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

ST Elizabeth Medical Center

ST Elizabeth Medical Center was paid $27.51M by Medicaid between Jan 2018 and Oct 2023, across 350 billing codes. Its largest line is 99285, emergency room visit (most serious) — 9.5% of everything it billed.

33Billing provider infoST ELIZABETH MEDICAL CENTER
UTICA, NY 13501
33aNPI1821093402assigned 06/20/2005
28Total paid$27.51M
24GClaims959,850
24DCodes billed350
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers

Next to other General Acute Care Hospital providers in New York

Rank by total paid#48 of 231
Median peer was paid$561K
This provider vs. median49×

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$250K$500K$750K2018201920202021202220232024
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
201836,746$1.57M
201991,578$2.36M
2020204,118$5.27M
2021226,906$6.13M
2022197,891$6.33M
2023202,611$5.86M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 9.5% 13,893 13,293 $2.62M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 7.2% 13,416 12,854 $1.97M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 7.1% 12,438 11,931 $1.96M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.0% 53,006 50,987 $1.64M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 4.3% 16,697 14,070 $1.20M
74177 Computed tomography, abdomen and pelvis; with contrast material 3.6% 2,930 2,887 $981K
96361 Intravenous infusion, hydration; each additional hour 3.4% 5,648 5,042 $923K
80053 Comprehensive metabolic panel 3.0% 56,023 52,282 $813K
70450 Computed tomography, head or brain; without contrast material 2.9% 2,799 2,741 $810K
97597 2.4% 4,905 2,526 $656K
G0378 Hospital observation service, per hour 2.3% 503 464 $626K
36415 Collection of venous blood by venipuncture 1.8% 82,359 45,630 $491K
338 more codes
99214 Doctor's office visit, returning patient (more involved) 1.7% 10,012 $476K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.6% 3,278 $432K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.6% 9,441 $427K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.5% 1,230 $426K
90791 Psychiatric diagnostic evaluation 1.3% 2,521 $366K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1.3% 3,104 $349K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1.2% 11,299 $338K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.1% 2,231 $302K
71275 Computed tomographic angiography, chest, with contrast material 1.1% 857 $290K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.0% 7,944 $282K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 6,870 $257K
94060 <1% 1,396 $254K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 4,632 $252K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 8,072 $240K
84443 Thyroid stimulating hormone (TSH) <1% 22,245 $222K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 968 $206K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 32,368 $200K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,497 $194K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 7,981 $193K
99232 Hospital visit by a doctor, follow-up day <1% 3,554 $182K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 7,953 $176K
90834 Psychotherapy session, about 45 minutes <1% 1,722 $171K
93458 <1% 90 $170K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 55,067 $167K
80061 Lipid panel <1% 21,288 $163K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 5,795 $161K
83036 Hemoglobin; glycosylated (A1C) <1% 16,431 $153K
83880 <1% 3,827 $130K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 12,887 $125K
90832 Psychotherapy session, about 30 minutes <1% 1,425 $124K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 4,443 $117K
T1013 Sign language or oral interpretive services, per 15 minutes <1% 6,609 $117K
80048 Basic metabolic panel (calcium, ionized) <1% 9,308 $115K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,600 $113K
76830 Ultrasound, transvaginal <1% 1,848 $113K
90792 Psychiatric diagnostic evaluation with medical services <1% 1,066 $106K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 4,130 $101K
90472 Immunization administration, each additional vaccine (list separately) <1% 10,998 $96K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 2,698 $92K
71046 Radiologic examination, chest; 2 views <1% 4,668 $88K
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% 1,248 $84K
83655 <1% 6,412 $81K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 541 $81K
94726 <1% 1,207 $78K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 4,375 $78K
90686 <1% 11,997 $76K
87536 <1% 860 $75K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 5,996 $74K
86850 <1% 3,328 $73K
