Medicaid Provider Spending

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

FAIRVIEW HOSPITAL

NPI: 1730112251 · GREAT BARRINGTON, MA 01230 · Critical Access Hospital · NPI assigned 07/08/2006

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

Authorized official RODOWICZ, DARLENE controls 11+ related entities in our dataset. Read more

$17.67M
Total Medicaid Paid
277,471
Total Claims
225,817
Beneficiaries
163
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRODOWICZ, DARLENE (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date07/08/2006

Related Entities

Other providers sharing the same authorized official: RODOWICZ, DARLENE

ProviderCityStateTotal Paid
BERKSHIRE MEDICAL CENTER, INC PITTSFIELD MA $150.13M
BERKSHIRE MEDICAL CENTER, INC PITTSFIELD MA $15.35M
BERKSHIRE FACULTY SERVICES INC PITTSFIELD MA $13.13M
FAIRVIEW HOSPITAL NORTH ADAMS MA $3.50M
BERKSHIRE MEDICAL CENTER, INC. PITTSFIELD MA $3.10M
FAIRVIEW HOSPITAL WILLIAMSTOWN MA $2.82M
FAIRVIEW HOSPITAL GREAT BARRINGTON MA $1.95M
BERKSHIRE MEDICAL CENTER, INC NORTH ADAMS MA $639K
NORTH ADAMS REGIONAL HOSPITAL CORPORATION NORTH ADAMS MA $306K
BHS URGENT CARE CENTER PITTSFIELD MA $126K
BERKSHIRE MEDICAL CENTER, INC. PITTSFIELD MA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 36,295 $2.24M
2019 37,174 $2.09M
2020 32,808 $1.70M
2021 42,743 $2.60M
2022 45,528 $3.15M
2023 47,993 $3.41M
2024 34,930 $2.48M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 28,063 23,085 $7.70M
99283 Emergency department visit for the evaluation and management, moderate severity 8,068 7,084 $1.24M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,483 3,206 $1.21M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 19,597 6,658 $858K
96361 Intravenous infusion, hydration; each additional hour 2,907 2,570 $683K
74177 Computed tomography, abdomen and pelvis; with contrast material 755 733 $650K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 9,636 3,477 $484K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 8,098 7,383 $367K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,083 1,496 $315K
80053 Comprehensive metabolic panel 19,625 17,544 $284K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 23,658 20,089 $265K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,258 2,727 $236K
84443 Thyroid stimulating hormone (TSH) 7,675 7,468 $198K
71046 Radiologic examination, chest; 2 views 3,294 3,138 $192K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 5,452 3,897 $185K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,699 5,801 $152K
77067 Screening mammography, bilateral, including computer-aided detection 1,785 1,781 $148K
96375 Therapeutic injection; each additional sequential IV push 2,218 2,032 $138K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4,168 4,117 $132K
70450 Computed tomography, head or brain; without contrast material 563 540 $129K
97161 813 807 $122K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,066 2,830 $120K
88305 Level IV - Surgical pathology, gross and microscopic examination 447 442 $114K
80061 Lipid panel 6,787 6,672 $113K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,957 1,518 $113K
77063 Screening digital breast tomosynthesis, bilateral 1,143 1,141 $97K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 328 326 $89K
86618 1,555 1,511 $73K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 785 754 $62K
76376 5,685 4,817 $54K
83036 Hemoglobin; glycosylated (A1C) 4,521 4,441 $51K
84439 3,269 3,184 $50K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,183 2,097 $50K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 288 257 $49K
84703 2,491 2,310 $47K
84484 2,913 2,333 $45K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 905 639 $43K
80048 Basic metabolic panel (calcium, ionized) 4,121 3,508 $37K
82728 1,130 1,101 $36K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 590 569 $36K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 590 569 $36K
87088 3,158 2,898 $33K
83690 2,677 2,468 $32K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,833 2,637 $28K
