Hospital
Gouverneur Hospital
Gouverneur Hospital was paid $12.66M by Medicaid between Jan 2018 and Dec 2024, across 142 billing codes. Its largest line is 99283, emergency room visit (moderate) — 23% of everything it billed.
33Billing provider infoGOUVERNEUR HOSPITAL
GOUVERNEUR, NY 13642
GOUVERNEUR, NY 13642
33aNPI1629409925assigned 12/12/2013
33bProvider typeCritical Access Hospital
28Total paid$12.66M
24GClaims158,018
24DCodes billed142
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Access Hospital providers in New York
Rank by total paid#5 of 12
Median peer was paid$5.23M
This provider vs. median2.4×
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 | 117 | $8K | |
| 2019 | 6,882 | $280K | |
| 2020 | 23,485 | $883K | |
| 2021 | 30,975 | $1.45M | |
| 2022 | 35,473 | $4.56M | |
| 2023 | 36,359 | $3.64M | |
| 2024incomplete | 24,727 | $1.83M |
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 | 23% | 11,608 | 10,843 | $2.85M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 9.0% | 4,354 | 2,718 | $1.15M |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 7.2% | 3,430 | 3,305 | $908K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 6.6% | 5,712 | 5,462 | $836K |
| 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 | 4.9% | 3,578 | 3,270 | $616K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.4% | 3,664 | 3,349 | $551K |
| 36415 | Collection of venous blood by venipuncture | 3.8% | 7,992 | 6,364 | $486K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.2% | 1,735 | 1,445 | $410K |
| 96361 | Intravenous infusion, hydration; each additional hour | 3.2% | 862 | 781 | $403K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.9% | 2,517 | 774 | $365K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.7% | 2,719 | 2,511 | $346K |
| 80053 | Comprehensive metabolic panel | 2.3% | 10,597 | 9,609 | $297K |
130 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.3% | 2,129 | $293K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 2,078 | $282K |
| 99215 | Doctor's office visit, returning patient (complex) | 2.1% | 1,128 | $272K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.1% | 1,754 | $266K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.6% | 4,337 | $197K |
| 87486 | 1.3% | 1,107 | $169K | |
| H0038 | Self-help/peer services, per 15 minutes | 1.3% | 1,660 | $160K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.2% | 528 | $147K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 1.0% | 441 | $130K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 1,464 | $121K |
| G0397 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes | <1% | 852 | $110K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 320 | $99K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 305 | $93K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 2,696 | $89K |
| 81025 | <1% | 1,275 | $89K | |
| 90837 | Psychotherapy session, about an hour | <1% | 596 | $85K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 1,603 | $76K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 559 | $70K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 450 | $41K |
| 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% | 591 | $41K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 4,916 | $40K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 151 | $37K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 708 | $36K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,362 | $35K |
| 99205 | Prolong outpt/office vis | <1% | 117 | $30K |
| 80061 | Lipid panel | <1% | 3,973 | $29K |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 1,478 | $29K |
| H0001 | Alcohol and/or drug assessment | <1% | 215 | $29K |
| 84439 | <1% | 3,004 | $24K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 10,812 | $23K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,644 | $23K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 535 | $21K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 595 | $21K |
| 87581 | <1% | 1,107 | $20K | |
| 97161 | <1% | 112 | $15K | |
