Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

ST. John's Riverside Hospital

ST. John's Riverside Hospital was paid $66.29M by Medicaid between Jan 2018 and Dec 2024, across 300 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 14% of everything it billed.

33Billing provider infoST. JOHN'S RIVERSIDE HOSPITAL
YONKERS, NY 10701
33aNPI1578526695assigned 04/10/2006
28Total paid$66.29M
24GClaims1,095,339
24DCodes billed300
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in New York

Rank by total paid#24 of 231
Median peer was paid$561K
This provider vs. median118×

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

$0$1.0M$2.0M2018201920202021202220232024
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
YearClaimsPaid
201820,355$1.07M
201988,375$4.68M
2020192,412$9.91M
2021222,318$11.79M
2022197,444$15.06M
2023219,145$15.22M
2024incomplete155,290$8.57M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 14% 282,366 15,077 $8.99M
H2036 Alcohol and/or other drug treatment program, per diem 9.2% 46,431 6,221 $6.09M
H0005 Alcohol and/or drug services; group counseling by a clinician 8.0% 77,580 12,117 $5.30M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 7.5% 20,892 20,040 $4.98M
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 6.6% 35,282 14,894 $4.37M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 5.2% 17,224 16,451 $3.45M
H0004 Behavioral health counseling and therapy, per 15 minutes 3.0% 33,426 13,965 $1.97M
H2001 Rehabilitation program, per 1/2 day 2.6% 16,373 4,877 $1.70M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.5% 10,090 9,755 $1.66M
99281 Emergency department visit for the evaluation and management, self-limited or minor 2.1% 8,083 7,607 $1.42M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.1% 9,213 7,424 $1.39M
36415 Collection of venous blood by venipuncture 1.9% 53,443 42,022 $1.26M
288 more codes
80053 Comprehensive metabolic panel 1.8% 33,277 $1.23M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.8% 9,587 $1.20M
HZ2ZZZZ 1.7% 2,969 $1.10M
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.7% 5,856 $1.10M
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) 1.6% 5,004 $1.05M
70450 Computed tomography, head or brain; without contrast material 1.5% 3,507 $985K
81025 1.3% 1,709 $829K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1.2% 7,619 $769K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.1% 2,948 $757K
HZ42ZZZ 1.1% 615 $726K
50590 <1% 317 $621K
99214 Doctor's office visit, returning patient (more involved) <1% 3,386 $572K
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% 10,406 $511K
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes <1% 3,002 $496K
77067 Screening mammography, bilateral, including computer-aided detection <1% 6,412 $485K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 3,078 $466K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 2,319 $457K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,725 $405K
H0001 Alcohol and/or drug assessment <1% 2,260 $393K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,911 $379K
H0002 Behavioral health screening to determine eligibility for admission to treatment program <1% 1,513 $327K
70551 Magnetic resonance imaging, brain; without contrast material <1% 1,099 $326K
59025 Fetal non-stress test <1% 1,732 $311K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 2,302 $308K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 291 $259K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 938 $258K
97010 <1% 8,627 $250K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 885 $242K
99442 <1% 1,267 $237K
96361 Intravenous infusion, hydration; each additional hour <1% 1,002 $228K
76830 Ultrasound, transvaginal <1% 3,007 $227K
86850 <1% 5,339 $199K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 1,762 $193K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 7,617 $181K
88342 <1% 408 $179K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 3,650 $179K
90832 Psychotherapy session, about 30 minutes <1% 1,404 $161K
93970 <1% 434 $158K
76641 <1% 2,702 $151K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 2,851 $150K