86803 914 895 $28K
81001 1,714 1,566 $25K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 697 694 $22K
83735 2,724 2,343 $21K
76705 Ultrasound, abdominal, real time with image documentation; limited 74 73 $20K
76830 Ultrasound, transvaginal 95 93 $19K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 26 26 $18K
87070 740 716 $17K
84466 540 536 $16K
ATP14 6,656 5,350 $16K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 388 371 $16K
73630 126 120 $16K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 258 248 $16K
84182 297 290 $15K
74176 Computed tomography, abdomen and pelvis; without contrast material 98 92 $15K
81000 3,049 2,741 $14K
J2704 Injection, propofol, 10 mg 2,133 1,400 $13K
82607 341 336 $13K
86141 863 810 $13K
86140 721 676 $10K
73610 72 70 $10K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 101 90 $9K
59025 Fetal non-stress test 46 28 $9K
85610 4,090 2,461 $8K
83540 594 586 $8K
86666 71 60 $8K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,440 1,354 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 376 356 $8K
71045 Radiologic examination, chest; single view 551 506 $7K
J7030 Infusion, normal saline solution , 1000 cc 3,043 2,300 $7K
81003 802 770 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 200 185 $7K
85652 624 599 $6K
86780 323 319 $6K
0003A 164 162 $6K
81002 1,443 1,393 $6K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 167 86 $6K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,671 1,755 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 104 104 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 81 71 $5K
99215 Prolong outpt/office vis 91 88 $4K
90686 277 277 $4K
87340 249 234 $4K
ATP17 1,496 1,343 $4K
36415 Collection of venous blood by venipuncture 8,361 6,948 $3K
0002A 57 57 $3K
80076 325 311 $3K
73562 25 24 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 68 68 $3K
83605 579 494 $3K
87468 189 188 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 121 121 $3K
0001A 45 45 $3K
87469 178 177 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,347 2,009 $2K
85730 509 477 $2K
86706 180 176 $2K
87186 289 267 $2K
J7050 Infusion, normal saline solution, 250 cc 678 461 $2K
ATP08 1,710 1,330 $2K
97162 15 15 $2K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 13 13 $2K
90715 29 27 $2K
97530 Therapeutic activities, direct patient contact, each 15 minutes 45 24 $2K
83655 43 42 $2K
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 157 139 $2K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 13 12 $2K
83880 185 160 $1K
87631 35 33 $1K
84702 29 25 $1K
86704 122 118 $1K
71271 12 12 $1K
ATP15 570 438 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 15 $1K
85027 109 89 $1K
0124A 32 32 $1K
86709 147 133 $934.84
80164 244 225 $897.93
0013A 15 15 $866.83
82077 30 27 $840.95
J3010 Injection, fentanyl citrate, 0.1 mg 275 238 $746.26
97035 36 13 $696.24
0134A 15 15 $673.39
81513 26 16 $629.00
85007 94 77 $425.84
J1100 Injection, dexamethasone sodium phosphate, 1 mg 167 123 $413.60
87486 13 13 $398.86
86850 14 14 $355.55
84100 148 120 $344.62
86769 13 12 $252.78
82570 16 15 $222.78
86901 15 14 $209.76
71250 24 24 $209.71
99406 26 26 $194.49
87634 16 15 $192.09
90472 Immunization administration, each additional vaccine (list separately) 14 14 $167.83
86900 15 14 $166.08
86480 38 36 $164.01
87481 26 16 $154.75
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 26 16 $154.75
J2250 Injection, midazolam hydrochloride, per 1 mg 161 147 $119.86
82962 36 25 $99.23
87040 39 26 $95.85
J7120 Ringers lactate infusion, up to 1000 cc 12 12 $70.06
ATP03 12 12 $61.65
ATP02 38 37 $32.22
84153 12 12 $16.78
84520 139 132 $7.68
82565 151 146 $5.29
G0008 Administration of influenza virus vaccine 14 14 $3.87
82248 29 28 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 52 51 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 60 58 $0.00
91300 240 230 $0.00
91312 17 17 $0.00
84481 24 20 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 15 13 $0.00
91313 15 15 $0.00
91301 17 16 $0.00