Physician
Community Memorial Hospital
Community Memorial Hospital was paid $598K by Medicaid between Nov 2023 and Nov 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoCOMMUNITY MEMORIAL HOSPITAL
HAMILTON, NY 13346
HAMILTON, NY 13346
33aNPI1609303692assigned 05/22/2017
33bProvider typeFamily Medicine Physician
28Total paid$598K
24GClaims6,849
24DCodes billed26
24AFirst – last monthNov 2023 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#189 of 2,605
Median peer was paid$10K
This provider vs. median59×
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 | |
|---|---|---|---|
| 2023 | 985 | $96K | |
| 2024incomplete | 5,864 | $502K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 2,009 | 1,820 | $196K |
| 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 | 15% | 877 | 813 | $89K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 9.7% | 432 | 424 | $58K |
| 96127 | 9.1% | 495 | 487 | $55K | |
| 36415 | Collection of venous blood by venipuncture | 5.6% | 237 | 232 | $34K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.2% | 211 | 205 | $25K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.1% | 366 | 359 | $24K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.9% | 229 | 216 | $23K |
| 87428 | 3.8% | 335 | 326 | $23K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.8% | 247 | 242 | $17K |
| 99051 | 2.6% | 123 | 121 | $16K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.7% | 234 | 228 | $10K |
14 more codes
| 81002 | 1.7% | 67 | $10K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 97 | $6K |
| 90677 | <1% | 35 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 160 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 42 | $3K |
| 90633 | <1% | 27 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 246 | $553.92 |
| 90461 | <1% | 163 | $156.74 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 52 | $8.31 |
| 90715 | 0% | 14 | $0.00 | |
| 90648 | 0% | 28 | $0.00 | |
| 90734 | 0% | 13 | $0.00 | |
| 90686 | 0% | 96 | $0.00 | |
| 90723 | 0% | 14 | $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 officialBOVA, CARRIE (EXECUTIVE DIRECTOR, BUSINESS)
Parent organizationCOMMUNITY MEMORIAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| River Hospital, INC. | Alexandria Bay, NY | $999K |
| Claxton-Hepburn Medical Center | Ogdensburg, NY | $10K |
| Claxton-Hepburn Medical Center | Ogdensburg, NY | $573.04 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.