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

Garnet Health Medical Center

Garnet Health Medical Center was paid $45.17M by Medicaid between Jan 2018 and Dec 2024, across 253 billing codes. Its largest line is 99284, emergency room visit (serious) — 17% of everything it billed.

33Billing provider infoGARNET HEALTH MEDICAL CENTER
MIDDLETOWN, NY 10940
33aNPI1609875772assigned 07/20/2005
33bProvider typeGeneral Acute Care Hospital
28Total paid$45.17M
24GClaims728,260
24DCodes billed253
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in New York

Rank by total paid#33 of 231
Median peer was paid$561K
This provider vs. median81×

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$500K$1.0M2018201920202021202220232024
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
201830,242$808K
201966,007$3.01M
2020127,602$7.37M
2021142,168$8.54M
2022139,271$9.14M
2023130,584$9.29M
2024incomplete92,386$7.01M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 17% 43,170 39,656 $7.47M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 15% 35,424 33,412 $6.83M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 6.9% 10,324 7,053 $3.10M
96361 Intravenous infusion, hydration; each additional hour 4.6% 6,794 6,153 $2.09M
97530 Therapeutic activities, direct patient contact, each 15 minutes 4.4% 8,385 2,215 $1.98M
74177 Computed tomography, abdomen and pelvis; with contrast material 3.8% 5,766 5,636 $1.73M
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 3.2% 6,218 5,331 $1.46M
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3.2% 3,297 3,238 $1.44M
80048 Basic metabolic panel (calcium, ionized) 2.7% 55,494 34,678 $1.23M
70450 Computed tomography, head or brain; without contrast material 2.7% 4,597 4,468 $1.22M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2.2% 1,179 1,178 $975K
76700 Ultrasound, abdominal, real time with image documentation; complete 2.1% 2,179 2,157 $940K
241 more codes
99214 Doctor's office visit, returning patient (more involved) 1.6% 5,824 $738K
G0378 Hospital observation service, per hour 1.4% 6,683 $639K
71275 Computed tomographic angiography, chest, with contrast material 1.4% 1,814 $626K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1.4% 2,360 $616K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.3% 2,110 $586K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1.2% 8,625 $537K
99213 Doctor's office visit, returning patient (routine) 1.0% 3,446 $460K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,530 $449K
80076 <1% 32,604 $426K
93970 <1% 732 $422K
36415 Collection of venous blood by venipuncture <1% 52,680 $419K
90834 Psychotherapy session, about 45 minutes <1% 2,495 $393K
77336 <1% 579 $344K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,146 $329K
90853 Group psychotherapy (other than of a multiple-family group) <1% 3,794 $308K
93458 <1% 159 $303K
86850 <1% 6,675 $282K
90832 Psychotherapy session, about 30 minutes <1% 2,733 $279K
99285 Emergency room visit (most serious) <1% 1,629 $257K
76801 <1% 2,009 $236K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 5,698 $235K
86901 <1% 6,663 $208K
70551 Magnetic resonance imaging, brain; without contrast material <1% 591 $207K
96367 <1% 1,322 $198K
80053 Comprehensive metabolic panel <1% 7,808 $181K
96415 <1% 257 $176K
76819 Fetal biophysical profile; without non-stress testing <1% 1,597 $172K
97162 <1% 870 $172K
12001 <1% 314 $168K
70496 <1% 572 $163K
77412 <1% 379 $160K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 1,128 $160K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,005 $159K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,977 $150K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 143 $150K
86900 <1% 6,664 $148K
88342 <1% 1,954 $145K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 4,146 $135K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,345 $123K
S9480 Intensive outpatient psychiatric services, per diem <1% 497 $119K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 308 $117K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 3,157 $115K
12011 <1% 214 $113K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 110 $111K
83880 <1% 3,176 $99K
97602 <1% 640 $98K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 7,993 $98K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 103 $92K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 128 $91K
93971 <1% 909 $88K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes <1% 480 $84K
87631 <1% 1,272 $79K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,947 $78K
85055 <1% 1,847 $76K
76775 <1% 1,139 $67K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 289 $67K
78815 Positron emission tomography (PET) for limited area imaging <1% 143 $62K
J1756 Injection, iron sucrose, 1 mg <1% 1,010 $49K
76642 <1% 1,921 $48K
88304 <1% 829 $44K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,246 $42K
77061 <1% 557 $40K
93017 <1% 175 $37K
77065 Tomosynthesis, mammo <1% 478 $35K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 107 $34K
97166 <1% 240 $33K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 19,746 $33K
12002 <1% 51 $29K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 364 $27K
90715 <1% 1,211 $27K
72125 Computed tomography, cervical spine; without contrast material <1% 616 $26K
76830 Ultrasound, transvaginal <1% 541 $26K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,242 $25K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 600 $23K
80061 Lipid panel <1% 2,389 $23K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 27 $23K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,976 $22K
82803 <1% 670 $21K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 12,293 $20K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 955 $20K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 26,673 $20K
85027 <1% 6,397 $16K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 86 $16K
76536 <1% 578 $15K
71250 <1% 125 $15K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 225 $14K
