Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › MIDDLETOWN › GARNET HEALTH MEDICAL CENTER

GARNET HEALTH MEDICAL CENTER

NPI: 1609875772 · MIDDLETOWN, NY 10940 · General Acute Care Hospital · NPI assigned 07/20/2005

$45.17M
Total Medicaid Paid
728,260
Total Claims
584,841
Beneficiaries
253
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSCHEUERMANN, WILLIAM (VP OF REVENUE STRATEGY)
NPI Enumeration Date07/20/2005

Related Entities

Other providers sharing the same authorized official: SCHEUERMANN, WILLIAM

ProviderCityStateTotal Paid
GARNET HEALTH MEDICAL CENTER CATSKILLS HARRIS NY $21.96M
GARNET HEALTH MEDICAL CENTER CATSKILLS CALLICOON NY $941K
GARNET HEALTH MEDICAL CENTER MIDDLETOWN NY $44K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 30,242 $808K
2019 66,007 $3.01M
2020 127,602 $7.37M
2021 142,168 $8.54M
2022 139,271 $9.14M
2023 130,584 $9.29M
2024 92,386 $7.01M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 43,170 39,656 $7.47M
99283 Emergency department visit for the evaluation and management, moderate severity 35,424 33,412 $6.83M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 10,324 7,053 $3.10M
96361 Intravenous infusion, hydration; each additional hour 6,794 6,153 $2.09M
97530 Therapeutic activities, direct patient contact, each 15 minutes 8,385 2,215 $1.98M
74177 Computed tomography, abdomen and pelvis; with contrast material 5,766 5,636 $1.73M
90791 Psychiatric diagnostic evaluation 6,218 5,331 $1.46M
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,297 3,238 $1.44M
80048 Basic metabolic panel (calcium, ionized) 55,494 34,678 $1.23M
70450 Computed tomography, head or brain; without contrast material 4,597 4,468 $1.22M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,179 1,178 $975K
76700 Ultrasound, abdominal, real time with image documentation; complete 2,179 2,157 $940K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,824 5,102 $738K
G0378 Hospital observation service, per hour 6,683 3,416 $639K
71275 Computed tomographic angiography, chest, with contrast material 1,814 1,785 $626K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2,360 2,050 $616K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,110 1,978 $586K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 8,625 8,414 $537K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,446 3,070 $460K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,530 1,521 $449K
80076 32,604 29,395 $426K
93970 732 726 $422K
36415 Collection of venous blood by venipuncture 52,680 25,200 $419K
90834 Psychotherapy, 45 minutes with patient 2,495 1,695 $393K
77336 579 270 $344K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,146 1,121 $329K
90853 Group psychotherapy (other than of a multiple-family group) 3,794 800 $308K
93458 159 159 $303K
86850 6,675 6,095 $282K
90832 Psychotherapy, 30 minutes with patient 2,733 2,159 $279K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,629 1,584 $257K
76801 2,009 1,770 $236K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,698 5,214 $235K
86901 6,663 6,086 $208K
70551 Magnetic resonance imaging, brain; without contrast material 591 589 $207K
96367 1,322 787 $198K
80053 Comprehensive metabolic panel 7,808 6,192 $181K
96415 257 212 $176K
76819 Fetal biophysical profile; without non-stress testing 1,597 1,376 $172K
97162 870 856 $172K
12001 314 309 $168K
70496 572 571 $163K
77412 379 37 $160K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,128 797 $160K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,005 1,971 $159K
77067 Screening mammography, bilateral, including computer-aided detection 1,977 1,977 $150K
95810 Polysomnography; sleep staging with 4 or more additional parameters 143 143 $150K
86900 6,664 6,087 $148K
88342 1,954 1,933 $145K
88305 Level IV - Surgical pathology, gross and microscopic examination 4,146 2,981 $135K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,345 1,255 $123K
