Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Memorial Hospital, Albany, N.Y.

Memorial Hospital, Albany, N.Y. was paid $1.31M by Medicaid between Jan 2018 and Sep 2021, across 132 billing codes. Its largest line is 99284, emergency room visit (serious) — 17% of everything it billed.

33Billing provider infoMEMORIAL HOSPITAL, ALBANY, N.Y.
ALBANY, NY 12204
33aNPI1801837539assigned 06/10/2006
28Total paid$1.31M
24GClaims43,372
24DCodes billed132
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in New York

Rank by total paid#40 of 118
Median peer was paid$372K
This provider vs. median3.5×

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

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
20182,321$30K
201940,770$1.28M
202047$347.80
2021234$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 17% 1,957 1,877 $221K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 17% 1,812 1,738 $217K
99282 Emergency department visit for the evaluation and management, low to moderate severity 7.9% 810 769 $103K
74177 Computed tomography, abdomen and pelvis; with contrast material 5.7% 251 248 $75K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 4.8% 141 138 $63K
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 4.6% 642 587 $61K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3.8% 1,143 380 $50K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 3.7% 343 157 $48K
70450 Computed tomography, head or brain; without contrast material 3.6% 240 233 $48K
80053 Comprehensive metabolic panel 3.2% 2,012 1,860 $42K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.6% 405 399 $34K
96361 Intravenous infusion, hydration; each additional hour 2.3% 131 130 $30K
120 more codes
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2.2% 210 $29K
77067 Screening mammography, bilateral, including computer-aided detection 2.0% 274 $26K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1.8% 674 $23K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.7% 84 $22K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1.1% 404 $15K
76705 Ultrasound, abdominal, real time with image documentation; limited 1.1% 149 $15K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 409 $13K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 1,613 $11K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 713 $9K
93975 <1% 35 $9K
99213 Doctor's office visit, returning patient (routine) <1% 92 $8K
10060 <1% 27 $8K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 404 $7K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 221 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 611 $7K
29515 <1% 38 $7K
93971 <1% 56 $6K
12001 <1% 24 $6K
71046 Radiologic examination, chest; 2 views <1% 1,140 $6K
64402 <1% 12 $5K
97162 <1% 41 $4K
77063 Screening digital breast tomosynthesis, bilateral <1% 273 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 115 $4K
76770 <1% 12 $4K
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 <1% 38 $4K
71275 Computed tomographic angiography, chest, with contrast material <1% 12 $4K
80348 <1% 200 $3K
86901 <1% 90 $3K
29125 <1% 16 $3K
80048 Basic metabolic panel (calcium, ionized) <1% 184 $3K
76830 Ultrasound, transvaginal <1% 118 $3K
76536 <1% 29 $2K
86900 <1% 90 $2K
86850 <1% 57 $2K
81025 <1% 657 $2K
97035 <1% 143 $2K
97165 <1% 25 $2K
97010 <1% 99 $2K
84443 Thyroid stimulating hormone (TSH) <1% 205 $1K
90715 <1% 51 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 42 $1K
99204 Doctor's office visit, new patient (more involved) <1% 12 $1K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 1,016 $1K
90682 <1% 37 $994.83
86701 <1% 96 $909.59
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 28 $909.13
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 2,013 $891.82
80061 Lipid panel <1% 137 $878.03
36416 <1% 283 $860.46
76870 <1% 12 $852.72
82043 <1% 145 $741.91
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 801 $731.93
73564 <1% 91 $730.01
84439 <1% 85 $688.48
90686 <1% 28 $686.63
83036 Hemoglobin; glycosylated (A1C) <1% 88 $663.59
72125 Computed tomography, cervical spine; without contrast material <1% 16 $622.09
36415 Collection of venous blood by venipuncture <1% 2,353 $614.89
94760 <1% 5,155 $582.40
97760 <1% 21 $550.84
81003 <1% 932 $476.20
97535 Self-care/home management training, each 15 minutes <1% 23 $456.54
76641 <1% 14 $416.77
82570 <1% 133 $392.87
71045 Radiologic examination, chest; single view <1% 102 $318.44
73030 <1% 82 $317.78
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 720 $306.52
96375 Therapeutic injection; each additional sequential IV push <1% 681 $303.61
85610 <1% 97 $275.45
73630 <1% 114 $218.15
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 147 $217.56
73130 <1% 60 $164.72
83735 <1% 213 $113.43
81001 <1% 714 $110.79
73610 <1% 64 $108.87
87660 <1% 261 $69.85
87510 <1% 262 $69.85
87480 <1% 261 $69.85
83690 <1% 638 $63.12
84702 <1% 108 $61.68
J7050 Infusion, normal saline solution, 250 cc <1% 28 $57.62
73110 <1% 16 $57.50
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 36 $55.00
87086 Culture, bacterial; quantitative colony count, urine <1% 276 $53.56
94664 <1% 356 $51.87
74018 <1% 12 $50.00
73502 <1% 13 $45.11
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 286 $45.00
86618 <1% 12 $37.66
84703 <1% 414 $33.58
85027 <1% 13 $31.90
82947 <1% 178 $29.94
87186 <1% 90 $25.83
80320 <1% 70 $20.00
84484 <1% 400 $17.56
83605 <1% 106 $9.30
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 64 $9.00
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 245 $8.57
87040 <1% 46 $8.15
87070 <1% 14 $6.01
87077 <1% 80 $5.66
87205 <1% 13 $5.54
J2704 Injection, propofol, 10 mg <1% 267 $5.35
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 724 $4.26
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 228 $3.64
J3010 Injection, fentanyl citrate, 0.1 mg <1% 38 $2.83
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 239 $2.23
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 252 $1.65
S0028 Injection, famotidine, 20 mg <1% 115 $1.07
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 251 $0.32
J2270 Injection, morphine sulfate, up to 10 mg 0% 219 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 15 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 0% 13 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 0% 42 $0.00
87088 0% 85 $0.00
85379 0% 52 $0.00
96376 0% 103 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 154 $0.00
J2060 Injection, lorazepam, 2 mg 0% 26 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 0% 164 $0.00

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 officialSANTOS, LORI (CFO)
Parent organizationMEMORIAL HOSPITAL, ALBANY, N.Y.
Same official

Other billing entities under SANTOS, LORI

Full network →
ProviderLocationPaid
Memorial Hospital, Albany, N.Y.Albany, NY$608K
Burdett Care Center, INCTroy, NY$95K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.