86900 <1% 5,384 $147K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,066 $137K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 102 $129K
86901 <1% 5,348 $122K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,493 $120K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,818 $118K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter <1% 1,936 $112K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,240 $109K
71046 Radiologic examination, chest; 2 views <1% 7,764 $109K
71250 <1% 1,003 $105K
74178 <1% 509 $102K
80048 Basic metabolic panel (calcium, ionized) <1% 3,206 $98K
97161 <1% 1,067 $98K
77063 Screening digital breast tomosynthesis, bilateral <1% 6,347 $95K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 4,380 $94K
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes <1% 1,688 $88K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 136 $86K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 134 $85K
T1006 Alcohol and/or substance abuse services, family/couple counseling <1% 693 $84K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 271 $84K
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% 6,179 $78K
93017 <1% 780 $78K
G0378 Hospital observation service, per hour <1% 1,599 $77K
90853 Group psychotherapy (other than of a multiple-family group) <1% 1,362 $76K
76536 <1% 1,461 $72K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 9,172 $68K
80061 Lipid panel <1% 6,710 $62K
99204 Doctor's office visit, new patient (more involved) <1% 390 $60K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 39 $58K
76775 <1% 1,224 $58K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 3,645 $58K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 3,024 $56K
71275 Computed tomographic angiography, chest, with contrast material <1% 212 $56K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care <1% 3,735 $53K
86480 <1% 1,283 $49K
76000 <1% 1,199 $45K
H0038 Self-help/peer services, per 15 minutes <1% 917 $44K
84443 Thyroid stimulating hormone (TSH) <1% 6,716 $41K
72141 <1% 133 $38K
72100 <1% 1,479 $38K
93971 <1% 395 $37K
86359 <1% 1,794 $36K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 162 $35K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 26,913 $35K
83036 Hemoglobin; glycosylated (A1C) <1% 5,838 $32K
99243 <1% 223 $32K
77080 <1% 474 $29K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 13 $28K
77065 Tomosynthesis, mammo <1% 357 $27K
99441 <1% 202 $27K
86780 <1% 3,022 $25K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 3,813 $24K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,355 $23K
90715 <1% 878 $23K
84703 <1% 7,868 $23K
99406 <1% 668 $23K
90834 Psychotherapy session, about 45 minutes <1% 146 $23K
86360 <1% 1,871 $22K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 1,776 $22K
87517 <1% 941 $22K
96375 Therapeutic injection; each additional sequential IV push <1% 1,939 $21K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 2,700 $20K
G2078 Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure <1% 571 $19K
54161 <1% 16 $19K
76801 <1% 136 $18K
83655 <1% 1,607 $18K
99443 <1% 236 $17K
77066 Tomosynthesis, mammo <1% 200 $17K
76642 <1% 374 $17K
97035 <1% 1,100 $16K
85027 <1% 6,323 $16K
87086 Culture, bacterial; quantitative colony count, urine <1% 9,426 $16K
73630 <1% 1,936 $16K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 66 $15K
72125 Computed tomography, cervical spine; without contrast material <1% 502 $15K
84439 <1% 2,651 $15K
73560 <1% 914 $15K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 9,998 $15K
73030 <1% 1,105 $14K
83880 <1% 498 $14K
84702 <1% 2,650 $13K
73221 <1% 46 $13K
82962 <1% 4,153 $13K
70486 <1% 145 $12K
73610 <1% 1,350 $12K
82378 <1% 895 $12K
86803 <1% 2,490 $12K
82803 <1% 365 $11K
99401 <1% 270 $11K
82728 <1% 1,407 $10K
81003 <1% 15,786 $10K
73130 <1% 1,179 $10K
87340 <1% 1,865 $10K
80076 <1% 2,615 $10K
Q3014 Telehealth originating site facility fee <1% 420 $10K
82607 <1% 1,302 $9K
97116 <1% 320 $9K
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 1,150 $9K
86769 <1% 300 $8K
71045 Radiologic examination, chest; single view <1% 3,000 $8K
88304 <1% 145 $7K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 506 $7K