85610 <1% 9,282 $13K
71046 Radiologic examination, chest; 2 views <1% 3,162 $13K
71045 Radiologic examination, chest; single view <1% 10,620 $13K
99215 Doctor's office visit, returning patient (complex) <1% 68 $13K
84443 Thyroid stimulating hormone (TSH) <1% 4,565 $13K
96375 Therapeutic injection; each additional sequential IV push <1% 13,187 $12K
82805 <1% 393 $12K
87040 <1% 4,683 $11K
10060 <1% 26 $11K
76000 <1% 40 $10K
77066 Tomosynthesis, mammo <1% 125 $10K
88307 <1% 138 $10K
77334 <1% 46 $10K
83036 Hemoglobin; glycosylated (A1C) <1% 1,754 $9K
76870 <1% 151 $9K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 95 $9K
70486 <1% 94 $9K
72082 <1% 454 $7K
P9016 Red blood cells, leukocytes reduced, each unit <1% 12 $7K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 39 $7K
84439 <1% 1,381 $7K
90792 Psychiatric diagnostic evaluation with medical services <1% 27 $6K
96376 <1% 3,328 $6K
70498 <1% 148 $5K
74018 <1% 1,729 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 190 $5K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 7,065 $5K
74246 <1% 110 $4K
29125 <1% 16 $4K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 93 $4K
87086 Culture, bacterial; quantitative colony count, urine <1% 7,691 $4K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 13 $4K
84702 <1% 2,402 $4K
97163 <1% 13 $4K
83735 <1% 10,894 $4K
72141 <1% 14 $4K
88341 <1% 100 $4K
82607 <1% 561 $4K
29515 <1% 13 $4K
84703 <1% 10,168 $4K
85730 <1% 7,889 $3K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 140 $3K
84484 <1% 12,689 $3K
73560 <1% 837 $3K
87340 <1% 390 $3K
C1760 Closure device, vascular (implantable/insertable) <1% 86 $3K
82728 <1% 404 $3K
82550 <1% 10,604 $2K
73610 <1% 865 $2K
73630 <1% 621 $2K
97802 <1% 31 $2K
70491 <1% 12 $2K
C1769 Guide wire <1% 676 $2K
82962 <1% 7,820 $2K
81001 <1% 7,580 $2K
C9290 Injection, bupivacaine liposome, 1 mg <1% 12 $2K
86140 <1% 1,975 $2K
83690 <1% 6,365 $2K
73130 <1% 541 $2K
80329 <1% 585 $2K
73030 <1% 413 $1K
83605 <1% 4,868 $1K
86618 <1% 177 $1K
81003 <1% 6,850 $1K
72100 <1% 228 $1K
82565 <1% 432 $1K
84112 <1% 30 $1K
36416 <1% 467 $1K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 50 $1K
J2704 Injection, propofol, 10 mg <1% 4,603 $1K
87799 <1% 12 $949.38
87481 <1% 12 $921.67
82746 <1% 154 $868.81
83540 <1% 335 $840.33
A4648 Tissue marker, implantable, any type, each <1% 51 $831.45
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,341 $830.21
87077 <1% 1,448 $816.21
84100 <1% 1,163 $814.48
73110 <1% 208 $753.86
80320 <1% 3,136 $735.11
86480 <1% 12 $705.03
82948 <1% 786 $687.08
83550 <1% 282 $666.42
85652 <1% 946 $662.58
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,695 $598.59
87081 <1% 1,163 $585.00
85379 <1% 1,003 $551.35
86592 <1% 201 $463.71
86803 <1% 71 $449.30
87186 <1% 867 $376.74
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 13 $367.91
86703 <1% 25 $361.64
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 6,514 $348.70
87512 <1% 12 $342.63
93799 <1% 192 $325.75
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 12 $321.98
80143 <1% 1,308 $319.50
73080 <1% 95 $306.09
96368 <1% 81 $285.53
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 7,858 $284.27
J3010 Injection, fentanyl citrate, 0.1 mg <1% 4,301 $269.67
72170 <1% 60 $253.45
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 4,504 $247.17
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 8,624 $219.06
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 12 $186.75
87147 <1% 713 $183.67
86800 <1% 14 $181.60
J0690 Injection, cefazolin sodium, 500 mg <1% 1,691 $175.61
82570 <1% 42 $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 <1% 2,449 $167.64
80179 <1% 1,247 $164.91
J1170 Injection, hydromorphone, up to 4 mg <1% 1,495 $120.30
J1644 Injection, heparin sodium, per 1000 units <1% 2,686 $108.06
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,638 $98.45
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 2,635 $97.77
86780 <1% 14 $97.38
87205 <1% 309 $92.04
76857 <1% 14 $91.14
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,387 $89.26
84145 <1% 163 $79.55
73090 <1% 26 $75.28
87070 <1% 191 $73.04
73590 <1% 34 $70.85
82553 <1% 226 $69.72
J3475 Injection, magnesium sulfate, per 500 mg <1% 769 $61.96
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 954 $55.80
J7120 Ringers lactate infusion, up to 1000 cc <1% 184 $51.61
84520 <1% 12 $47.95
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 462 $44.37
J3480 Injection, potassium chloride, per 2 meq <1% 165 $25.94
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 241 $17.08
83615 <1% 15 $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 <1% 618 $6.19
93041 <1% 136 $4.88
J7050 Infusion, normal saline solution, 250 cc <1% 106 $2.65
99080 0% 8,400 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 71 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 17 $0.00
87899 0% 29 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 0% 99 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 23 $0.00
J0694 Injection, cefoxitin sodium, 1 gm 0% 16 $0.00
82272 0% 12 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 40 $0.00
99152 0% 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 0% 60 $0.00
87807 0% 32 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 0% 204 $0.00
J2060 Injection, lorazepam, 2 mg 0% 176 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 100 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 43 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 0% 57 $0.00
82150 0% 12 $0.00
82270 0% 14 $0.00
88300 0% 13 $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 officialSCHEUERMANN, WILLIAM (VP OF REVENUE STRATEGY)
Same official

Other billing entities under SCHEUERMANN, WILLIAM

Full network →
ProviderLocationPaid
Garnet Health Medical Center CatskillsHarris, NY$21.96M
Garnet Health Medical Center CatskillsCallicoon, NY$941K
Garnet Health Medical CenterMiddletown, NY$44K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.