Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ADIRONDACK MEDICAL CENTER

NPI: 1699709576 · SARANAC LAKE, NY 12983 · General Acute Care Hospital · NPI assigned 07/10/2006

$13.43M
Total Medicaid Paid
277,686
Total Claims
240,893
Beneficiaries
240
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPICKREIGN, ADELE (CREDENTIALING COORDINATOR)
NPI Enumeration Date07/10/2006

Related Entities

Other providers sharing the same authorized official: PICKREIGN, ADELE

ProviderCityStateTotal Paid
ADIRONDACK MEDICAL CENTER SARANAC LAKE NY $708K
ADIRONDACK MEDICAL CENTER SARANAC LAKE NY $23K
ADIRONDACK MEDICAL CENTER LAKE PLACID NY $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,338 $35K
2019 19,505 $765K
2020 49,664 $2.02M
2021 66,183 $2.68M
2022 56,654 $3.87M
2023 52,289 $2.64M
2024 32,053 $1.42M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 36,430 30,342 $4.85M
99283 Emergency department visit for the evaluation and management, moderate severity 7,311 6,714 $1.15M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 11,865 3,881 $1.15M
99284 Emergency department visit for the evaluation and management, high severity 4,522 4,143 $657K
96361 Intravenous infusion, hydration; each additional hour 1,678 1,471 $430K
80053 Comprehensive metabolic panel 13,118 11,659 $425K
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 4,603 3,911 $331K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,520 1,442 $277K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 395 393 $238K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,407 3,836 $209K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,574 1,472 $205K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 7,851 6,668 $189K
74177 Computed tomography, abdomen and pelvis; with contrast material 662 647 $179K
36415 Collection of venous blood by venipuncture 13,322 11,619 $147K
87581 1,613 1,585 $131K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,226 1,154 $120K
97161 1,266 1,253 $120K
70450 Computed tomography, head or brain; without contrast material 400 384 $117K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 5,405 1,941 $116K
D0120 Periodic oral evaluation - established patient 3,149 2,436 $111K
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 4,558 3,894 $109K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 885 831 $105K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 581 495 $91K
80048 Basic metabolic panel (calcium, ionized) 1,874 1,721 $86K
45380 Colonoscopy, flexible; with biopsy, single or multiple 117 115 $82K
76705 Ultrasound, abdominal, real time with image documentation; limited 849 843 $79K
90686 1,909 1,905 $78K
D1110 Prophylaxis - adult 1,358 1,354 $74K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,193 1,167 $72K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,404 2,396 $65K
36416 295 249 $65K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,416 1,393 $64K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,852 1,455 $63K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,650 1,623 $63K
71046 Radiologic examination, chest; 2 views 1,971 1,919 $60K
97597 209 103 $54K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,753 1,582 $49K
76830 Ultrasound, transvaginal 487 473 $46K
90834 Psychotherapy, 45 minutes with patient 223 189 $45K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 17,048 14,543 $40K
80061 Lipid panel 4,412 4,367 $38K
84443 Thyroid stimulating hormone (TSH) 5,440 5,311 $37K
77067 Screening mammography, bilateral, including computer-aided detection 429 429 $35K
86900 666 641 $34K
87800 1,608 1,580 $32K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,644 1,617 $30K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,049 1,046 $28K
90715 726 725 $26K
83036 Hemoglobin; glycosylated (A1C) 3,415 3,377 $24K
74176 Computed tomography, abdomen and pelvis; without contrast material 70 67 $20K
73560 376 360 $20K
90836 216 184 $19K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 586 538 $18K
90648 433 432 $18K
96375 Therapeutic injection; each additional sequential IV push 1,586 1,391 $17K
84703 1,928 1,808 $15K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 254 251 $15K
84439 2,074 2,026 $14K
82607 1,681 1,670 $13K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 921 916 $13K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 319 317 $12K
73610 387 347 $12K
97803 133 131 $11K
73030 294 279 $11K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,272 1,223 $11K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 110 109 $10K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 113 106 $10K
90670 465 464 $10K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 611 437 $10K
82728 1,315 1,301 $10K
97162 90 90 $9K
90791 Psychiatric diagnostic evaluation 54 50 $9K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 43 37 $9K
59025 Fetal non-stress test 43 25 $9K
73630 266 242 $9K
90734 258 257 $8K
90651 191 191 $8K
87086 Culture, bacterial; quantitative colony count, urine 2,300 2,158 $8K
85610 2,282 2,015 $8K
D0274 Bitewings - four radiographic images 270 262 $8K
