Medicaid Provider Spending

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

CITY OF CARIBOU

NPI: 1780615492 · CARIBOU, ME 04736 · General Acute Care Hospital · NPI assigned 07/05/2006

$3.00M
Total Medicaid Paid
533,938
Total Claims
437,993
Beneficiaries
215
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOODY, KRIS (CHEIF EXECUTIVE OFFICER)
NPI Enumeration Date07/05/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 88,562 $344K
2019 93,362 $355K
2020 76,009 $280K
2021 77,924 $304K
2022 73,048 $339K
2023 69,094 $329K
2024 55,939 $1.05M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 30,789 28,520 $775K
99284 Emergency department visit for the evaluation and management, high severity 18,032 16,590 $679K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 10,829 9,688 $461K
74177 Computed tomography, abdomen and pelvis; with contrast material 5,687 5,379 $172K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 8,544 5,299 $129K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 5,727 3,339 $82K
70450 Computed tomography, head or brain; without contrast material 4,773 4,450 $65K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,257 5,456 $65K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,749 3,495 $52K
71045 Radiologic examination, chest; single view 12,046 10,647 $52K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 11,183 3,040 $50K
71046 Radiologic examination, chest; 2 views 5,394 4,957 $31K
96375 Therapeutic injection; each additional sequential IV push 7,053 5,519 $30K
96361 Intravenous infusion, hydration; each additional hour 6,294 5,084 $28K
77067 Screening mammography, bilateral, including computer-aided detection 4,499 4,387 $26K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,651 1,526 $25K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 3,543 2,072 $18K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,763 1,566 $18K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 597 567 $16K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 6,411 2,003 $13K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 506 469 $12K
59025 Fetal non-stress test 606 344 $12K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,628 1,567 $11K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,015 962 $8K
45380 Colonoscopy, flexible; with biopsy, single or multiple 167 156 $8K
80053 Comprehensive metabolic panel 34,859 30,035 $8K
80061 Lipid panel 11,455 11,141 $8K
77063 Screening digital breast tomosynthesis, bilateral 1,355 1,282 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7,625 6,859 $6K
84443 Thyroid stimulating hormone (TSH) 13,271 12,626 $6K
80050 General health panel 242 237 $6K
76705 Ultrasound, abdominal, real time with image documentation; limited 662 632 $6K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4,039 3,917 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 39,688 32,147 $5K
97161 947 852 $5K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 292 276 $5K
73564 908 847 $5K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 608 522 $5K
96367 1,126 764 $4K
86900 1,651 1,430 $4K
72100 897 855 $4K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,358 5,688 $4K
71250 301 289 $3K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 341 184 $3K
82607 4,525 4,374 $3K
83036 Hemoglobin; glycosylated (A1C) 7,836 7,617 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,425 3,363 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,594 2,428 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 42 38 $3K
82728 4,008 3,448 $2K
36415 Collection of venous blood by venipuncture 32,359 25,948 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 537 441 $2K
74018 340 313 $2K
73630 814 769 $2K
97530 Therapeutic activities, direct patient contact, each 15 minutes 153 98 $1K
71271 137 136 $1K
G0475 Hiv antigen/antibody, combination assay, screening 399 391 $1K
83550 3,134 2,686 $1K
83880 2,327 2,063 $1K
73030 432 405 $1K
80048 Basic metabolic panel (calcium, ionized) 6,596 5,470 $1K
72125 Computed tomography, cervical spine; without contrast material 256 244 $1K
87088 5,783 5,210 $1K
83540 3,384 2,923 $1K
83735 4,854 3,771 $972.38
82746 1,513 1,459 $958.35
97535 Self-care/home management training, each 15 minutes 604 483 $906.17
97162 210 191 $887.68
76830 Ultrasound, transvaginal 402 388 $826.80
84439 1,232 1,184 $779.71
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,234 3,002 $750.84
82570 3,592 3,470 $741.89
87070 4,904 4,604 $739.05
82043 3,103 3,041 $732.70
73610 490 464 $729.16
87186 3,105 2,887 $699.82
96523 226 197 $649.80
73502 115 112 $640.89
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,809 1,732 $562.40
76819 Fetal biophysical profile; without non-stress testing 172 64 $559.47
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,810 1,732 $559.35
77065 Tomosynthesis, mammo 54 53 $535.74
73110 57 52 $521.49
85610 5,357 3,687 $512.59
76770 12 12 $416.73
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 180 170 $412.99
86803 664 646 $408.80
86140 2,807 2,499 $399.06
