Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › WELLSVILLE › THE MEMORIAL HOSPITAL OF WILLIAM F. AND GERTRUDE F. JONES, INC.

THE MEMORIAL HOSPITAL OF WILLIAM F. AND GERTRUDE F. JONES, INC.

NPI: 1720030703 · WELLSVILLE, NY 14895 · General Acute Care Hospital · NPI assigned 05/17/2006

$15.79M
Total Medicaid Paid
347,357
Total Claims
313,950
Beneficiaries
253
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBENEDICT, EVA (C.E.O)
NPI Enumeration Date05/17/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,933 $200K
2019 26,004 $959K
2020 54,595 $2.24M
2021 65,995 $2.94M
2022 62,402 $3.41M
2023 70,525 $3.10M
2024 62,903 $2.93M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 20,853 17,524 $2.25M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31,232 27,269 $1.94M
99284 Emergency department visit for the evaluation and management, high severity 11,721 11,127 $1.76M
99283 Emergency department visit for the evaluation and management, moderate severity 8,422 8,046 $1.49M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,509 9,038 $768K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,961 3,820 $686K
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 7,530 7,147 $530K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,026 1,974 $432K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,423 5,534 $408K
36415 Collection of venous blood by venipuncture 11,944 9,731 $346K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,495 3,076 $295K
80053 Comprehensive metabolic panel 17,199 14,349 $281K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4,659 1,696 $274K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,381 1,341 $274K
96361 Intravenous infusion, hydration; each additional hour 776 718 $195K
87631 1,701 1,674 $193K
70450 Computed tomography, head or brain; without contrast material 813 782 $192K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 880 872 $182K
81025 3,396 3,311 $171K
59025 Fetal non-stress test 1,168 593 $169K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,191 941 $163K
G0378 Hospital observation service, per hour 419 364 $151K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,747 1,746 $133K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,420 1,418 $112K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,704 1,499 $101K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,347 1,323 $95K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,600 2,071 $84K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,089 2,067 $76K
97161 919 908 $75K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,520 2,508 $73K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 765 764 $73K
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 3,356 3,267 $72K
80048 Basic metabolic panel (calcium, ionized) 3,031 2,752 $59K
74176 Computed tomography, abdomen and pelvis; without contrast material 291 285 $57K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 529 529 $52K
84443 Thyroid stimulating hormone (TSH) 6,619 6,465 $50K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 317 313 $49K
99173 969 945 $48K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,158 2,136 $47K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,424 1,410 $47K
85610 3,234 2,557 $46K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 1,403 1,402 $39K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 420 420 $38K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,429 1,166 $38K
83036 Hemoglobin; glycosylated (A1C) 4,294 4,263 $37K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,651 1,635 $37K
76801 473 425 $36K
80061 Lipid panel 5,414 5,376 $36K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4,528 3,939 $36K
99281 Emergency department visit for the evaluation and management, self-limited or minor 188 186 $35K
90715 1,016 1,014 $33K
90686 1,243 1,236 $32K
71046 Radiologic examination, chest; 2 views 3,823 3,646 $31K
86850 835 797 $31K
85027 6,822 6,119 $28K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,086 2,024 $24K
99215 Prolong outpt/office vis 234 224 $23K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 13,356 11,453 $23K
71275 Computed tomographic angiography, chest, with contrast material 102 99 $23K
83655 1,127 1,106 $20K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,007 1,733 $20K
90460 Immunization administration through 18 years of age via any route, first or only component 1,241 1,241 $19K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 13 13 $18K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,347 1,319 $18K
82607 1,501 1,470 $18K
84439 2,493 2,451 $18K
77067 Screening mammography, bilateral, including computer-aided detection 243 243 $16K
82728 1,345 1,282 $15K
90648 775 774 $14K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,842 1,806 $14K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 202 133 $14K
90670 797 796 $14K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 187 187 $13K
87086 Culture, bacterial; quantitative colony count, urine 3,196 2,947 $13K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 374 363 $12K
90677 275 275 $11K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,912 3,628 $11K
76770 129 129 $11K
87632 168 166 $11K
76830 Ultrasound, transvaginal 137 137 $11K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 73 55 $10K
0012A 282 282 $10K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,199 2,864 $10K
76700 Ultrasound, abdominal, real time with image documentation; complete 102 102 $10K