S9480 Intensive outpatient psychiatric services, per diem 497 65 $119K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 308 307 $117K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,157 3,003 $115K
12011 214 210 $113K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 110 110 $111K
83880 3,176 3,013 $99K
97602 640 361 $98K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,993 5,992 $98K
45380 Colonoscopy, flexible; with biopsy, single or multiple 103 103 $92K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 128 77 $91K
93971 909 886 $88K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 480 381 $84K
87631 1,272 1,250 $79K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,947 1,931 $78K
85055 1,847 1,545 $76K
76775 1,139 1,123 $67K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 289 278 $67K
78815 Positron emission tomography (PET) for limited area imaging 143 143 $62K
J1756 Injection, iron sucrose, 1 mg 1,010 422 $49K
76642 1,921 1,878 $48K
88304 829 826 $44K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,246 1,229 $42K
77061 557 528 $40K
93017 175 174 $37K
77065 Tomosynthesis, mammo 478 450 $35K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 107 107 $34K
97166 240 238 $33K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 19,746 16,367 $33K
12002 51 51 $29K
71260 Computed tomography, thorax, diagnostic; with contrast material 364 362 $27K
90715 1,211 1,204 $27K
72125 Computed tomography, cervical spine; without contrast material 616 600 $26K
76830 Ultrasound, transvaginal 541 511 $26K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,242 1,226 $25K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 600 596 $23K
80061 Lipid panel 2,389 2,352 $23K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 27 27 $23K
77063 Screening digital breast tomosynthesis, bilateral 1,976 1,976 $22K
82803 670 604 $21K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 12,293 11,379 $20K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 955 760 $20K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 26,673 22,711 $20K
85027 6,397 5,194 $16K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 86 85 $16K
76536 578 575 $15K
71250 125 125 $15K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 225 196 $14K
85610 9,282 8,520 $13K
71046 Radiologic examination, chest; 2 views 3,162 3,116 $13K
71045 Radiologic examination, chest; single view 10,620 9,978 $13K
99215 Prolong outpt/office vis 68 63 $13K
84443 Thyroid stimulating hormone (TSH) 4,565 4,361 $13K
96375 Therapeutic injection; each additional sequential IV push 13,187 10,611 $12K
82805 393 354 $12K
87040 4,683 2,753 $11K
10060 26 26 $11K
76000 40 40 $10K
77066 Tomosynthesis, mammo 125 123 $10K
88307 138 113 $10K
77334 46 24 $10K
83036 Hemoglobin; glycosylated (A1C) 1,754 1,730 $9K
76870 151 149 $9K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 95 74 $9K
70486 94 93 $9K
72082 454 451 $7K
P9016 Red blood cells, leukocytes reduced, each unit 12 12 $7K
99281 Emergency department visit for the evaluation and management, self-limited or minor 39 39 $7K
84439 1,381 1,344 $7K
90792 Psychiatric diagnostic evaluation with medical services 27 27 $6K
96376 3,328 2,194 $6K
70498 148 148 $5K
74018 1,729 1,634 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 190 190 $5K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 7,065 6,304 $5K
74246 110 109 $4K
29125 16 15 $4K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 93 83 $4K
87086 Culture, bacterial; quantitative colony count, urine 7,691 7,279 $4K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 13 13 $4K
84702 2,402 2,099 $4K
97163 13 13 $4K
83735 10,894 8,347 $4K
72141 14 14 $4K
88341 100 93 $4K
82607 561 551 $4K
29515 13 13 $4K
84703 10,168 9,494 $4K
85730 7,889 7,351 $3K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 140 134 $3K
84484 12,689 9,231 $3K
73560 837 750 $3K
87340 390 374 $3K
C1760 Closure device, vascular (implantable/insertable) 86 85 $3K
82728 404 390 $3K
