Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Oswego › NPI 1871678458
Hospital

Oswego Hospital

Oswego Hospital was paid $63.84M by Medicaid between Jan 2018 and Dec 2024, across 371 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 14% of everything it billed.

33Billing provider infoOSWEGO HOSPITAL
OSWEGO, NY 13126
33aNPI1871678458assigned 10/25/2006
28Total paid$63.84M
24GClaims1,246,303
24DCodes billed371
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in New York

Rank by total paid#26 of 231
Median peer was paid$561K
This provider vs. median114×

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$1.0M$2.0M2018201920202021202220232024
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
201810,827$212K
201977,598$3.10M
2020230,361$9.34M
2021258,284$11.29M
2022254,039$18.67M
2023249,661$13.94M
2024incomplete165,533$7.27M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 59,063 55,287 $9.20M
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 8.7% 42,919 26,285 $5.53M
H0040 Assertive community treatment program, per diem 8.5% 2,884 2,882 $5.42M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 8.4% 34,851 22,699 $5.37M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 7.3% 27,262 24,493 $4.63M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.3% 13,952 13,246 $2.11M
80053 Comprehensive metabolic panel 2.3% 78,298 71,744 $1.46M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.3% 9,192 9,182 $1.45M
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 2.2% 27,057 22,999 $1.41M
74177 Computed tomography, abdomen and pelvis; with contrast material 2.1% 4,814 4,706 $1.32M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.0% 7,049 6,695 $1.28M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.0% 8,888 8,451 $1.26M
359 more codes
81025 1.7% 7,419 $1.08M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.5% 10,804 $931K
99214 Doctor's office visit, returning patient (more involved) 1.4% 5,959 $919K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.4% 1,076 $881K
70450 Computed tomography, head or brain; without contrast material 1.3% 2,581 $802K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1.2% 7,879 $770K
90792 Psychiatric diagnostic evaluation with medical services 1.2% 2,942 $748K
36415 Collection of venous blood by venipuncture 1.1% 57,025 $723K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1.1% 23,820 $700K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 8,527 $633K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 2,313 $624K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 375 $489K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 2,540 $484K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,660 $479K
90837 Psychotherapy session, about an hour <1% 3,404 $464K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,153 $441K
90791 Psychiatric diagnostic evaluation <1% 1,747 $394K
12001 <1% 812 $358K
84443 Thyroid stimulating hormone (TSH) <1% 42,837 $357K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 272 $356K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 2,471 $350K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,558 $333K
87631 <1% 3,839 $324K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 9,150 $316K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 10,881 $292K
59025 Fetal non-stress test <1% 1,296 $261K
99232 Hospital visit by a doctor, follow-up day <1% 9,603 $253K
96361 Intravenous infusion, hydration; each additional hour <1% 957 $246K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 10,880 $231K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 4,039 $227K
80061 Lipid panel <1% 36,288 $218K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 7,151 $213K
83036 Hemoglobin; glycosylated (A1C) <1% 22,911 $207K
77067 Screening mammography, bilateral, including computer-aided detection <1% 3,585 $197K
97162 <1% 1,263 $190K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 73,834 $182K
70551 Magnetic resonance imaging, brain; without contrast material <1% 626 $174K
99402 <1% 1,635 $170K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 3,036 $164K
84439 <1% 19,446 $162K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 5,304 $151K
82607 <1% 12,411 $143K
99401 <1% 1,908 $142K
29125 <1% 598 $141K
87660 <1% 9,991 $126K
80048 Basic metabolic panel (calcium, ionized) <1% 6,356 $123K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 414 $121K
82728 <1% 9,353 $119K
87086 Culture, bacterial; quantitative colony count, urine <1% 19,775 $114K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 3,434 $109K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 4,413 $104K
90846 Family psychotherapy without the patient present, 50 minutes <1% 769 $101K
76770 <1% 784 $99K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 5,773 $96K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,657 $95K
86481 <1% 1,825 $92K
87480 <1% 7,617 $91K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 368 $88K
