Clinic
Carthage Area Hospital, INC.
Carthage Area Hospital, INC. was paid $669K by Medicaid between Jan 2020 and Sep 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoCARTHAGE AREA HOSPITAL, INC.
CARTHAGE, NY 13619
CARTHAGE, NY 13619
33aNPI1750944310assigned 04/19/2019
33bProvider typeRural Health Clinic/Center
28Total paid$669K
24GClaims2,767
24DCodes billed4
24AFirst – last monthJan 2020 – Sep 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in New York
Rank by total paid#2 of 17
Median peer was paid$8K
This provider vs. median87×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 104 | $19K | |
| 2021 | 487 | $118K | |
| 2022 | 929 | $230K | |
| 2023 | 1,214 | $301K | |
| 2024incomplete | 33 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 59% | 1,648 | 1,571 | $396K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 25% | 680 | 664 | $168K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 10% | 289 | 289 | $70K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.3% | 150 | 150 | $35K |
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 officialDUVALL, RICHARD (CEO)
| Provider | Location | Paid |
|---|---|---|
| Carthage Area Hospital, INC. | Carthage, NY | $16.07M |
| Carthage Area Hospital INC | Carthage, NY | $9.61M |
| Carthage Area Hospital INC. | Carthage, NY | $2.66M |
| Carthage Area Hospital INC | Carthage, NY | $227K |
| Carthage Area Hospital INC | Carthage, NY | $221K |
| Carthage Area Hospital, INC. | Lafargeville, NY | $74K |
| Carthage Area Hospital INC | Beaver Falls, NY | $58K |
| Claxton-Hepburn Medical Center | Ogdensburg, NY | $24K |
| Carthage Area Hospital INC | Philadelphia, NY | $5K |
| Claxton-Hepburn Medical Center | Canton, NY | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.