867 $3K
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 13 13 $3K
92978 12 12 $3K
C1760 Closure device, vascular (implantable/insertable) 13 13 $3K
90791 Psychiatric diagnostic evaluation 13 13 $2K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,012 840 $2K
73080 251 242 $2K
76098 12 12 $2K
87040 2,398 2,334 $2K
J7060 5% dextrose/water (500 ml = 1 unit) 942 838 $2K
93975 19 19 $2K
76377 13 13 $2K
94760 101 97 $2K
87529 46 45 $2K
87186 1,561 1,515 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,077 1,064 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 13 13 $2K
71271 31 31 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,397 1,343 $2K
82550 4,335 4,218 $1K
88300 395 388 $1K
J2370 Injection, phenylephrine hcl, up to 1 ml 169 168 $1K
82553 3,136 3,070 $1K
76642 12 12 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,096 1,754 $1K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 177 148 $1K
86481 32 32 $1K
S0028 Injection, famotidine, 20 mg 923 874 $1K
85379 2,898 2,841 $1K
74241 16 16 $1K
J2060 Injection, lorazepam, 2 mg 905 837 $984.30
87081 996 984 $956.30
C9113 Injection, pantoprazole sodium, per vial 331 329 $932.57
93017 29 29 $916.10
87507 13 12 $914.08
72050 25 25 $840.10
96130 17 15 $814.80
87075 182 175 $747.49
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,221 1,205 $746.88
J1453 Injection, fosaprepitant, 1 mg 22 17 $712.06
J1644 Injection, heparin sodium, per 1000 units 249 227 $697.09
82330 1,049 1,029 $664.26
72052 25 24 $661.46
86803 841 831 $619.94
84100 1,272 1,234 $606.00
J0461 Injection, atropine sulfate, 0.01 mg 91 88 $510.99
94060 13 13 $499.76
87340 138 137 $488.53
J3480 Injection, potassium chloride, per 2 meq 143 123 $479.13
73090 39 37 $416.53
J1596 Injection, glycopyrrolate, 0.1 mg 210 210 $410.68
86592 670 659 $403.48
84132 1,145 1,119 $360.63
86593 615 603 $350.57
84295 1,016 995 $318.40
87077 216 210 $312.09
80230 52 51 $311.57
94729 13 13 $296.58
94726 13 13 $285.63
G0008 Administration of influenza virus vaccine 29 29 $268.40
90656 21 21 $264.41
96131 18 16 $263.40
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 39 36 $232.03
J2310 Injection, naloxone hydrochloride, per 1 mg 15 14 $206.47
99051 13 12 $204.75
85652 395 387 $179.88
J1580 Injection, garamycin, gentamicin, up to 80 mg 139 136 $169.75
82728 257 250 $166.92
73140 128 126 $148.56
74018 12 12 $105.91
J1630 Injection, haloperidol, up to 5 mg 160 152 $101.93
84145 109 107 $100.72
87184 68 68 $96.38
87400 13 13 $86.79
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 123 73 $77.14
87205 130 126 $70.86
83615 83 75 $70.37
J1171 Injection, hydromorphone, 0.1 mg 30 29 $69.49
J2470 Injection, pantoprazole sodium, 40 mg 47 47 $51.13
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 15 14 $50.55
85347 80 79 $42.52
82248 53 53 $40.23
J2175 Injection, meperidine hydrochloride, per 100 mg 13 13 $39.67
J2003 Injection, lidocaine hydrochloride, 1 mg 29 29 $36.67
84550 50 46 $34.29
85384 29 26 $34.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 12 12 $33.00
82570 37 34 $30.33
J0456 Injection, azithromycin, 500 mg 12 12 $26.75
82010 99 95 $20.58
86706 24 24 $20.20
88302 13 13 $19.31
82607 12 12 $15.08
84156 21 17 $11.01
73060 15 15 $7.97
99080 1,112 194 $0.00
88311 58 57 $0.00