71045 Radiologic examination, chest; single view <1% 7,423 $72K
88142 <1% 3,150 $69K
96375 Therapeutic injection; each additional sequential IV push <1% 4,573 $66K
72125 Computed tomography, cervical spine; without contrast material <1% 718 $64K
99222 Initial hospital care, per day, moderate complexity <1% 573 $64K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 3,923 $63K
93971 <1% 691 $62K
84439 <1% 7,372 $62K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 12,610 $61K
87088 <1% 10,557 $60K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 570 $60K
86003 <1% 680 $59K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 6,011 $58K
82607 <1% 4,489 $55K
94729 <1% 1,192 $53K
82728 <1% 3,868 $51K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 38 $51K
86480 <1% 1,004 $51K
12001 <1% 136 $49K
87631 <1% 750 $48K
99442 <1% 1,546 $48K
86901 <1% 3,410 $48K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,027 $48K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 2,125 $47K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 1,608 $46K
87660 <1% 3,431 $46K
81513 <1% 487 $44K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 321 $43K
84702 <1% 5,779 $41K
85027 <1% 11,118 $40K
76770 <1% 328 $40K
70491 <1% 180 $39K
86803 <1% 3,983 $39K
87510 <1% 2,887 $38K
87480 <1% 2,907 $38K
86360 <1% 777 $38K
70486 <1% 305 $37K
86900 <1% 3,407 $37K
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% 1,947 $35K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 999 $35K
77067 Screening mammography, bilateral, including computer-aided detection <1% 523 $34K
0223U <1% 169 $32K
76536 <1% 706 $31K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 26 $31K
86618 <1% 1,044 $28K
98968 <1% 329 $28K
90715 <1% 1,327 $27K
82746 <1% 2,111 $25K
71250 <1% 155 $25K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 288 $25K
86617 <1% 818 $25K
88304 <1% 602 $24K
86762 <1% 1,653 $24K
81001 <1% 10,747 $23K
83540 <1% 4,489 $23K
83735 <1% 9,718 $23K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 1,713 $23K
84484 <1% 8,736 $23K
99441 <1% 1,145 $22K
87340 <1% 2,185 $22K
84403 <1% 867 $22K
99238 Hospital discharge day management, 30 minutes or less <1% 349 $22K
83021 <1% 1,160 $21K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 15 $21K
85610 <1% 7,091 $21K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 607 $21K
83550 <1% 3,609 $20K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 188 $20K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 1,739 $20K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 354 $19K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 252 $19K
82043 <1% 3,928 $19K
86359 <1% 771 $19K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 491 $18K
82570 <1% 3,806 $18K
87186 <1% 3,460 $17K
85730 <1% 3,614 $16K
92552 <1% 864 $16K
C1769 Guide wire <1% 675 $16K
86140 <1% 4,985 $16K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 4,611 $16K
87522 Neg quan hep c or qual rna <1% 346 $16K
73030 <1% 876 $16K
12002 <1% 41 $15K
83020 <1% 1,144 $15K
83001 <1% 814 $15K
84146 <1% 757 $15K
73564 <1% 793 $14K
93970 <1% 49 $14K
87471 <1% 354 $14K
81003 <1% 9,730 $13K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 135 $13K
87077 <1% 2,187 $12K
83690 <1% 7,408 $12K
99223 Prolong inpt eval add15 m <1% 77 $12K
73130 <1% 827 $12K
86592 <1% 3,496 $12K
84402 <1% 485 $12K
99221 <1% 178 $12K
96376 <1% 1,092 $12K
73610 <1% 736 $11K
73630 <1% 647 $11K
84481 <1% 1,170 $11K
86787 <1% 1,297 $11K
87070 <1% 1,960 $11K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation <1% 152 $11K
84480 <1% 1,392 $10K
83002 <1% 577 $10K
92551 <1% 1,596 $10K
86769 <1% 202 $10K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,924 $10K
86038 <1% 1,450 $9K
74018 <1% 614 $9K
86765 <1% 664 $9K
84703 <1% 5,248 $8K
83605 <1% 2,872 $8K
87481 <1% 266 $8K
90474 <1% 1,445 $8K
80076 <1% 1,032 $8K
82784 <1% 736 $8K
98967 <1% 109 $8K
76801 <1% 111 $7K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 1,132 $7K
87653 <1% 309 $7K
85652 <1% 3,743 $7K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 165 $7K
86706 <1% 710 $7K
72100 <1% 343 $7K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 61 $7K
84550 <1% 1,532 $6K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 19 $6K
81511 <1% 137 $6K
99204 Doctor's office visit, new patient (more involved) <1% 115 $6K
97602 <1% 20 $6K
99443 <1% 72 $5K
83970 <1% 141 $5K
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 311 $5K
82248 <1% 1,045 $5K
82670 <1% 188 $5K
87040 <1% 2,075 $5K
86735 <1% 524 $4K
12011 <1% 12 $4K
82950 <1% 863 $4K
99215 Doctor's office visit, returning patient (complex) <1% 30 $4K
85379 <1% 1,438 $4K
87205 <1% 1,649 $4K
99203 Doctor's office visit, new patient (routine) <1% 41 $4K
