Clinic
Carthage Area Hospital INC.
Carthage Area Hospital INC. was paid $2.66M by Medicaid between Nov 2020 and Feb 2024, across 10 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 53% of everything it billed.
33Billing provider infoCARTHAGE AREA HOSPITAL INC.
CARTHAGE, NY 13619
CARTHAGE, NY 13619
33aNPI1801007364assigned 05/25/2007
28Total paid$2.66M
24GClaims8,571
24DCodes billed10
24AFirst – last monthNov 2020 – Feb 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in New York
Rank by total paid#47 of 112
Median peer was paid$1.84M
This provider vs. median1.4×
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 | 404 | $43K | |
| 2021 | 2,982 | $360K | |
| 2022 | 2,918 | $1.21M | |
| 2023 | 2,221 | $1.03M | |
| 2024incomplete | 46 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 53% | 4,200 | 2,964 | $1.40M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 17% | 1,678 | 1,358 | $456K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 16% | 1,369 | 1,345 | $423K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.1% | 702 | 695 | $188K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 3.5% | 312 | 300 | $92K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.9% | 203 | 173 | $77K |
| 99000 | <1% | 38 | 36 | $9K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 14 | 14 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 31 | 31 | $3K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 24 | 24 | $1K |
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 ADMINISTRATOR)
| 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 | $669K |
| 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.