| 82607 | <1% | 1,323 | $15K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 262 | $15K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 522 | $10K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 24 | $10K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,771 | $9K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,931 | $9K |
| 82728 | <1% | 663 | $8K | |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | <1% | 104 | $7K |
| 83735 | <1% | 1,858 | $6K | |
| 86140 | <1% | 1,051 | $6K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 2,085 | $6K |
| 81001 | <1% | 2,253 | $5K | |
| 83880 | <1% | 144 | $4K | |
| 90836 | <1% | 15 | $4K | |
| 85610 | <1% | 1,359 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 236 | $4K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 259 | $4K |
| 90686 | <1% | 123 | $3K | |
| 83655 | <1% | 213 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 25 | $3K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 720 | $3K |
| 81015 | <1% | 2,477 | $3K | |
| 87186 | <1% | 811 | $3K | |
| 83540 | <1% | 565 | $3K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 157 | $3K |
| 84481 | <1% | 294 | $2K | |
| 82570 | <1% | 536 | $2K | |
| 83550 | <1% | 508 | $2K | |
| 90688 | <1% | 13 | $2K | |
| 82043 | <1% | 474 | $2K | |
| 84100 | <1% | 485 | $2K | |
| 97162 | <1% | 13 | $2K | |
| 88142 | <1% | 74 | $2K | |
| 71045 | Radiologic examination, chest; single view | <1% | 570 | $2K |
| 87077 | <1% | 361 | $2K | |
| 86618 | <1% | 95 | $2K | |
| 82746 | <1% | 163 | $1K | |
| 86803 | <1% | 178 | $1K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 17 | $1K |
| 99443 | <1% | 16 | $1K | |
| 84702 | <1% | 148 | $1K | |
| 87340 | <1% | 118 | $1K | |
| 83690 | <1% | 1,918 | $1K | |
| 81003 | <1% | 1,404 | $991.93 | |
| 85652 | <1% | 696 | $959.42 | |
| 85651 | <1% | 527 | $905.79 | |
| 99051 | <1% | 70 | $872.07 | |
| 99442 | <1% | 14 | $859.82 | |
| 85730 | <1% | 483 | $775.96 | |
| 90715 | <1% | 26 | $704.64 | |
| 76830 | Ultrasound, transvaginal | <1% | 24 | $690.79 |
| 84207 | <1% | 24 | $646.30 | |
| 86780 | <1% | 66 | $597.31 | |
| 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% | 170 | $508.94 |
| 87081 | <1% | 189 | $492.94 | |
| 84153 | <1% | 26 | $452.10 | |
| 84484 | <1% | 1,331 | $358.55 | |
| 73630 | <1% | 96 | $351.50 | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 94 | $348.98 |
| 82150 | <1% | 504 | $345.32 | |
| 84480 | <1% | 43 | $251.20 | |
| 86850 | <1% | 25 | $236.46 | |
| 80320 | <1% | 80 | $235.00 | |
| 85014 | <1% | 158 | $222.82 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 14 | $210.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 120 | $202.30 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 29 | $201.81 |
| 74018 | <1% | 44 | $180.84 | |
| 86901 | <1% | 25 | $176.70 | |
| 82550 | <1% | 45 | $174.59 | |
| 86900 | <1% | 24 | $156.72 | |
| 85027 | <1% | 70 | $154.58 | |
| 82747 | <1% | 13 | $151.56 | |
| G0008 | Administration of influenza virus vaccine | <1% | 14 | $146.96 |
| 85379 | <1% | 76 | $123.06 | |
| 73610 | <1% | 56 | $115.00 | |
| 84703 | <1% | 239 | $102.63 | |
| 73030 | <1% | 12 | $99.72 | |
| 87070 | <1% | 13 | $81.50 | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 805 | $64.47 |
| 84436 | <1% | 12 | $61.98 | |
| 80305 | <1% | 161 | $61.50 | |
| 86038 | <1% | 14 | $57.20 | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 1,384 | $56.10 |
| A9270 | Non-covered item or service | <1% | 2,099 | $54.68 |
| 83605 | <1% | 227 | $54.40 | |
| 87040 | <1% | 24 | $17.99 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 598 | $15.20 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,387 | $4.12 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 572 | $2.03 |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | <1% | 72 | $0.11 |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | 0% | 436 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 49 | $0.00 |
| J0131 | Injection, acetaminophen, not otherwise specified,10 mg | 0% | 14 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 18 | $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 officialMCGREGOR, DONNA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Canton-Potsdam Hospital | Potsdam, NY | $61.54M |
| Gouverneur Hospital | Gouverneur, NY | $246K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.