77063 Screening digital breast tomosynthesis, bilateral 357 357 $8K
86901 665 640 $7K
90685 284 284 $7K
86769 218 215 $7K
G0378 Hospital observation service, per hour 34 12 $7K
84702 1,043 925 $7K
81001 6,012 5,511 $7K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 124 111 $7K
82746 1,092 1,088 $6K
86141 1,264 1,177 $6K
99441 55 45 $5K
86803 649 642 $5K
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) 176 176 $5K
83655 423 422 $5K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,692 3,347 $5K
87070 1,011 983 $4K
90723 247 247 $4K
83735 3,000 2,694 $4K
0071A 102 102 $4K
73564 71 70 $4K
97010 207 82 $4K
99443 45 43 $4K
D0150 Comprehensive oral evaluation - new or established patient 99 83 $4K
D2391 Resin-based composite - one surface, posterior, primary or permanent 56 53 $4K
0002A 93 93 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,613 1,584 $4K
87809 1,612 1,583 $4K
83540 1,257 1,239 $3K
0072A 81 81 $3K
87807 1,612 1,584 $3K
0001A 85 85 $3K
83550 1,225 1,209 $3K
80076 293 275 $3K
81025 106 105 $3K
71045 Radiologic examination, chest; single view 765 728 $3K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 24 24 $3K
0004A 69 69 $3K
90633 53 53 $3K
83880 98 92 $2K
85730 1,451 1,377 $2K
99442 27 25 $2K
J7120 Ringers lactate infusion, up to 1000 cc 2,315 2,146 $2K
90700 15 14 $2K
87522 Neg quan hep c or qual rna 36 36 $2K
87340 245 240 $2K
84153 131 130 $2K
73562 70 68 $2K
74018 47 42 $2K
J7030 Infusion, normal saline solution , 1000 cc 1,899 1,704 $2K
76641 15 14 $2K
87186 635 614 $2K
80164 147 137 $2K
93971 25 25 $1K
93923 25 25 $1K
86592 391 387 $1K
85651 1,282 1,204 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 14 14 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $1K
87210 540 531 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 3,116 3,085 $1K
86885 72 70 $1K
87081 733 727 $1K
90680 64 64 $1K
83605 1,848 1,694 $1K
83690 1,957 1,808 $1K
84425 307 307 $934.29
84484 1,266 1,136 $933.26
90710 16 16 $885.60
D0140 Limited oral evaluation - problem focused 21 12 $851.43
97802 15 14 $790.03
73110 28 24 $766.53
72110 24 24 $707.76
73590 13 12 $700.56
J1170 Injection, hydromorphone, up to 4 mg 901 689 $676.68
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,894 1,855 $646.15
J0690 Injection, cefazolin sodium, 500 mg 889 833 $598.54
73130 27 27 $591.51
84550 311 293 $569.39
85018 30 25 $536.05
87205 318 305 $533.15
0012A 13 13 $493.23
D1120 Prophylaxis - child 12 12 $473.00
90461 1,240 1,235 $472.03
84590 250 250 $471.33
J0131 Injection, acetaminophen, not otherwise specified,10 mg 109 104 $460.00
91320 16 16 $368.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 32 30 $360.00
82248 109 101 $333.05
D0210 Intraoral - complete series of radiographic images 12 12 $313.96
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 12 12 $304.11
0124A 27 25 $297.85
J2704 Injection, propofol, 10 mg 2,740 2,641 $294.48
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 198 178 $290.51
81002 243 240 $286.75
82962 330 257 $259.35
0011A 19 19 $251.37
J1885 Injection, ketorolac tromethamine, per 15 mg 2,879 1,966 $250.46
90713 14 13 $249.90
D1208 Topical application of fluoride, excluding varnish 15 15 $210.00
J3010 Injection, fentanyl citrate, 0.1 mg 1,651 1,385 $208.69
86618 13 13 $201.54
73140 14 13 $199.16
87077 69 65 $193.92
84460 60 58 $188.54
81003 231 223 $169.08
0100U 13 13 $162.80
90480 74 74 $160.00
D0220 Intraoral - periapical first radiographic image 12 12 $157.92
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,413 2,158 $156.74
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,797 1,611 $137.36
80305 672 618 $131.42
87040 58 52 $125.11
85379 165 164 $123.45
84481 16 13 $117.00
82150 106 106 $100.16
73565 12 12 $87.57
80354 29 29 $76.91
86580 14 12 $75.91
80361 28 28 $70.60
80367 28 28 $65.55
80353 28 28 $65.55
J7050 Infusion, normal saline solution, 250 cc 95 83 $60.62
80358 27 27 $60.50
80348 27 27 $60.50
80365 27 27 $60.50
84450 30 29 $60.36
82950 12 12 $57.00
84100 26 24 $56.88
80329 32 30 $54.00
82043 12 12 $51.91
J2250 Injection, midazolam hydrochloride, per 1 mg 1,671 1,433 $51.07
83615 14 12 $50.25
82040 28 26 $49.58
80320 193 155 $46.40
82525 21 21 $45.96
82247 27 26 $45.19
84520 36 26 $42.00
84075 26 25 $40.24
84155 28 26 $37.56
84630 22 22 $31.60
J2270 Injection, morphine sulfate, up to 10 mg 81 68 $28.47
80359 14 14 $25.20
80337 14 14 $25.20
80326 14 14 $25.20
80364 14 14 $25.20
80347 14 14 $25.20
82805 27 26 $24.13
80306 37 29 $16.19
J0696 Injection, ceftriaxone sodium, per 250 mg 16 13 $13.76
90472 Immunization administration, each additional vaccine (list separately) 13 13 $7.00
C9113 Injection, pantoprazole sodium, per vial 13 12 $6.02
J1200 Injection, diphenhydramine hcl, up to 50 mg 77 58 $4.12
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 194 189 $2.78
J2765 Injection, metoclopramide hcl, up to 10 mg 14 13 $0.21
C1727 Catheter, balloon tissue dissector, non-vascular (insertable) 185 184 $0.00
96127 359 358 $0.00
81000 44 43 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 36 35 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 12 12 $0.00
80179 18 17 $0.00