Medicaid Provider Spending

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

CLIFTON SPRINGS SANITARIUM CO

NPI: 1518021310 · CLIFTON SPRINGS, NY 14432 · Psychiatric Hospital Unit · NPI assigned 12/19/2006

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

Authorized official TINCH, PAULA controls 20+ related entities in our dataset. Read more

$1.80M
Total Medicaid Paid
22,721
Total Claims
20,185
Beneficiaries
48
Codes Billed
2018-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTINCH, PAULA (SVP, FINANCE)
NPI Enumeration Date12/19/2006

Related Entities

Other providers sharing the same authorized official: TINCH, PAULA

ProviderCityStateTotal Paid
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $226.97M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $25.15M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $21.62M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $14.54M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $14.22M
WESTERN NEW YORK MEDICAL PRACTICE P.C. ROCHESTER NY $13.41M
ROCHESTER GENERAL HOSPITAL SODUS NY $11.31M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $10.05M
BEHAVIORAL HEALTH NETWORK, INC. ROCHESTER NY $6.84M
WESTERN NEW YORK MEDICAL PRACTICE, P.C. GENEVA NY $6.32M
NEWARK WAYNE COMMUNITY HOSPITAL-LAB NEWARK NY $1.61M
PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC MECHANICSBURG PA $366K
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $281K
NEWARK WAYNE COMMUNITY HOSPITAL NEWARK NY $176K
ROCHESTER GENERAL HOSPITAL WEBSTER NY $135K
PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC CAMP HILL PA $56K
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $54K
PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC HARRISBURG PA $23K
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $9K
WESTERN NEW YORK MEDICAL PRACTICE PC ROCHESTER NY $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 45 $4K
2019 694 $42K
2020 2,889 $158K
2021 4,219 $346K
2022 5,969 $450K
2023 5,561 $436K
2024 3,344 $367K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90791 Psychiatric diagnostic evaluation 1,382 1,165 $758K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,918 1,755 $237K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,698 1,584 $201K
90832 Psychotherapy, 30 minutes with patient 1,772 1,249 $169K
90834 Psychotherapy, 45 minutes with patient 1,162 733 $153K
36415 Collection of venous blood by venipuncture 2,081 1,820 $44K
99283 Emergency department visit for the evaluation and management, moderate severity 302 271 $41K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 487 438 $35K
80053 Comprehensive metabolic panel 2,318 2,170 $32K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,150 1,006 $18K
S9485 Crisis intervention mental health services, per diem 15 14 $17K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 291 281 $16K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 110 107 $13K
99284 Emergency department visit for the evaluation and management, high severity 85 78 $11K
84443 Thyroid stimulating hormone (TSH) 1,471 1,437 $8K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 234 233 $6K
H2011 Crisis intervention service, per 15 minutes 90 68 $5K
83036 Hemoglobin; glycosylated (A1C) 618 613 $5K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 234 234 $5K
80061 Lipid panel 740 736 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 78 25 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 30 27 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,359 2,170 $3K
80048 Basic metabolic panel (calcium, ionized) 209 187 $3K
99222 Initial hospital care, per day, moderate complexity 17 17 $3K
96361 Intravenous infusion, hydration; each additional hour 13 12 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 64 64 $2K
87660 99 99 $799.35
85027 263 255 $788.82
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 12 12 $613.51
87631 14 14 $599.61
82607 56 55 $572.18
87086 Culture, bacterial; quantitative colony count, urine 127 121 $411.57
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 480 423 $329.92
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 32 32 $281.70
84702 111 103 $210.77
84439 28 27 $207.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 12 12 $168.03
81001 148 147 $149.67
83735 41 40 $89.27
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 13 13 $66.50
81025 28 26 $66.10
71046 Radiologic examination, chest; 2 views 13 13 $33.33
83690 53 50 $5.81
J2250 Injection, midazolam hydrochloride, per 1 mg 111 108 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 54 53 $0.00
96375 Therapeutic injection; each additional sequential IV push 31 25 $0.00
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 67 63 $0.00