Hospital
Little Falls Hospital
Little Falls Hospital was paid $18.70M by Medicaid between Jan 2018 and Dec 2024, across 212 billing codes. Its largest line is 99283, emergency room visit (moderate) — 19% of everything it billed.
33Billing provider infoLITTLE FALLS HOSPITAL
LITTLE FALLS, NY 13365
LITTLE FALLS, NY 13365
33aNPI1558321919assigned 03/27/2006
33bProvider typeCritical Access Hospital
28Total paid$18.70M
24GClaims276,751
24DCodes billed212
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Access Hospital providers in New York
Rank by total paid#1 of 12
Median peer was paid$5.23M
This provider vs. median3.6×
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 | 930 | $58K | |
| 2019 | 8,983 | $386K | |
| 2020 | 46,801 | $1.91M | |
| 2021 | 58,001 | $2.80M | |
| 2022 | 57,295 | $7.00M | |
| 2023 | 55,889 | $4.08M | |
| 2024incomplete | 48,852 | $2.46M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 19% | 14,523 | 13,902 | $3.63M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.1% | 10,082 | 9,575 | $1.51M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 7.7% | 6,434 | 6,183 | $1.45M |
| 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 | 6.6% | 8,767 | 8,449 | $1.24M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 5.5% | 4,890 | 4,711 | $1.03M |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 4.9% | 3,301 | 3,236 | $908K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 4.2% | 1,938 | 1,897 | $781K |
| 80053 | Comprehensive metabolic panel | 4.0% | 13,592 | 13,051 | $748K |
| 36415 | Collection of venous blood by venipuncture | 3.7% | 13,177 | 12,130 | $699K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.7% | 2,943 | 2,889 | $500K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.3% | 5,320 | 1,568 | $431K |
| 96361 | Intravenous infusion, hydration; each additional hour | 2.2% | 1,421 | 1,347 | $407K |
200 more codes
| 70450 | Computed tomography, head or brain; without contrast material | 1.9% | 997 | $350K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 1.7% | 800 | $315K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.5% | 1,947 | $288K |
| 81025 | 1.4% | 4,080 | $258K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.3% | 1,805 | $239K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.3% | 5,530 | $239K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 1,270 | $207K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 1,133 | $206K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,136 | $169K |
| 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 | <1% | 2,175 | $159K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 4,903 | $159K |
| 80061 | Lipid panel | <1% | 6,484 | $153K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 1,084 | $141K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 3,280 | $108K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 16,315 | $103K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 428 | $102K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 2,109 | $99K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 1,307 | $97K |
| 90686 | <1% | 2,522 | $88K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 6,583 | $78K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 429 | $78K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 375 | $71K |
| Q3014 | Telehealth originating site facility fee | <1% | 1,226 | $70K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 495 | $70K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 998 | $68K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 6,101 | $57K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 2,028 | $51K |
| 90715 | <1% | 1,303 | $41K | |
| 94010 | <1% | 214 | $38K | |
| 71045 | Radiologic examination, chest; single view | <1% | 2,120 | $37K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,289 | $36K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,190 | $35K |
| 86850 | <1% | 803 | $35K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 499 | $34K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 226 | $33K |
| 97162 | <1% | 234 | $32K | |
| 84484 | <1% | 3,025 | $32K | |
| 99406 | <1% | 741 | $29K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 24 | $29K |
| 76830 | Ultrasound, transvaginal | <1% | 443 | $29K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 383 | $29K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 3,853 | $28K |
| 90375 | <1% | 12 | $28K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 3,539 | $24K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 102 | $24K |
| 83690 | <1% | 4,660 | $24K | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 321 | $23K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 998 | $20K |
| 84439 | <1% | 1,888 | $20K | |
| 82607 | <1% | 1,632 | $19K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 535 | $19K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 1,166 | $19K |
| 73564 | <1% | 570 | $19K | |
| 83735 | <1% | 4,161 | $17K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 344 | $17K |
| 81001 | <1% | 4,655 | $16K | |
| A9585 | Injection, gadobutrol, 0.1 ml | <1% | 425 | $15K |
| 71271 | <1% | 130 | $15K | |
| 73610 | <1% | 721 | $14K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 343 | $14K |
| 87634 | <1% | 578 | $14K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 142 | $14K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 36 | $14K |
| 85027 | <1% | 2,047 | $13K | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 43 | $13K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 2,515 | $13K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 24 | $12K |
