Medicaid Provider Spending

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

PHELPS MEMORIAL HOSPITAL ASSOCIATION

NPI: 1720185267 · SLEEPY HOLLOW, NY 10591 · Anatomic Pathology & Clinical Pathology Physician · NPI assigned 09/19/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CUSACK, MICHELE controls 20+ related entities in our dataset. Read more

$20.17M
Total Medicaid Paid
360,935
Total Claims
244,188
Beneficiaries
208
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCUSACK, MICHELE (SENIOR VICE PRESIDENT & CFO)
NPI Enumeration Date09/19/2006

Related Entities

Other providers sharing the same authorized official: CUSACK, MICHELE

ProviderCityStateTotal Paid
LONG ISLAND JEWISH MEDICAL CENTER NEW HYDE PARK NY $370.91M
NORTH SHORE UNIVERSITY HOSPITAL NEW HYDE PARK NY $166.53M
STATEN ISLAND UNIVERSITY HOSPITAL STATEN ISLAND NY $118.12M
REGIONCARE INC. GARDEN CITY NY $96.55M
NORTH SHORE UNIVERSITY HOSPITAL MANHASSET NY $87.68M
LENOX HILL HOSPITAL NEW YORK NY $63.17M
SOUTH SHORE UNIVERSITY HOSPITAL BAY SHORE NY $47.45M
JOHN T. MATHER MEMORIAL HOSPITAL PORT JEFFERSON NY $20.34M
NORTH SHORE UNIVERSITY HOSPITAL WESTBURY NY $17.90M
TRUE NORTH MEDICAL GROUP PC MERRICK NY $12.56M
HUNTINGTON HOSPITAL ASSOCIATION HUNTINGTON NY $9.83M
THE LONG ISLAND HOME AMITYVILLE NY $9.49M
REGIONCARE INC. GREAT NECK NY $9.43M
LONG ISLAND JEWISH MEDICAL CENTER VALLEY STREAM NY $8.41M
HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH CENTER GREENLAWN NY $8.03M
GLEN COVE HOSPITAL GLEN COVE NY $7.72M
CENTRAL SUFFOLK HOSPITAL RIVERHEAD NY $7.66M
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION MOUNT KISCO NY $7.58M
PLAINVIEW HOSPITAL PLAINVIEW NY $6.39M
NORTH SHORE - LIJ ANESTHESIOLOGY, PC CHAPPAQUA NY $6.07M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,068 $678K
2019 26,841 $1.41M
2020 52,263 $2.92M
2021 74,579 $4.03M
2022 68,566 $3.87M
2023 73,196 $4.13M
2024 56,422 $3.14M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90853 Group psychotherapy (other than of a multiple-family group) 55,431 6,676 $3.41M
99283 Emergency department visit for the evaluation and management, moderate severity 10,312 9,906 $2.16M
99284 Emergency department visit for the evaluation and management, high severity 8,479 8,047 $1.63M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 16,871 4,794 $1.11M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,050 1,891 $805K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,665 2,545 $560K
H2001 Rehabilitation program, per 1/2 day 4,349 535 $524K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 766 763 $507K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,653 1,639 $471K
80053 Comprehensive metabolic panel 16,838 14,785 $402K
70450 Computed tomography, head or brain; without contrast material 1,364 1,335 $399K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,876 1,834 $369K
45380 Colonoscopy, flexible; with biopsy, single or multiple 473 472 $345K
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 4,173 3,775 $324K
90832 Psychotherapy, 30 minutes with patient 7,062 2,290 $320K
77067 Screening mammography, bilateral, including computer-aided detection 3,099 3,092 $313K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 10,420 3,085 $300K
H0005 Alcohol and/or drug services; group counseling by a clinician 3,476 770 $281K
90834 Psychotherapy, 45 minutes with patient 1,433 827 $268K
H2036 Alcohol and/or other drug treatment program, per diem 1,973 246 $259K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 3,469 3,420 $248K
36415 Collection of venous blood by venipuncture 28,457 18,186 $241K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,203 858 $227K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 215 215 $192K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,439 1,287 $189K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,604 2,970 $181K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,106 961 $159K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 261 260 $155K
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 803 790 $153K
97161 1,386 1,377 $151K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 756 752 $142K
87486 3,498 3,449 $131K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,053 377 $110K
76641 1,507 1,505 $110K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,249 887 $105K
86900 2,220 1,934 $90K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,837 1,793 $87K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 271 270 $84K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,153 1,147 $81K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 687 166 $80K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,460 1,364 $78K
Q9962 High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml 264 261 $77K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,720 1,705 $73K
J1756 Injection, iron sucrose, 1 mg 861 338 $69K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 3,475 3,424 $68K
87581 3,498 3,450 $67K
76536 926 922 $65K
J2704 Injection, propofol, 10 mg 2,122 1,808 $64K
74176 Computed tomography, abdomen and pelvis; without contrast material 211 210 $60K
59025 Fetal non-stress test 262 183 $60K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,257 1,085 $59K
76830 Ultrasound, transvaginal 691 683 $57K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 4,162 3,766 $57K