0012A <1% 269 $7K
87536 <1% 1,441 $7K
82670 <1% 330 $7K
87070 <1% 2,089 $7K
85610 <1% 6,413 $6K
99203 Doctor's office visit, new patient (routine) <1% 38 $6K
G2251 Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of clinical discussion <1% 495 $6K
83001 <1% 418 $6K
90656 <1% 199 $6K
90849 <1% 74 $5K
86301 <1% 434 $5K
84153 <1% 569 $5K
83735 <1% 5,150 $5K
83550 <1% 1,363 $5K
82465 <1% 1,436 $5K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 215 $5K
94760 <1% 2,419 $5K
83540 <1% 1,459 $4K
83002 <1% 351 $4K
G0008 Administration of influenza virus vaccine <1% 188 $4K
0011A <1% 286 $4K
86038 <1% 868 $4K
73562 <1% 556 $4K
72050 <1% 139 $4K
82550 <1% 3,030 $4K
82553 <1% 908 $4K
86140 <1% 1,657 $4K
85730 <1% 4,224 $4K
87522 Neg quan hep c or qual rna <1% 139 $4K
97162 <1% 25 $4K
74019 <1% 126 $3K
84146 <1% 237 $3K
84436 <1% 1,181 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,979 $3K
82977 <1% 822 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 2,327 $3K
A4648 Tissue marker, implantable, any type, each <1% 12 $3K
86304 <1% 248 $3K
J7030 Infusion, normal saline solution , 1000 cc <1% 1,383 $3K
73110 <1% 408 $3K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 209 $3K
86704 <1% 676 $3K
83525 <1% 253 $3K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 86 $3K
86708 <1% 641 $3K
95806 <1% 15 $2K
83690 <1% 4,523 $2K
83516 <1% 271 $2K
82570 <1% 689 $2K
85651 <1% 1,614 $2K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 12 $2K
73502 <1% 158 $2K
96367 <1% 54 $2K
84403 <1% 104 $2K
82784 <1% 213 $2K
86787 <1% 200 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 14 $2K
90882 <1% 81 $2K
87186 <1% 1,476 $2K
76819 Fetal biophysical profile; without non-stress testing <1% 19 $2K
84484 <1% 5,817 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 64 $2K
93925 <1% 12 $2K
82172 <1% 135 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 56 $1K
J2785 Injection, regadenoson, 0.1 mg <1% 12 $1K
83021 <1% 134 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,196 $1K
83010 <1% 181 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,798 $1K
90686 <1% 54 $1K
81001 <1% 1,034 $1K
82043 <1% 314 $1K
86709 <1% 170 $1K
86762 <1% 82 $1K
83883 <1% 82 $1K
84550 <1% 378 $952.32
86593 <1% 384 $938.95
99386 <1% 14 $907.27
86707 <1% 135 $885.60
82103 <1% 105 $865.53
76870 <1% 24 $853.08
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 13 $838.47
84402 <1% 49 $807.76
73070 <1% 84 $762.97
86705 <1% 127 $746.69
87350 <1% 119 $741.47
85660 <1% 256 $737.08
86706 <1% 137 $724.39
80050 General health panel <1% 25 $690.74
90863 <1% 65 $674.28
84100 <1% 1,684 $652.53
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 18 $650.93
87420 <1% 15 $598.89
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 14 $584.92
87040 <1% 473 $547.00
84479 <1% 412 $543.73
86747 <1% 36 $541.88
82247 <1% 275 $525.87
83721 <1% 1,757 $515.45
0031A <1% 40 $485.63
82390 <1% 79 $448.88
87807 <1% 890 $386.81
82150 <1% 246 $381.76
82947 <1% 246 $372.33
96376 <1% 116 $371.80
87077 <1% 471 $337.51
82272 <1% 208 $327.50
84481 <1% 40 $312.46
83615 <1% 145 $292.11
82248 <1% 84 $278.98
0002A <1% 14 $238.75
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 283 $230.22
84478 <1% 133 $229.08
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 100 $229.06
72070 <1% 12 $214.88
73523 <1% 12 $213.61
86317 <1% 55 $195.44
82105 <1% 59 $185.25
74018 <1% 14 $181.60
86376 <1% 12 $164.77
90472 Immunization administration, each additional vaccine (list separately) <1% 15 $163.05
97124 <1% 59 $153.85
86431 <1% 56 $151.23
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% 1,418 $150.74
87430 <1% 226 $150.54
87205 <1% 398 $147.41
0001A <1% 12 $143.57
86618 <1% 12 $142.27
82565 <1% 66 $140.01
82746 <1% 25 $137.78
86765 <1% 12 $124.79
82950 <1% 27 $107.65
84460 <1% 151 $101.93
84450 <1% 144 $100.39
83605 <1% 761 $93.62
73590 <1% 12 $79.74
85045 <1% 41 $71.77
85379 <1% 388 $61.17
84156 <1% 15 $43.67
J1644 Injection, heparin sodium, per 1000 units <1% 67 $35.00
84520 <1% 12 $23.44
85044 <1% 13 $17.93
73140 <1% 39 $12.00
91301 <1% 81 $0.18
99080 0% 2,727 $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 officialATTANASIO, GLADYS (AVP REV CYCLE)