Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › KENMORE › KENMORE MERCY HOSPITAL

KENMORE MERCY HOSPITAL

NPI: 1770598104 · KENMORE, NY 14217 · General Acute Care Hospital · NPI assigned 07/31/2006

$17.54M
Total Medicaid Paid
480,386
Total Claims
389,182
Beneficiaries
203
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDUNLOP, JAMES (SENIOR VP & CFO)
NPI Enumeration Date07/31/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,019 $185K
2019 34,734 $1.04M
2020 70,554 $2.58M
2021 87,565 $3.27M
2022 92,807 $3.50M
2023 104,311 $4.02M
2024 83,396 $2.93M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 18,655 17,543 $4.11M
99283 Emergency department visit for the evaluation and management, moderate severity 17,554 16,394 $3.28M
G0378 Hospital observation service, per hour 1,422 864 $1.28M
96361 Intravenous infusion, hydration; each additional hour 8,250 7,386 $1.21M
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 722 622 $821K
74177 Computed tomography, abdomen and pelvis; with contrast material 3,122 3,050 $626K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,688 3,531 $574K
36415 Collection of venous blood by venipuncture 78,744 29,223 $553K
70450 Computed tomography, head or brain; without contrast material 2,610 2,561 $523K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,015 1,971 $390K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,581 1,545 $335K
C1776 Joint device (implantable) 106 87 $314K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,408 1,396 $304K
80053 Comprehensive metabolic panel 21,396 19,661 $282K
93976 1,088 1,068 $256K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,401 1,978 $223K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,166 1,785 $193K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,485 1,462 $156K
71275 Computed tomographic angiography, chest, with contrast material 710 704 $147K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 4,476 4,320 $146K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 483 478 $140K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,056 2,953 $111K
80048 Basic metabolic panel (calcium, ionized) 7,148 6,389 $103K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 12,906 12,056 $94K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,792 1,747 $92K
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 1,565 1,519 $83K
97161 1,348 1,334 $73K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 544 421 $63K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 797 722 $59K
77067 Screening mammography, bilateral, including computer-aided detection 978 977 $55K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 16,880 12,112 $54K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,403 1,370 $41K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,721 3,074 $39K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,860 1,660 $38K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,437 1,419 $37K
87631 901 886 $35K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,292 1,290 $35K
83880 1,675 1,611 $34K
86850 1,642 1,620 $28K
97010 1,587 585 $25K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,458 2,398 $24K
93975 77 77 $24K
84443 Thyroid stimulating hormone (TSH) 2,900 2,879 $22K
76830 Ultrasound, transvaginal 929 915 $22K
81025 8,548 8,061 $20K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,191 1,159 $19K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 11,430 10,608 $19K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,769 3,894 $19K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 217 213 $17K
93971 405 398 $17K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 258 257 $17K
80061 Lipid panel 2,883 2,868 $17K
71046 Radiologic examination, chest; 2 views 3,362 3,321 $16K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,248 1,200 $16K
86900 1,718 1,632 $16K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 227 227 $16K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 26,106 23,883 $15K
83036 Hemoglobin; glycosylated (A1C) 1,738 1,728 $14K
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 716 703 $14K
82803 780 702 $13K
12001 27 26 $9K
99281 Emergency department visit for the evaluation and management, self-limited or minor 68 65 $9K
84439 1,223 1,213 $9K
71045 Radiologic examination, chest; single view 6,719 6,411 $9K
80076 1,077 1,067 $9K
82607 793 790 $9K
72125 Computed tomography, cervical spine; without contrast material 305 299 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 117 116 $8K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 139 139 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 801 799 $8K
85610 6,384 6,089 $8K
85730 5,797 5,634 $7K
97162 113 113 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 275 264 $5K
10060 30 29 $5K
81001 8,984 8,553 $5K
