Hospital
ST. Anthony Community Hospital
ST. Anthony Community Hospital was paid $4.31M by Medicaid between Jan 2018 and Dec 2024, across 78 billing codes. Its largest line is 99283, emergency room visit (moderate) — 30% of everything it billed.
33Billing provider infoST. ANTHONY COMMUNITY HOSPITAL
WARWICK, NY 10990
WARWICK, NY 10990
33aNPI1598755324assigned 10/24/2005
33bProvider typeGeneral Acute Care Hospital
28Total paid$4.31M
24GClaims72,454
24DCodes billed78
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in New York
Rank by total paid#98 of 231
Median peer was paid$561K
This provider vs. median7.7×
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 | 1,744 | $179K | |
| 2019 | 3,818 | $281K | |
| 2020 | 7,564 | $469K | |
| 2021 | 12,904 | $657K | |
| 2022 | 17,039 | $929K | |
| 2023 | 17,859 | $1.03M | |
| 2024incomplete | 11,526 | $765K |
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 | 30% | 5,983 | 5,434 | $1.31M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 25% | 4,685 | 4,328 | $1.08M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 6.2% | 940 | 882 | $268K |
| 96361 | Intravenous infusion, hydration; each additional hour | 4.3% | 853 | 723 | $187K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 3.8% | 532 | 504 | $164K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 3.8% | 869 | 815 | $163K |
| 70450 | Computed tomography, head or brain; without contrast material | 3.7% | 626 | 586 | $158K |
| 80053 | Comprehensive metabolic panel | 3.0% | 7,133 | 6,207 | $128K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.7% | 2,283 | 628 | $114K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 2.3% | 1,858 | 557 | $101K |
| 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 | 2.3% | 1,401 | 1,344 | $97K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 2.0% | 485 | 400 | $88K |
66 more codes
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1.0% | 2,038 | $45K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 1,413 | $40K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 120 | $34K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 1,385 | $33K |
| 71045 | Radiologic examination, chest; single view | <1% | 1,224 | $31K |
| 36415 | Collection of venous blood by venipuncture | <1% | 7,368 | $26K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,260 | $22K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 985 | $22K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 80 | $20K |
| 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% | 934 | $19K |
| OP250 | <1% | 2,268 | $19K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 1,434 | $19K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 5,958 | $14K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 181 | $10K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 690 | $10K |
| 97010 | <1% | 664 | $10K | |
| 86900 | <1% | 290 | $7K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 302 | $7K |
| 86850 | <1% | 277 | $7K | |
| 86901 | <1% | 303 | $6K | |
| 81025 | <1% | 1,622 | $5K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 539 | $5K |
| 80061 | Lipid panel | <1% | 572 | $4K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 19 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 348 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 781 | $3K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 44 | $2K |
| 84484 | <1% | 1,083 | $2K | |
| 83735 | <1% | 1,187 | $2K | |
| 0012A | <1% | 61 | $2K | |
| 83690 | <1% | 1,313 | $2K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 236 | $1K |
| 85730 | <1% | 797 | $1K | |
| 0011A | <1% | 47 | $1K | |
| 85610 | <1% | 1,095 | $1K | |
| 97161 | <1% | 14 | $1K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 43 | $1K |
| 81001 | <1% | 1,144 | $1K | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 1,247 | $1K |
| 96376 | <1% | 16 | $796.90 | |
| 81003 | <1% | 1,128 | $634.55 | |
| 85027 | <1% | 134 | $467.27 | |
| 87634 | <1% | 43 | $454.06 | |
| 87070 | <1% | 223 | $390.93 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 352 | $371.57 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 16 | $354.81 |
| 84703 | <1% | 266 | $349.73 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 138 | $321.20 |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 78 | $185.09 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 103 | $174.11 |
| 83605 | <1% | 91 | $171.49 | |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 100 | $170.28 |
| 82550 | <1% | 54 | $165.85 | |
| 82077 | <1% | 30 | $150.23 | |
| 85379 | <1% | 57 | $120.87 | |
| 87040 | <1% | 46 | $116.10 | |
| J0131 | Injection, acetaminophen, not otherwise specified,10 mg | <1% | 35 | $97.06 |
| J0134 | Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg | <1% | 29 | $23.70 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 38 | $20.82 |
| 81015 | <1% | 221 | $11.51 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 35 | $10.10 |
| J2704 | Injection, propofol, 10 mg | <1% | 29 | $8.20 |
| J3490 | Unclassified drugs | 0% | 18 | $0.00 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 0% | 13 | $0.00 |
| 99080 | 0% | 106 | $0.00 | |
| A4649 | Surgical supply; miscellaneous | 0% | 41 | $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 officialDIFIGLIA, MARIO (VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Good Samaritan Hospital of Suffern | Suffern, NY | $18.96M |
| Bon Secours Community Hospital | Port Jervis, NY | $10.48M |
| Good Samaritan Hospital of Suffern | West Nyack, NY | $81K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.