82550 10,604 9,165 $2K
73610 865 816 $2K
73630 621 576 $2K
97802 31 31 $2K
70491 12 12 $2K
C1769 Guide wire 676 645 $2K
82962 7,820 4,095 $2K
81001 7,580 7,162 $2K
C9290 Injection, bupivacaine liposome, 1 mg 12 12 $2K
86140 1,975 1,855 $2K
83690 6,365 5,923 $2K
73130 541 499 $2K
80329 585 524 $2K
73030 413 384 $1K
83605 4,868 4,031 $1K
86618 177 176 $1K
81003 6,850 6,594 $1K
72100 228 226 $1K
82565 432 426 $1K
84112 30 27 $1K
36416 467 384 $1K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 50 50 $1K
J2704 Injection, propofol, 10 mg 4,603 4,513 $1K
87799 12 12 $949.38
87481 12 12 $921.67
82746 154 151 $868.81
83540 335 328 $840.33
A4648 Tissue marker, implantable, any type, each 51 49 $831.45
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,341 1,182 $830.21
87077 1,448 1,289 $816.21
84100 1,163 854 $814.48
73110 208 190 $753.86
80320 3,136 2,733 $735.11
86480 12 12 $705.03
82948 786 615 $687.08
83550 282 276 $666.42
85652 946 897 $662.58
J0696 Injection, ceftriaxone sodium, per 250 mg 1,695 1,056 $598.59
87081 1,163 1,155 $585.00
85379 1,003 976 $551.35
86592 201 201 $463.71
86803 71 71 $449.30
87186 867 796 $376.74
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 13 13 $367.91
86703 25 24 $361.64
J1100 Injection, dexamethasone sodium phosphate, 1 mg 6,514 5,064 $348.70
87512 12 12 $342.63
93799 192 93 $325.75
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 12 12 $321.98
80143 1,308 1,225 $319.50
73080 95 90 $306.09
96368 81 24 $285.53
J2405 Injection, ondansetron hydrochloride, per 1 mg 7,858 6,313 $284.27
J3010 Injection, fentanyl citrate, 0.1 mg 4,301 4,083 $269.67
72170 60 41 $253.45
J2250 Injection, midazolam hydrochloride, per 1 mg 4,504 3,739 $247.17
J1885 Injection, ketorolac tromethamine, per 15 mg 8,624 5,880 $219.06
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 12 12 $186.75
87147 713 563 $183.67
86800 14 14 $181.60
J0690 Injection, cefazolin sodium, 500 mg 1,691 1,517 $175.61
82570 42 40 $175.52
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 2,449 2,327 $167.64
80179 1,247 1,181 $164.91
J1170 Injection, hydromorphone, up to 4 mg 1,495 1,211 $120.30
J1644 Injection, heparin sodium, per 1000 units 2,686 1,502 $108.06
J2270 Injection, morphine sulfate, up to 10 mg 1,638 1,259 $98.45
J2765 Injection, metoclopramide hcl, up to 10 mg 2,635 2,377 $97.77
86780 14 14 $97.38
87205 309 284 $92.04
76857 14 14 $91.14
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,387 2,035 $89.26
84145 163 160 $79.55
73090 26 25 $75.28
87070 191 186 $73.04
73590 34 28 $70.85
82553 226 178 $69.72
J3475 Injection, magnesium sulfate, per 500 mg 769 606 $61.96
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 954 948 $55.80
J7120 Ringers lactate infusion, up to 1000 cc 184 166 $51.61
84520 12 12 $47.95
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 462 363 $44.37
J3480 Injection, potassium chloride, per 2 meq 165 112 $25.94
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 241 200 $17.08
83615 15 14 $8.05
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 618 468 $6.19
93041 136 131 $4.88
J7050 Infusion, normal saline solution, 250 cc 106 78 $2.65
99080 8,400 1,119 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 71 56 $0.00
J3370 Injection, vancomycin hcl, 500 mg 17 14 $0.00
87899 29 28 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 99 62 $0.00
J1171 Injection, hydromorphone, 0.1 mg 23 16 $0.00
J0694 Injection, cefoxitin sodium, 1 gm 16 14 $0.00
82272 12 12 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 40 24 $0.00
99152 12 12 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 60 50 $0.00
87807 32 32 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 204 104 $0.00
J2060 Injection, lorazepam, 2 mg 176 147 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 100 100 $0.00
J1630 Injection, haloperidol, up to 5 mg 43 39 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 57 57 $0.00
82150 12 12 $0.00
82270 14 14 $0.00
88300 13 12 $0.00