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

Kaleida Health

Kaleida Health was paid $30.80M by Medicaid between Jan 2018 and Dec 2024, across 301 billing codes. Its largest line is G0378, Hospital observation service, per hour — 14% of everything it billed.

33Billing provider infoKALEIDA HEALTH
BUFFALO, NY 14203
33aNPI1639209596assigned 03/07/2007
28Total paid$30.80M
24GClaims790,874
24DCodes billed301
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in New York

Rank by total paid#43 of 231
Median peer was paid$561K
This provider vs. median55×

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
2018973$54K
201943,252$1.25M
202068,174$2.63M
2021137,143$5.26M
2022178,835$7.57M
2023196,754$7.86M
2024incomplete165,743$6.17M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0378 Hospital observation service, per hour 14% 3,227 3,099 $4.23M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 8.0% 11,978 11,258 $2.46M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 7.7% 12,582 11,943 $2.36M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 6.3% 12,191 11,556 $1.95M
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 4.8% 17,989 16,616 $1.49M
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 4.0% 12,948 11,974 $1.22M
96361 Intravenous infusion, hydration; each additional hour 3.6% 5,987 5,557 $1.12M
99282 Emergency department visit for the evaluation and management, low to moderate severity 3.5% 5,397 4,903 $1.08M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.1% 7,718 7,305 $957K
80053 Comprehensive metabolic panel 3.0% 63,549 48,976 $929K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2.7% 1,279 1,268 $826K
70450 Computed tomography, head or brain; without contrast material 2.3% 3,907 3,776 $720K
289 more codes
93458 2.2% 424 $671K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1.9% 20,914 $582K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1.6% 20,705 $506K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.6% 2,028 $487K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1.5% 590 $467K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1.2% 17,448 $369K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1.2% 4,690 $366K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1.1% 13,534 $351K
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 1.1% 13,186 $328K
87631 <1% 6,212 $302K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 715 $270K
99203 Doctor's office visit, new patient (routine) <1% 1,752 $248K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,772 $247K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,147 $233K
70551 Magnetic resonance imaging, brain; without contrast material <1% 1,122 $226K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 4,964 $223K
87481 <1% 3,277 $199K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 7,355 $188K
71275 Computed tomographic angiography, chest, with contrast material <1% 903 $170K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 629 $162K
99204 Doctor's office visit, new patient (more involved) <1% 1,104 $158K
70496 <1% 869 $158K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 1,303 $149K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 906 $145K
84443 Thyroid stimulating hormone (TSH) <1% 14,138 $140K
99442 <1% 1,200 $136K
80061 Lipid panel <1% 15,584 $132K
80048 Basic metabolic panel (calcium, ionized) <1% 12,237 $128K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 4,986 $128K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 982 $127K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 47,800 $126K
36415 Collection of venous blood by venipuncture <1% 24,748 $120K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 513 $106K
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% 6,631 $106K
87086 Culture, bacterial; quantitative colony count, urine <1% 15,392 $102K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 6,024 $94K
83880 <1% 3,833 $93K
83036 Hemoglobin; glycosylated (A1C) <1% 11,400 $90K
