Black River Community Medical Center

Black River Community Medical Center was paid $4.94M by Medicaid between Jan 2018 and Aug 2019, across 21 billing codes. Its largest line is Y7506, — 35% of everything it billed.

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	6,813	$3.25M
2019	4,287	$1.70M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
Y7506		35%	2,415	2,238	$1.72M
D7999		27%	435	432	$1.32M
Y7507		19%	686	640	$919K
X4011	State-specific procedure code	13%	3,099	2,950	$625K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	1.9%	865	820	$94K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	1.4%	592	574	$67K
87400		<1%	342	330	$48K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	<1%	170	155	$31K
87430		<1%	193	188	$27K
83735		<1%	229	219	$20K
80053	Comprehensive metabolic panel	<1%	185	177	$17K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	<1%	129	124	$16K

9 more codes

81003		<1%	103	$14K
80048	Basic metabolic panel (calcium, ionized)	<1%	90	$13K
71046	Radiologic examination, chest; 2 views	<1%	39	$5K
V2632	Posterior chamber intraocular lens	<1%	83	$3K
83605		<1%	45	$2K
86140		<1%	31	$2K
72148	Magnetic resonance imaging, lumbar spine; without contrast material	<1%	12	$778.24
J3490	Unclassified drugs	0%	1,345	$0.00
J2704	Injection, propofol, 10 mg	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 officialSHAWAN, CHRISTY (CEO)