86901 361 296 $4K
72131 25 25 $4K
87086 Culture, bacterial; quantitative colony count, urine 3,405 3,284 $4K
70551 Magnetic resonance imaging, brain; without contrast material 12 12 $4K
85027 2,825 2,537 $4K
82948 2,568 1,368 $4K
86701 402 394 $3K
96375 Therapeutic injection; each additional sequential IV push 8,210 7,335 $3K
97165 51 51 $3K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 814 805 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 40 40 $3K
82746 287 286 $3K
76641 90 90 $3K
99000 252 247 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 94 94 $3K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 24 24 $3K
84702 893 867 $2K
73630 779 761 $2K
90714 93 93 $2K
90472 Immunization administration, each additional vaccine (list separately) 335 335 $2K
72100 404 388 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 148 146 $2K
81003 4,275 4,144 $2K
83735 5,878 5,308 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,511 1,345 $2K
71271 53 53 $2K
73030 399 388 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 13 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 7,128 6,329 $1K
99385 15 15 $1K
82043 271 271 $1K
76536 39 39 $1K
84484 8,782 5,891 $1K
72110 139 138 $1K
93979 17 17 $869.36
73562 211 208 $767.31
88304 65 65 $764.04
83690 7,897 7,290 $747.08
73130 429 418 $685.60
87040 2,407 1,241 $645.69
73610 472 459 $634.38
87660 571 552 $625.82
J1170 Injection, hydromorphone, up to 4 mg 3,866 2,911 $616.38
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 78 28 $612.74
73564 150 148 $611.96
J3490 Unclassified drugs 1,556 1,280 $547.38
82150 3,261 3,069 $521.66
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 14 13 $517.45
73502 238 230 $512.67
87077 1,333 1,162 $503.88
93041 1,683 1,642 $490.24
90686 35 35 $475.59
87186 1,189 1,084 $459.79
85652 406 392 $437.32
83605 2,275 2,010 $432.92
99406 41 40 $421.22
87070 627 580 $386.59
J0690 Injection, cefazolin sodium, 500 mg 1,641 1,339 $341.87
J7030 Infusion, normal saline solution , 1000 cc 7,420 6,742 $338.12
90715 15 15 $317.02
J7120 Ringers lactate infusion, up to 1000 cc 2,159 1,915 $314.23
72040 54 52 $270.91
97116 18 12 $248.00
85379 1,471 1,452 $246.79
87081 539 528 $217.86
87563 14 14 $217.63
86140 81 72 $216.77
90658 16 16 $194.88
84153 12 12 $186.45
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 376 261 $176.65
82570 42 41 $161.10
J2704 Injection, propofol, 10 mg 1,578 1,544 $160.72
85007 848 748 $153.19
86803 89 88 $151.90
J7050 Infusion, normal saline solution, 250 cc 803 611 $139.01
J3370 Injection, vancomycin hcl, 500 mg 251 161 $134.00
73110 56 54 $120.15
96376 1,592 1,212 $114.29
97535 Self-care/home management training, each 15 minutes 14 14 $100.15
A9270 Non-covered item or service 9,757 8,116 $99.23
82550 139 129 $91.44
86780 13 13 $89.34
81015 629 585 $86.91
J1885 Injection, ketorolac tromethamine, per 15 mg 7,615 7,184 $83.05
C9113 Injection, pantoprazole sodium, per vial 798 694 $80.56
83550 14 14 $61.06
84460 14 14 $60.82
84450 13 13 $58.04
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 353 335 $55.45
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,637 2,488 $50.83
87205 458 423 $50.71
J2270 Injection, morphine sulfate, up to 10 mg 1,400 1,236 $38.03
J3010 Injection, fentanyl citrate, 0.1 mg 1,723 1,704 $37.30
J2765 Injection, metoclopramide hcl, up to 10 mg 1,309 1,203 $32.31
J2250 Injection, midazolam hydrochloride, per 1 mg 1,771 1,735 $26.83
95806 12 12 $25.67
80320 509 481 $25.10
73590 14 13 $24.24
J0696 Injection, ceftriaxone sodium, per 250 mg 1,377 1,254 $23.79
J3475 Injection, magnesium sulfate, per 500 mg 434 406 $21.20
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,816 1,690 $15.11
J2795 Injection, ropivacaine hydrochloride, 1 mg 123 122 $9.30
J7060 5% dextrose/water (500 ml = 1 unit) 226 136 $9.07
94760 127 96 $6.89
86308 14 13 $4.73
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 527 497 $3.98
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 720 648 $2.49
J2060 Injection, lorazepam, 2 mg 461 417 $2.00
J1644 Injection, heparin sodium, per 1000 units 231 130 $1.77
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 31 31 $1.27
J0131 Injection, acetaminophen, not otherwise specified,10 mg 55 55 $0.20
80179 64 64 $0.00
99080 1,225 1,203 $0.00
82010 27 24 $0.00
J0132 Injection, acetylcysteine, 100 mg 144 134 $0.00
81513 17 17 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 16 15 $0.00
90734 18 18 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 61 57 $0.00
90633 40 40 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 41 40 $0.00
J1171 Injection, hydromorphone, 0.1 mg 128 97 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 14 12 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 81 74 $0.00
80329 187 155 $0.00
87590 17 17 $0.00
90620 35 35 $0.00