84153 <1% 4,745 $82K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 5,588 $79K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 119 $72K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 402 $69K
87070 <1% 8,551 $61K
86900 <1% 3,559 $58K
81513 <1% 1,976 $56K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 17,398 $55K
99443 <1% 488 $54K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 385 $51K
93975 <1% 86 $47K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 413 $47K
82803 <1% 2,300 $47K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,688 $45K
97161 <1% 1,044 $43K
82607 <1% 3,684 $43K
84439 <1% 5,350 $43K
81025 <1% 11,799 $43K
97803 <1% 2,253 $43K
96127 <1% 4,242 $39K
87077 <1% 4,451 $37K
71046 Radiologic examination, chest; 2 views <1% 9,084 $37K
86850 <1% 3,540 $37K
93017 <1% 802 $36K
86901 <1% 3,529 $35K
86780 <1% 3,575 $35K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk <1% 40 $34K
88342 <1% 537 $31K
86141 <1% 3,957 $31K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,259 $31K
86003 <1% 476 $31K
0042T <1% 587 $29K
84403 <1% 1,167 $28K
81001 <1% 16,515 $28K
99406 <1% 956 $28K
87186 <1% 4,068 $27K
85610 <1% 11,359 $26K
82728 <1% 2,178 $25K
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 629 $25K
83735 <1% 9,296 $25K
87147 <1% 1,680 $24K
86480 <1% 461 $24K
82746 <1% 2,248 $24K
83874 <1% 7,182 $22K
85027 <1% 6,841 $22K
87088 <1% 3,410 $22K
C1769 Guide wire <1% 1,348 $21K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 9,238 $21K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 5,203 $18K
86803 <1% 2,212 $17K
82043 <1% 3,406 $16K
76000 <1% 428 $16K
72125 Computed tomography, cervical spine; without contrast material <1% 627 $16K
82570 <1% 3,789 $16K
85730 <1% 5,777 $16K
87660 <1% 1,195 $16K
90715 <1% 489 $15K
87480 <1% 1,197 $14K
87510 <1% 1,193 $14K
97162 <1% 239 $14K
83690 <1% 5,213 $14K
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 94 $14K
83540 <1% 2,676 $13K
96375 Therapeutic injection; each additional sequential IV push <1% 5,227 $12K
83970 <1% 270 $11K
86762 <1% 772 $11K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 257 $11K
74174 <1% 41 $11K
82784 <1% 667 $10K
3077F <1% 466 $10K
83550 <1% 2,017 $10K
94726 <1% 417 $10K
83001 <1% 620 $10K
70498 <1% 591 $10K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 427 $10K
90686 <1% 315 $10K
86769 <1% 529 $9K
83655 <1% 729 $9K
83605 <1% 3,551 $9K
71045 Radiologic examination, chest; single view <1% 5,813 $9K
85651 <1% 4,472 $9K
94729 <1% 507 $8K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 1,043 $8K
96376 <1% 1,626 $8K
70486 <1% 84 $8K
87522 Neg quan hep c or qual rna <1% 201 $8K
83002 <1% 456 $7K
84154 <1% 435 $7K
84146 <1% 424 $7K
84702 <1% 750 $7K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 643 $7K
71250 <1% 65 $7K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 70 $7K
86038 <1% 1,006 $7K
93308 <1% 38 $6K
3074F <1% 320 $6K
84134 <1% 737 $6K
73564 <1% 910 $6K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 220 $6K
94010 <1% 432 $6K
82785 <1% 401 $6K
86706 <1% 608 $6K
84703 <1% 1,913 $6K
82948 <1% 4,310 $5K
87340 <1% 637 $5K
84484 <1% 9,900 $5K
99215 Doctor's office visit, returning patient (complex) <1% 38 $5K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 14 $5K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 124 $4K
11721 <1% 195 $4K
C9399 Unclassified drugs or biologicals <1% 345 $4K
99205 Prolong outpt/office vis <1% 29 $4K
97802 <1% 183 $4K
87210 <1% 1,304 $4K
20610 <1% 13 $4K
86765 <1% 319 $4K
84550 <1% 881 $4K
84436 <1% 844 $3K
86376 <1% 244 $3K
88304 <1% 226 $3K
84100 <1% 1,194 $3K
72141 <1% 16 $3K
84402 <1% 127 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,521 $3K
J2704 Injection, propofol, 10 mg <1% 3,424 $3K
86735 <1% 320 $3K
84481 <1% 277 $3K
85008 <1% 367 $3K
73030 <1% 636 $3K
81003 <1% 1,886 $3K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 271 $3K
87184 <1% 496 $3K
J2785 Injection, regadenoson, 0.1 mg <1% 79 $3K
88112 <1% 85 $3K
80320 <1% 968 $3K
76830 Ultrasound, transvaginal <1% 109 $3K
86431 <1% 533 $3K
73502 <1% 544 $2K
73630 <1% 710 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 801 $2K
82550 <1% 909 $2K