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 203 192 $383.47
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,119 376 $381.43
12001 13 13 $380.58
87631 526 493 $380.58
85651 4,125 3,764 $332.86
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 98 96 $331.60
86038 493 472 $328.76
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 854 433 $318.61
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 14 14 $304.38
70551 Magnetic resonance imaging, brain; without contrast material 27 24 $279.41
84153 603 585 $248.02
97014 386 142 $227.71
93971 27 25 $220.10
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 103 101 $204.61
99215 Prolong outpt/office vis 49 25 $198.80
94060 12 12 $190.27
84484 5,107 4,408 $168.86
81001 6,390 5,735 $154.78
93225 15 14 $149.71
83690 4,011 3,619 $142.05
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 170 49 $140.09
Q3014 Telehealth originating site facility fee 24 24 $138.80
83615 932 821 $128.20
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 248 231 $120.90
82550 1,224 1,098 $107.96
93017 79 70 $107.77
81003 6,349 5,810 $97.86
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,004 1,921 $97.30
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,802 2,685 $96.21
97165 17 15 $94.92
71275 Computed tomographic angiography, chest, with contrast material 25 25 $86.67
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 13 12 $76.41
73130 224 214 $72.63
84703 1,733 1,562 $69.88
G0103 Prostate cancer screening; prostate specific antigen test (psa) 153 153 $69.79
85379 1,733 1,633 $66.60
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,335 4,995 $66.04
82565 1,445 1,289 $64.10
86431 145 140 $62.37
82947 128 122 $59.88
86850 1,539 1,339 $59.69
86592 627 603 $58.79
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 336 319 $57.93
84132 440 394 $55.82
85045 517 453 $52.00
85730 1,423 1,272 $51.24
81015 300 288 $48.02
84100 845 696 $46.35
97116 39 25 $46.30
97035 47 14 $35.57
83605 2,379 2,106 $28.97
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening 896 850 $27.06
J1885 Injection, ketorolac tromethamine, per 15 mg 5,829 4,749 $26.27
81025 1,886 1,717 $25.88
87205 696 646 $24.05
87340 757 723 $20.89
77085 12 12 $20.56
87040 741 692 $18.09
84550 380 329 $17.89
84295 113 106 $9.81
J7050 Infusion, normal saline solution, 250 cc 2,672 1,458 $9.74
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 635 576 $8.18
G0378 Hospital observation service, per hour 756 674 $7.77
J2405 Injection, ondansetron hydrochloride, per 1 mg 6,664 5,590 $6.67
84450 137 123 $6.48
80076 211 198 $6.47
85018 488 436 $5.19
J0696 Injection, ceftriaxone sodium, per 250 mg 2,027 1,136 $4.87
84165 15 12 $3.57
84520 145 134 $3.45
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 44 40 $2.90
85014 377 337 $2.60
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 375 289 $2.11
J2469 Injection, palonosetron hcl, 25 mcg 53 27 $0.17
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 12 12 $0.00
J3490 Unclassified drugs 16,965 3,657 $0.00
J1170 Injection, hydromorphone, up to 4 mg 861 680 $0.00
96376 1,042 776 $0.00
86901 1,733 1,490 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 168 159 $0.00
87807 66 64 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 4,684 4,039 $0.00
J2060 Injection, lorazepam, 2 mg 595 473 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,043 2,346 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 3,170 2,767 $0.00
80349 483 437 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 3,523 1,384 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 606 490 $0.00
J0690 Injection, cefazolin sodium, 500 mg 742 593 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 535 472 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 99 81 $0.00
86762 240 231 $0.00
82950 41 39 $0.00
76820 64 25 $0.00
82150 120 115 $0.00
82784 42 37 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 77 50 $0.00
86706 26 25 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 95 83 $0.00
G0008 Administration of influenza virus vaccine 62 62 $0.00
82435 80 75 $0.00
82378 12 12 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 25 25 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 484 410 $0.00
J1756 Injection, iron sucrose, 1 mg 371 195 $0.00
88312 353 337 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 465 321 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 670 480 $0.00
84702 186 139 $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 337 313 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 436 409 $0.00
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) 59 59 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 286 275 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 47 41 $0.00
84156 82 66 $0.00
82747 27 26 $0.00
84460 76 63 $0.00
82140 134 111 $0.00
87210 13 12 $0.00
90715 131 128 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 133 104 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 27 12 $0.00
87185 28 25 $0.00
83970 16 12 $0.00
86200 12 12 $0.00
84403 25 25 $0.00
93226 15 14 $0.00