| 80051 | <1% | 567 | $12K | |
| 73630 | <1% | 723 | $12K | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 155 | $12K |
| 90651 | <1% | 229 | $10K | |
| 86901 | <1% | 849 | $10K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,858 | $9K |
| 84450 | <1% | 1,767 | $9K | |
| 86900 | <1% | 849 | $9K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 975 | $9K |
| 84702 | <1% | 1,175 | $9K | |
| 82728 | <1% | 601 | $9K | |
| 73030 | <1% | 370 | $8K | |
| 71250 | <1% | 44 | $8K | |
| 85610 | <1% | 1,373 | $8K | |
| 76642 | <1% | 183 | $8K | |
| 83880 | <1% | 253 | $8K | |
| 81003 | <1% | 4,063 | $7K | |
| 82565 | <1% | 1,022 | $7K | |
| 73130 | <1% | 349 | $7K | |
| 90675 | <1% | 43 | $7K | |
| 84466 | <1% | 844 | $7K | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 202 | $7K |
| 87081 | <1% | 1,392 | $7K | |
| 82570 | <1% | 907 | $6K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 43 | $6K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 221 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,185 | $6K |
| 76801 | <1% | 79 | $6K | |
| 86803 | <1% | 473 | $6K | |
| 83540 | <1% | 1,039 | $6K | |
| 82043 | <1% | 801 | $6K | |
| 82247 | <1% | 1,502 | $5K | |
| 83605 | <1% | 1,417 | $5K | |
| 86618 | <1% | 658 | $5K | |
| 80076 | <1% | 227 | $5K | |
| 86140 | <1% | 917 | $5K | |
| 73110 | <1% | 302 | $5K | |
| 90734 | <1% | 211 | $5K | |
| 87077 | <1% | 693 | $5K | |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | <1% | 32 | $4K |
| 82040 | <1% | 1,418 | $4K | |
| 84153 | <1% | 386 | $4K | |
| 84520 | <1% | 579 | $4K | |
| 86580 | <1% | 162 | $4K | |
| 90656 | <1% | 202 | $3K | |
| 85652 | <1% | 959 | $3K | |
| 84155 | <1% | 1,130 | $3K | |
| 90670 | <1% | 107 | $3K | |
| 84480 | <1% | 303 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,398 | $3K |
| 97161 | <1% | 25 | $3K | |
| 76770 | <1% | 14 | $3K | |
| 90732 | <1% | 57 | $3K | |
| 0064A | <1% | 85 | $3K | |
| 93971 | <1% | 26 | $3K | |
| 90677 | <1% | 35 | $3K | |
| 0001A | <1% | 70 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 531 | $2K |
| 0002A | <1% | 69 | $2K | |
| 94060 | <1% | 13 | $2K | |
| 87186 | <1% | 535 | $2K | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 4,168 | $2K |
| 72110 | <1% | 63 | $2K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 77 | $2K |
| 82746 | <1% | 150 | $2K | |
| 85379 | <1% | 258 | $2K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 175 | $2K |
| 82948 | <1% | 1,368 | $2K | |
| 87070 | <1% | 357 | $2K | |
| 0004A | <1% | 43 | $2K | |
| 83655 | <1% | 129 | $1K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 84 | $1K |
| 87468 | <1% | 52 | $1K | |
| 99442 | <1% | 13 | $1K | |
| 82947 | <1% | 273 | $1K | |
| 76536 | <1% | 15 | $1K | |
| 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 | <1% | 76 | $1K |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 1,068 | $1K |
| J2704 | Injection, propofol, 10 mg | <1% | 956 | $1K |
| 91322 | <1% | 29 | $1K | |
| 90619 | <1% | 40 | $1K | |
| 82550 | <1% | 161 | $915.16 | |
| 87469 | <1% | 52 | $883.80 | |
| 87484 | <1% | 52 | $883.80 | |
| 87478 | <1% | 52 | $883.80 | |
| 87040 | <1% | 125 | $861.96 | |
| 80306 | <1% | 142 | $856.77 | |
| 77066 | Tomosynthesis, mammo | <1% | 12 | $776.29 |
| 84460 | <1% | 69 | $774.99 | |
| 96376 | <1% | 152 | $765.47 | |
| 86666 | <1% | 171 | $675.82 | |
| 85730 | <1% | 151 | $672.08 | |
| 82150 | <1% | 113 | $644.36 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 324 | $621.42 |
| 94729 | <1% | 17 | $550.39 | |
| 0124A | <1% | 15 | $540.45 | |
| 97014 | <1% | 25 | $512.38 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 2,841 | $501.12 |
| 90700 | <1% | 27 | $481.95 | |
| 87476 | <1% | 26 | $434.26 | |
| 83550 | <1% | 146 | $410.98 | |
| 90480 | <1% | 28 | $302.07 | |
| 87481 | <1% | 12 | $290.07 | |
| 90633 | <1% | 14 | $249.90 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 12 | $232.08 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 2,289 | $229.96 |
| 90710 | <1% | 12 | $214.20 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 978 | $196.72 |
| 87807 | <1% | 29 | $191.75 | |
| 86780 | <1% | 13 | $171.95 | |
| 86617 | <1% | 26 | $159.88 | |
| 83520 | <1% | 69 | $154.14 | |
| 73140 | <1% | 13 | $141.96 | |
| 73080 | <1% | 12 | $115.56 | |
| 86753 | <1% | 38 | $100.16 | |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 207 | $96.17 |
| 82803 | <1% | 13 | $71.52 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 69 | $67.11 |
| 86038 | <1% | 12 | $50.46 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 234 | $41.42 |
| 86308 | <1% | 12 | $29.71 | |
| Q0162 | Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen | <1% | 642 | $29.38 |
| J2765 | Injection, metoclopramide hcl, up to 10 mg | <1% | 37 | $11.25 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 122 | $10.44 |
| 80326 | <1% | 14 | $10.00 | |
| 80364 | <1% | 14 | $10.00 | |
| 80347 | <1% | 14 | $10.00 | |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | <1% | 72 | $7.03 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 13 | $2.66 |
| J2003 | Injection, lidocaine hydrochloride, 1 mg | <1% | 14 | $0.39 |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | <1% | 23 | $0.01 |
| 81513 | 0% | 12 | $0.00 | |
| 96127 | 0% | 56 | $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 officialVIELKIND, JAMES (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Little Falls Hospital | Little Falls, NY | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.