90661 251 251 $9K
86901 980 940 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,758 4,688 $9K
86900 977 937 $9K
83540 1,333 1,267 $8K
82746 774 745 $8K
81001 4,486 4,080 $8K
76705 Ultrasound, abdominal, real time with image documentation; limited 315 311 $8K
90680 502 502 $8K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 488 486 $7K
90723 472 472 $7K
81002 2,520 1,999 $7K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 116 110 $6K
0011A 285 285 $6K
86803 730 724 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 968 852 $6K
92551 1,267 1,263 $6K
85380 581 569 $6K
99385 49 49 $6K
87081 3,153 3,093 $5K
83735 2,664 2,257 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,236 1,213 $5K
84702 724 545 $5K
90633 318 318 $5K
99441 268 263 $5K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 53 53 $5K
73630 341 337 $5K
73030 414 409 $5K
81003 2,845 2,704 $5K
73562 215 213 $4K
73610 431 421 $4K
83880 180 158 $4K
84466 436 417 $4K
87480 735 728 $4K
87150 122 121 $4K
87660 757 750 $4K
99442 113 109 $4K
82570 1,062 1,018 $4K
87510 735 728 $4K
90707 216 216 $4K
99406 312 303 $4K
86780 348 347 $4K
71045 Radiologic examination, chest; single view 1,321 1,272 $4K
87340 403 401 $4K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 158 77 $4K
73110 253 245 $3K
73130 315 304 $3K
96375 Therapeutic injection; each additional sequential IV push 2,810 2,405 $3K
82043 703 699 $3K
90716 170 170 $3K
87186 845 808 $3K
93017 38 38 $3K
86140 1,868 1,697 $3K
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 242 231 $3K
90734 144 144 $3K
90688 93 93 $3K
92567 136 136 $2K
73564 191 191 $2K
71260 Computed tomography, thorax, diagnostic; with contrast material 14 14 $2K
84153 113 112 $2K
77063 Screening digital breast tomosynthesis, bilateral 148 148 $2K
80076 225 220 $2K
90698 105 105 $2K
0031A 48 48 $2K
94010 159 129 $2K
72100 79 79 $2K
99223 Prolong inpt eval add15 m 13 13 $2K
83550 384 369 $2K
0013A 41 41 $2K
99238 Hospital discharge day management, 30 minutes or less 41 40 $2K
83690 2,245 2,095 $2K
86618 139 139 $1K
0002A 37 36 $1K
71250 12 12 $1K
71271 37 37 $1K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 38 38 $1K
86762 95 95 $1K
84484 2,797 1,662 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 54 54 $1K
80306 237 230 $1K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 45 45 $1K
85730 739 718 $1K
74018 139 132 $1K
0001A 48 48 $1K
99222 Initial hospital care, per day, moderate complexity 14 14 $994.35
90685 54 54 $974.74
80305 651 607 $968.08
85007 417 348 $940.47
90700 51 51 $922.88
G0103 Prostate cancer screening; prostate specific antigen test (psa) 114 114 $896.85
85652 516 484 $896.53
87420 348 339 $805.79
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 69 63 $803.56
96127 215 206 $766.91
87400 556 540 $763.68
90651 31 31 $742.01
87430 616 611 $731.99
87158 1,218 1,176 $721.65
94727 27 27 $682.53
72125 Computed tomography, cervical spine; without contrast material 15 15 $643.69
82150 571 539 $642.03
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 190 159 $633.84
90472 Immunization administration, each additional vaccine (list separately) 1,132 1,131 $615.96
76536 25 25 $598.34
93971 28 27 $568.22
72110 32 32 $554.04
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 13 12 $548.94
87070 164 153 $523.39
90744 26 26 $471.26
Q9956 Injection, octafluoropropane microspheres, per ml 17 12 $458.29
90656 18 18 $451.80
J1100 Injection, dexamethasone sodium phosphate, 1 mg 905 833 $425.74
84703 841 804 $357.68
84436 96 96 $353.40
84100 214 179 $351.48
86706 39 39 $299.52
85018 230 226 $290.41
94729 12 12 $280.60
90710 12 12 $279.98
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 12 12 $276.70
86038 53 53 $272.24
82950 77 77 $269.59
90713 13 13 $232.05
J1885 Injection, ketorolac tromethamine, per 15 mg 3,006 2,743 $227.80
J7120 Ringers lactate infusion, up to 1000 cc 1,080 1,011 $196.21
83615 56 51 $192.71
86704 24 24 $175.66
73502 25 25 $165.26
87040 565 318 $149.98
83605 806 720 $91.10
74019 28 28 $70.56
87205 56 52 $60.78
84480 12 12 $59.34
82247 31 30 $57.21
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,677 2,476 $40.91
84479 14 14 $37.95
84550 16 15 $35.21
90473 253 253 $34.28
84145 157 152 $33.40
82550 28 24 $31.50
82565 13 12 $30.18
82248 14 13 $20.08
82040 13 13 $19.96
J1170 Injection, hydromorphone, up to 4 mg 633 537 $13.29
80320 55 52 $10.00
J2250 Injection, midazolam hydrochloride, per 1 mg 1,134 1,071 $5.81
J2704 Injection, propofol, 10 mg 828 808 $5.58
J0696 Injection, ceftriaxone sodium, per 250 mg 181 157 $5.46
J1200 Injection, diphenhydramine hcl, up to 50 mg 43 42 $2.00
J3010 Injection, fentanyl citrate, 0.1 mg 911 896 $2.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 43 38 $1.13
J0690 Injection, cefazolin sodium, 500 mg 238 223 $0.62
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 83 82 $0.25
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 32 24 $0.00
99080 2,337 2,313 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 52 27 $0.00
90461 267 267 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 80 71 $0.00
80179 13 12 $0.00
80143 14 12 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 12 12 $0.00
96160 14 14 $0.00
3078F 12 12 $0.00
96376 369 265 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 64 62 $0.00
3079F 25 25 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 45 44 $0.00
3074F 79 78 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 13 13 $0.00