Medicaid Provider Spending

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

MERCY HOSPITAL OF BUFFALO

NPI: 1851929954 · BUFFALO, NY 14220 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 04/01/2020

$449K
Total Medicaid Paid
26,289
Total Claims
23,063
Beneficiaries
25
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMACHOLZ, DAVID (AUTHORIZED OFFICIAL)
Parent OrganizationMERCY HOSPITAL OF BUFFALO
NPI Enumeration Date04/01/2020

Related Entities

Other providers sharing the same authorized official: MACHOLZ, DAVID

ProviderCityStateTotal Paid
MERCY HOSPITAL OF BUFFALO BUFFALO NY $29.86M
MOUNT ST. MARY'S HOSPITAL OF NIAGARA FALLS LEWISTON NY $22.19M
SISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK CHEEKTOWAGA NY $13.42M
SISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK BUFFALO NY $3.93M
MOUNT ST. MARY'S HOSPITAL OF NIAGARA FALLS LEWISTON NY $2.87M
KENMORE MERCY HOSPITAL KENMORE NY $70K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 922 $24K
2021 6,021 $107K
2022 7,233 $147K
2023 7,697 $120K
2024 4,416 $51K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 19,216 16,801 $131K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,606 1,467 $77K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,057 992 $40K
99233 Prolong inpt eval add15 m 506 259 $32K
76819 Fetal biophysical profile; without non-stress testing 892 649 $30K
99460 467 467 $30K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,030 1,009 $29K
99238 Hospital discharge day management, 30 minutes or less 510 506 $28K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 376 376 $25K
99283 Emergency department visit for the evaluation and management, moderate severity 126 125 $6K
99284 Emergency department visit for the evaluation and management, high severity 71 68 $5K
99232 Subsequent hospital care, per day, moderate complexity 127 65 $5K
59425 22 16 $3K
59426 23 15 $3K
99282 Emergency department visit for the evaluation and management, low to moderate severity 82 82 $2K
99239 Hospital discharge day management, more than 30 minutes 26 25 $2K
99223 Prolong inpt eval add15 m 13 12 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15 13 $792.89
76813 12 12 $708.83
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 16 14 $455.56
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 15 13 $447.35
99462 13 12 $327.21
97597 15 13 $223.26
94727 12 12 $81.61
81025 41 40 $36.50