86901 2,219 1,932 $55K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3,583 2,767 $52K
99281 Emergency department visit for the evaluation and management, self-limited or minor 267 236 $52K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 10,786 9,465 $52K
J3490 Unclassified drugs 3,698 2,511 $51K
84443 Thyroid stimulating hormone (TSH) 2,845 2,760 $50K
71046 Radiologic examination, chest; 2 views 2,300 2,272 $50K
86850 2,206 1,921 $45K
82728 2,194 2,118 $38K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,837 2,578 $38K
77065 Tomosynthesis, mammo 391 361 $37K
84439 2,120 2,062 $36K
A9585 Injection, gadobutrol, 0.1 ml 686 662 $35K
77063 Screening digital breast tomosynthesis, bilateral 3,095 3,088 $34K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 36 36 $34K
97162 253 249 $32K
97530 Therapeutic activities, direct patient contact, each 15 minutes 398 138 $29K
96375 Therapeutic injection; each additional sequential IV push 3,303 2,815 $29K
84403 919 776 $28K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,058 3,897 $27K
77072 1,079 1,076 $25K
C1889 Implantable/insertable device, not otherwise classified 63 62 $25K
73564 555 548 $25K
70551 Magnetic resonance imaging, brain; without contrast material 42 41 $23K
77080 220 220 $23K
82784 583 539 $22K
77066 Tomosynthesis, mammo 231 231 $22K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 873 865 $21K
82607 779 766 $20K
80061 Lipid panel 965 954 $19K
87501 522 517 $19K
83550 2,012 1,957 $19K
83036 Hemoglobin; glycosylated (A1C) 1,134 1,125 $18K
80048 Basic metabolic panel (calcium, ionized) 1,412 1,318 $18K
71250 147 146 $18K
83540 2,023 1,967 $18K
76642 418 416 $17K
80321 2,371 1,439 $16K
86140 2,490 2,180 $14K
J7030 Infusion, normal saline solution , 1000 cc 3,437 3,043 $13K
85610 2,618 2,462 $13K
99443 87 48 $13K
84305 581 574 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 75 67 $12K
83615 1,971 1,641 $11K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,021 2,822 $11K
83735 3,070 2,605 $11K
85027 2,463 2,212 $11K
82746 404 397 $10K
83880 336 330 $10K
85652 2,558 2,232 $9K
88312 445 442 $9K
84100 2,338 1,953 $9K
80050 General health panel 38 38 $9K
83002 468 463 $9K
J7120 Ringers lactate infusion, up to 1000 cc 542 489 $8K
73630 456 443 $8K
84550 1,622 1,378 $8K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 144 55 $8K
86800 412 396 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 384 374 $7K
72141 13 13 $7K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 2,134 1,928 $7K
83001 387 382 $7K
94375 39 39 $7K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 23 14 $7K
99442 52 30 $7K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,794 1,624 $7K
71045 Radiologic examination, chest; single view 1,489 1,436 $7K
81001 3,771 3,602 $6K
76700 Ultrasound, abdominal, real time with image documentation; complete 29 29 $6K
71260 Computed tomography, thorax, diagnostic; with contrast material 52 52 $6K
J7050 Infusion, normal saline solution, 250 cc 987 650 $6K
86769 242 234 $6K
97014 293 113 $6K
84146 293 289 $6K
73610 285 276 $6K
94060 24 24 $6K
76770 39 39 $6K
86376 329 323 $6K
86334 221 212 $6K
90791 Psychiatric diagnostic evaluation 29 28 $5K
82378 424 379 $5K
84703 2,345 2,112 $5K
73130 198 192 $5K
85007 1,321 1,127 $5K
82024 103 96 $4K
82533 224 216 $4K
84702 856 813 $4K
73110 125 110 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,182 985 $4K
85730 1,234 1,181 $4K
87086 Culture, bacterial; quantitative colony count, urine 1,562 1,514 $3K
J3010 Injection, fentanyl citrate, 0.1 mg 774 693 $3K
96361 Intravenous infusion, hydration; each additional hour 12 12 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 27 24 $3K
99441 18 16 $2K
83498 90 90 $2K
84432 30 29 $2K
85379 287 276 $2K
80076 175 172 $2K
94729 51 51 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 24 24 $2K
93017 76 76 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,416 1,313 $2K
83003 92 89 $2K
90792 Psychiatric diagnostic evaluation with medical services 26 12 $1K
82157 50 50 $1K
94200 26 26 $1K
80320 391 362 $1K
C9399 Unclassified drugs or biologicals 12 12 $1K
97165 12 12 $1K
84484 1,262 966 $1K
J7060 5% dextrose/water (500 ml = 1 unit) 85 52 $1K
84165 85 82 $995.76
87631 16 16 $986.55
72082 61 61 $873.37
83690 1,697 1,627 $862.96
82962 564 453 $854.74
86003 40 40 $819.34
82627 40 40 $791.65
73030 55 53 $791.38
77062 26 26 $758.38
85045 123 120 $752.26
82570 67 67 $724.12
87634 135 134 $720.96
84436 447 441 $709.38
93971 12 12 $584.71
J2250 Injection, midazolam hydrochloride, per 1 mg 301 289 $557.46
76775 13 13 $551.71
72100 13 13 $476.07
J1030 Injection, methylprednisolone acetate, 40 mg 16 13 $352.35
87070 189 184 $345.86
84480 57 55 $345.37
86300 15 14 $290.81
82626 13 13 $266.24
82232 12 12 $258.70
83605 298 276 $239.55
84140 12 12 $220.67
84156 41 41 $200.25
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 84 77 $187.29
86880 13 12 $140.64
83010 13 12 $129.51
81003 495 479 $126.64
J2765 Injection, metoclopramide hcl, up to 10 mg 158 156 $124.00
83525 12 12 $101.79
87186 13 12 $98.45
J2003 Injection, lidocaine hydrochloride, 1 mg 15 12 $65.97
84479 158 153 $59.42
82550 13 12 $44.80
J1200 Injection, diphenhydramine hcl, up to 50 mg 26 25 $38.46
87430 75 73 $25.68
82947 17 15 $7.34
87040 19 15 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $0.00