86430 <1% 744 $4K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 309 $4K
99239 Hospital discharge day management, more than 30 minutes <1% 56 $3K
86376 <1% 250 $3K
73110 <1% 221 $3K
82962 <1% 3,181 $3K
93925 <1% 46 $3K
86704 <1% 331 $3K
82077 <1% 1,077 $3K
0071A <1% 74 $3K
72131 <1% 13 $3K
84153 <1% 166 $3K
76120 <1% 132 $3K
84100 <1% 646 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 63 $3K
0003A <1% 67 $3K
82105 <1% 320 $2K
0072A <1% 62 $2K
0099U <1% 40 $2K
73502 <1% 113 $2K
99173 <1% 7,295 $2K
90734 <1% 579 $2K
95811 <1% 14 $2K
11719 <1% 279 $2K
82150 <1% 351 $2K
0002A <1% 43 $2K
0001A <1% 42 $2K
97162 <1% 27 $2K
70480 <1% 12 $2K
72110 <1% 45 $1K
84436 <1% 259 $1K
76870 <1% 26 $1K
87338 <1% 174 $1K
82550 <1% 485 $1K
94760 <1% 1,052 $1K
87899 <1% 167 $1K
83615 <1% 276 $1K
99152 <1% 66 $1K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 35 $1K
86308 <1% 391 $1K
97166 <1% 24 $1K
90651 <1% 562 $1K
82140 <1% 95 $1K
11056 <1% 22 $1K
86703 <1% 54 $1K
76819 Fetal biophysical profile; without non-stress testing <1% 43 $1K
86665 <1% 26 $930.96
J2704 Injection, propofol, 10 mg <1% 2,126 $902.95
90619 <1% 284 $819.97
J0690 Injection, cefazolin sodium, 500 mg <1% 1,060 $805.86
96367 <1% 12 $792.66
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 5,578 $791.01
95806 <1% 17 $731.77
86696 <1% 52 $728.72
81596 <1% 14 $720.98
J3010 Injection, fentanyl citrate, 0.1 mg <1% 2,664 $689.14
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,597 $614.99
85060 <1% 37 $574.24
80047 <1% 40 $554.35
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 427 $552.70
88311 <1% 28 $520.19
99201 <1% 12 $514.08
90673 <1% 12 $507.79
90670 <1% 2,987 $506.59
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg <1% 141 $490.37
82247 <1% 105 $488.76
81025 <1% 158 $484.43
83525 <1% 40 $460.24
86364 <1% 56 $459.72
99381 <1% 28 $442.07
80074 <1% 13 $440.24
82803 <1% 97 $430.51
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination <1% 13 $419.98
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 729 $396.05
86664 <1% 26 $392.33
82040 <1% 88 $381.38
80164 <1% 55 $381.19
A4649 Surgical supply; miscellaneous <1% 14 $345.83
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 4,483 $328.18
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 525 $324.66
0011A <1% 13 $319.38
84156 <1% 88 $317.46
J1644 Injection, heparin sodium, per 1000 units <1% 865 $308.01
87102 <1% 30 $307.74
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 401 $307.69
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,758 $291.21
86708 <1% 27 $264.72
74220 <1% 14 $256.24
90662 <1% 52 $255.79
83921 <1% 12 $249.06
J3370 Injection, vancomycin hcl, 500 mg <1% 100 $214.87
82977 <1% 41 $201.66
0124A <1% 15 $200.00
87045 <1% 25 $197.95
81015 <1% 86 $194.54
72040 <1% 13 $184.42
J7050 Infusion, normal saline solution, 250 cc <1% 489 $180.41
82747 <1% 13 $172.76
82565 <1% 38 $171.01
82945 <1% 14 $164.01
83721 <1% 26 $159.84
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 87 $153.60
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,828 $151.44
80320 <1% 44 $142.43
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous <1% 20 $137.12
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,027 $126.62
86141 <1% 12 $113.42
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm <1% 237 $112.65
73090 <1% 26 $96.26
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 877 $90.32
G0008 Administration of influenza virus vaccine <1% 67 $80.50
J2060 Injection, lorazepam, 2 mg <1% 579 $79.79
84145 <1% 26 $77.26
85018 <1% 90 $74.03
J1170 Injection, hydromorphone, up to 4 mg <1% 213 $72.60
90473 <1% 12 $60.00
90707 <1% 16 $53.55
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 470 $44.81
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 52 $38.44
73560 <1% 12 $36.00
90633 <1% 1,001 $35.70
90744 <1% 284 $17.85
J3475 Injection, magnesium sulfate, per 500 mg <1% 45 $17.70
90785 <1% 49 $11.04
82009 <1% 19 $10.45
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 24 $10.25
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 15 $6.72
J1630 Injection, haloperidol, up to 5 mg <1% 74 $6.04
J3480 Injection, potassium chloride, per 2 meq <1% 29 $3.49
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 13 $3.27
J1815 Injection, insulin, per 5 units <1% 52 $3.19
90697 <1% 182 $0.07
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 856 $0.06
90680 0% 1,029 $0.00
90696 0% 37 $0.00
90723 0% 137 $0.00
90698 0% 667 $0.00
90648 0% 612 $0.00
90710 0% 311 $0.00
90685 0% 269 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 0% 26 $0.00
90700 0% 13 $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 officialGROSSI, BELINDA (PROVIDER CREDENTIALING MANAGER)