80348 <1% 483 $2K
85032 <1% 1,340 $2K
97116 <1% 124 $2K
86800 <1% 165 $2K
97165 <1% 40 $2K
94760 <1% 1,233 $2K
80076 <1% 304 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 40 $2K
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge <1% 235 $2K
72100 <1% 218 $2K
88313 <1% 145 $2K
77067 Screening mammography, bilateral, including computer-aided detection <1% 26 $2K
3075F <1% 55 $2K
87040 <1% 790 $2K
88341 <1% 27 $2K
73562 <1% 243 $1K
90688 <1% 86 $1K
81002 <1% 1,023 $1K
87625 <1% 464 $1K
99441 <1% 32 $1K
82565 <1% 867 $1K
86039 <1% 165 $1K
83721 <1% 389 $1K
86787 <1% 102 $993.01
87181 <1% 130 $934.02
82150 <1% 201 $931.70
85018 <1% 649 $923.37
86618 <1% 57 $919.35
84480 <1% 168 $909.21
73610 <1% 328 $903.97
86696 <1% 49 $892.09
94060 <1% 26 $879.78
69210 <1% 21 $843.81
83993 <1% 66 $778.88
82670 <1% 26 $777.03
72110 <1% 128 $745.71
85379 <1% 605 $745.11
J1644 Injection, heparin sodium, per 1000 units <1% 2,742 $641.43
73130 <1% 429 $594.80
86592 <1% 221 $565.12
86255 <1% 74 $526.01
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 53 $515.95
82140 <1% 58 $504.67
84156 <1% 135 $489.43
86704 <1% 58 $480.03
90656 <1% 20 $421.34
82787 <1% 16 $357.83
88302 <1% 12 $327.80
73110 <1% 97 $322.87
77063 Screening digital breast tomosynthesis, bilateral <1% 26 $306.71
86738 <1% 13 $294.70
J3010 Injection, fentanyl citrate, 0.1 mg <1% 2,869 $291.91
74018 <1% 31 $237.06
87075 <1% 50 $219.98
84460 <1% 41 $199.69
89190 <1% 37 $183.68
84450 <1% 38 $182.94
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 2,875 $167.88
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,254 $157.62
87081 <1% 58 $151.82
J0690 Injection, cefazolin sodium, 500 mg <1% 1,417 $140.13
82950 <1% 27 $133.65
J1170 Injection, hydromorphone, up to 4 mg <1% 2,054 $132.10
85347 <1% 25 $125.29
82977 <1% 24 $121.95
87338 <1% 13 $116.35
87400 <1% 297 $113.60
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 4,365 $104.92
80361 <1% 21 $97.87
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 4,293 $89.20
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 219 $88.76
87101 <1% 25 $86.82
86710 <1% 255 $84.17
85045 <1% 31 $70.33
80177 <1% 12 $69.70
82248 <1% 13 $60.60
83615 <1% 15 $58.10
J3370 Injection, vancomycin hcl, 500 mg <1% 96 $57.01
87430 <1% 246 $55.36
84520 <1% 12 $47.94
73590 <1% 31 $45.52
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,000 $44.75
J3475 Injection, magnesium sulfate, per 500 mg <1% 408 $44.22
87449 <1% 13 $43.86
73080 <1% 13 $41.80
82010 <1% 74 $40.14
89051 <1% 14 $37.46
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,741 $33.38
87324 <1% 12 $30.51
82945 <1% 12 $26.82
84157 <1% 12 $25.76
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 199 $23.20
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 40 $21.79
74022 <1% 24 $16.07
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 969 $12.62
J3480 Injection, potassium chloride, per 2 meq <1% 60 $9.86
J0780 Injection, prochlorperazine, up to 10 mg <1% 25 $8.00
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 657 $6.74
J2060 Injection, lorazepam, 2 mg <1% 215 $4.03
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 85 $2.44
J2305 Injection, nitroglycerin, 5 mg <1% 12 $0.26
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 218 $0.12
J1171 Injection, hydromorphone, 0.1 mg 0% 75 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 43 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 27 $0.00
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 0% 13 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 0% 112 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 86 $0.00
80329 0% 14 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 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 officialMCCROREY, ANGELA (AR MANAGER)
Parent organizationKALEIDA HEALTH
Same official

Other billing entities under MCCROREY, ANGELA

Full network →
ProviderLocationPaid
Kaleida HealthBuffalo, NY$80.65M
Kaleida HealthWilliamsville, NY$11.67M
Kaleida HealthNorth Tonawanda, NY$5.40M
Kaleida HealthBuffalo, NY$2K

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