99222 Initial hospital care, per day, moderate complexity <1% 1,808 $88K
87625 <1% 3,285 $82K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 5,640 $79K
99238 Hospital discharge day management, 30 minutes or less <1% 2,820 $78K
87510 <1% 6,698 $76K
93320 <1% 245 $74K
86003 <1% 849 $71K
90847 Family psychotherapy with the patient present, 50 minutes <1% 375 $70K
76830 Ultrasound, transvaginal <1% 1,354 $68K
71250 <1% 794 $67K
93971 <1% 977 $67K
84702 <1% 6,203 $67K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 2,467 $65K
71046 Radiologic examination, chest; 2 views <1% 9,171 $65K
76641 <1% 2,475 $64K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 413 $64K
83880 <1% 1,900 $60K
97602 <1% 107 $60K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 1,880 $58K
82746 <1% 4,860 $56K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 210 $55K
84153 <1% 2,855 $53K
99204 Doctor's office visit, new patient (more involved) <1% 329 $53K
87522 Neg quan hep c or qual rna <1% 1,150 $52K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 543 $48K
90899 <1% 26 $44K
83540 <1% 9,375 $44K
12011 <1% 103 $43K
90715 <1% 1,096 $41K
76536 <1% 2,055 $41K
77080 <1% 833 $40K
86618 <1% 2,576 $40K
97161 <1% 366 $39K
83550 <1% 8,343 $39K
86706 <1% 4,195 $38K
86780 <1% 3,246 $38K
83655 <1% 2,861 $37K
86704 <1% 3,975 $37K
86850 <1% 3,046 $36K
71271 <1% 1,584 $36K
93017 <1% 732 $36K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 16 $35K
86708 <1% 3,852 $35K
70486 <1% 215 $32K
10060 <1% 103 $32K
86900 <1% 3,142 $31K
87486 <1% 1,132 $30K
83735 <1% 8,074 $30K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 6,131 $29K
87070 <1% 4,752 $29K
86762 <1% 2,007 $29K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 1,914 $28K
84144 <1% 1,319 $28K
87077 <1% 5,169 $27K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 1,002 $27K
82043 <1% 5,629 $26K
81001 <1% 12,044 $25K
99406 <1% 918 $25K
H2011 Crisis intervention service, per 15 minutes <1% 127 $24K
87581 <1% 1,132 $24K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 141 $23K
84403 <1% 860 $23K
80074 <1% 808 $22K
86140 <1% 6,779 $22K
86696 <1% 1,394 $22K
86803 <1% 2,404 $22K
82784 <1% 1,652 $21K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 13 $21K
87186 <1% 5,167 $21K
87807 <1% 2,098 $21K
85027 <1% 6,840 $20K
87340 <1% 1,974 $20K
81003 <1% 22,111 $19K
84146 <1% 932 $18K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 212 $18K
83001 <1% 944 $18K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,588 $18K
12002 <1% 37 $17K
84481 <1% 1,954 $17K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 6,238 $16K
86038 <1% 3,171 $16K
72125 Computed tomography, cervical spine; without contrast material <1% 165 $15K
77066 Tomosynthesis, mammo <1% 269 $15K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 9,527 $15K
72110 <1% 997 $14K
80076 <1% 2,127 $14K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 323 $14K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,331 $14K
85610 <1% 7,039 $14K
84550 <1% 3,373 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 5,036 $14K
85652 <1% 6,867 $12K
86787 <1% 1,581 $12K
86800 <1% 944 $12K
86376 <1% 835 $12K
88304 <1% 397 $12K
93225 <1% 248 $12K
74018 <1% 2,097 $11K
83690 <1% 6,182 $11K
99201 <1% 86 $10K
73630 <1% 2,552 $10K
71045 Radiologic examination, chest; single view <1% 4,712 $10K
72100 <1% 1,352 $10K
82248 <1% 2,541 $10K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 466 $10K
73564 <1% 1,270 $10K
84480 <1% 1,758 $10K
84425 <1% 648 $9K
73562 <1% 1,487 $9K
90686 <1% 213 $9K
87081 <1% 4,333 $9K
82550 <1% 2,386 $9K
99215 Doctor's office visit, returning patient (complex) <1% 81 $9K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 156 $9K
82150 <1% 2,546 $8K
72072 <1% 538 $8K
85730 <1% 4,174 $8K
86665 <1% 375 $8K
73130 <1% 2,098 $7K
G0168 Wound closure utilizing tissue adhesive(s) only <1% 42 $7K
73610 <1% 2,202 $7K
0099U <1% 287 $7K
74019 <1% 843 $7K
86255 <1% 1,254 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 311 $6K
82670 <1% 231 $6K
82570 <1% 1,376 $6K
73030 <1% 1,052 $6K
86430 <1% 1,271 $6K
77065 Tomosynthesis, mammo <1% 129 $6K
S5161 Emergency response system; service fee, per month (excludes installation and testing) <1% 196 $6K
93880 <1% 43 $5K
97597 <1% 16 $5K
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 96 $5K
90853 Group psychotherapy (other than of a multiple-family group) <1% 94 $5K
83002 <1% 290 $5K
73502 <1% 858 $5K
82950 <1% 1,015 $5K
82962 <1% 2,300 $5K
88312 <1% 508 $5K
87328 <1% 376 $5K
73110 <1% 1,416 $5K
99223 Prolong inpt eval add15 m <1% 85 $5K
84703 <1% 5,312 $5K
86431 <1% 920 $5K
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge <1% 559 $4K
76870 <1% 70 $4K
85379 <1% 1,897 $4K
85007 <1% 3,947 $4K
86141 <1% 423 $4K
86617 <1% 238 $4K
86592 <1% 1,355 $4K
71275 Computed tomographic angiography, chest, with contrast material <1% 14 $4K
69209 <1% 25 $4K
87205 <1% 2,202 $4K
84100 <1% 984 $4K
73020 <1% 827 $4K
82785 <1% 318 $4K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 57 $4K
G0444 Annual depression screening, 5 to 15 minutes <1% 98 $4K
0012A <1% 127 $4K
99254 <1% 57 $4K
82947 <1% 863 $4K
83615 <1% 903 $4K
97014 <1% 162 $4K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 13 $3K
86235 <1% 264 $3K
77062 <1% 83 $3K
96375 Therapeutic injection; each additional sequential IV push <1% 4,670 $3K
72141 <1% 12 $3K
82803 <1% 80 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 27 $3K
72050 <1% 360 $3K
99221 <1% 82 $3K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 12 $3K
70491 <1% 12 $3K
0011A <1% 122 $3K
84484 <1% 5,143 $3K
85044 <1% 1,811 $3K
29130 <1% 12 $2K
G0426 Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth <1% 33 $2K
83516 <1% 208 $2K
88142 <1% 105 $2K
97163 <1% 13 $2K
87653 <1% 71 $2K
H0049 Alcohol and/or drug screening <1% 42 $2K
72040 <1% 222 $2K
93226 <1% 26 $2K
G0425 Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth <1% 25 $2K
93351 <1% 79 $2K
82274 <1% 558 $2K
G0378 Hospital observation service, per hour <1% 13 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 213 $2K
80047 <1% 53 $2K
83993 <1% 132 $1K
73140 <1% 403 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,897 $1K
90688 <1% 45 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 14 $1K
82565 <1% 318 $1K
93325 <1% 129 $1K
86308 <1% 468 $1K
84460 <1% 255 $1K
84410 <1% 24 $1K
82533 <1% 73 $1K
83970 <1% 30 $1K
71101 <1% 213 $1K
80164 <1% 127 $1K
82627 <1% 53 $1K
87046 <1% 380 $1K
99253 <1% 98 $1K
87040 <1% 1,747 $1K
G0008 Administration of influenza virus vaccine <1% 86 $1K
86769 <1% 63 $1K
J7050 Infusion, normal saline solution, 250 cc <1% 2,162 $1K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 56 $822.55
99407 <1% 73 $785.34
84156 <1% 267 $779.73
99051 <1% 73 $761.04
94060 <1% 31 $691.83
84165 <1% 110 $661.60
0031A <1% 20 $612.61
88112 <1% 24 $589.21
82977 <1% 114 $546.66
99460 <1% 54 $532.00
80178 <1% 89 $529.41
96367 <1% 27 $497.08
90656 <1% 37 $471.31
89055 <1% 148 $468.74
80320 <1% 2,084 $464.91
84450 <1% 101 $442.26
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% 129 $420.88
73590 <1% 123 $400.67
J7120 Ringers lactate infusion, up to 1000 cc <1% 2,453 $365.26
0001A <1% 28 $359.48
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 23 $350.59
86200 <1% 41 $338.03
83605 <1% 1,953 $332.77
83498 <1% 13 $327.40
J7030 Infusion, normal saline solution , 1000 cc <1% 8,687 $319.29
0002A <1% 26 $316.56
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 13 $316.46
82390 <1% 41 $290.64
83525 <1% 25 $289.17
87338 <1% 38 $288.27
73100 <1% 17 $261.92
82951 <1% 37 $256.86
94726 <1% 17 $241.10
94729 <1% 17 $239.55
Q3014 Telehealth originating site facility fee <1% 31 $237.51
86160 <1% 12 $237.18
73620 <1% 38 $191.08
81015 <1% 883 $187.48
76882 <1% 27 $179.51
82140 <1% 15 $179.22
86765 <1% 13 $170.02
84155 <1% 45 $161.22
82103 <1% 14 $155.37
99252 <1% 40 $155.22
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 5,962 $153.98
73090 <1% 58 $153.47
73070 <1% 69 $152.40
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 991 $149.96
J2704 Injection, propofol, 10 mg <1% 3,009 $135.31
99462 <1% 27 $134.40
73600 <1% 13 $107.47
84479 <1% 149 $102.63
97802 <1% 26 $87.49
J0690 Injection, cefazolin sodium, 500 mg <1% 469 $70.88
82247 <1% 14 $70.78
82952 <1% 37 $56.10
83520 <1% 17 $55.73
73560 <1% 12 $48.78
J1815 Injection, insulin, per 5 units <1% 12 $40.26
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,119 $34.64
80329 <1% 2,477 $23.42
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,124 $19.69
C9113 Injection, pantoprazole sodium, per vial <1% 590 $17.34
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,457 $17.20
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 5,189 $17.08
J1170 Injection, hydromorphone, up to 4 mg <1% 388 $16.71
J3010 Injection, fentanyl citrate, 0.1 mg <1% 2,121 $14.79
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,237 $13.36
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 573 $12.00
J2175 Injection, meperidine hydrochloride, per 100 mg <1% 83 $11.16
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 334 $8.53
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 554 $6.76
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 456 $6.38
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,882 $4.33
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 843 $3.32
J2550 Injection, promethazine hcl, up to 50 mg 0% 123 $0.00
J7510 Prednisolone oral, per 5 mg 0% 28 $0.00
87210 0% 41 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 47 $0.00
90785 0% 14 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 14 $0.00
J2060 Injection, lorazepam, 2 mg 0% 158 $0.00
96376 0% 130 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 34 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 56 $0.00
94760 0% 31 $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 officialHARLOVIC, MICHAEL (PRESIDENT & CEO)