Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › OGDENSBURG › CLAXTON-HEPBURN MEDICAL CENTER

CLAXTON-HEPBURN MEDICAL CENTER

NPI: 1891753034 · OGDENSBURG, NY 13669 · Psychiatric Hospital · NPI assigned 05/03/2006

$18.07M
Total Medicaid Paid
364,941
Total Claims
320,548
Beneficiaries
232
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBLOOM, ROB (CFO)
NPI Enumeration Date05/03/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,355 $103K
2019 20,529 $852K
2020 62,427 $2.85M
2021 85,239 $3.42M
2022 83,524 $5.91M
2023 72,062 $3.44M
2024 38,805 $1.50M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34,716 31,644 $3.27M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,382 12,587 $1.39M
99283 Emergency department visit for the evaluation and management, moderate severity 6,406 6,082 $1.10M
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 4,191 1,916 $857K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,689 5,349 $677K
99284 Emergency department visit for the evaluation and management, high severity 4,818 4,537 $632K
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 11,328 9,298 $624K
96361 Intravenous infusion, hydration; each additional hour 2,418 2,166 $614K
36415 Collection of venous blood by venipuncture 12,714 9,781 $579K
80053 Comprehensive metabolic panel 20,041 17,822 $572K
90834 Psychotherapy, 45 minutes with patient 3,225 2,118 $428K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 7,729 6,993 $370K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 3,203 2,595 $313K
90832 Psychotherapy, 30 minutes with patient 3,044 1,981 $286K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,142 1,120 $267K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,581 1,489 $251K
74176 Computed tomography, abdomen and pelvis; without contrast material 899 866 $239K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,843 1,353 $225K
42820 Tonsillectomy and adenoidectomy; younger than age 12 218 218 $224K
70450 Computed tomography, head or brain; without contrast material 769 751 $223K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 2,189 2,136 $209K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,028 1,368 $195K
99232 Subsequent hospital care, per day, moderate complexity 7,054 1,986 $194K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,947 1,082 $193K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,682 1,556 $184K
90837 Psychotherapy, 53 minutes with patient 801 506 $167K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,101 2,607 $149K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,427 1,411 $143K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4,313 4,295 $129K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 8,530 7,657 $128K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,317 1,300 $128K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,502 1,312 $127K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,461 3,069 $120K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 641 553 $112K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,099 1,094 $107K
77067 Screening mammography, bilateral, including computer-aided detection 1,518 1,515 $104K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,109 1,103 $101K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,197 1,153 $100K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,013 1,010 $100K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,414 1,386 $92K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 2,175 1,372 $82K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 2,176 2,116 $77K
90792 Psychiatric diagnostic evaluation with medical services 877 821 $77K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 638 637 $75K
76700 Ultrasound, abdominal, real time with image documentation; complete 450 448 $74K
90791 Psychiatric diagnostic evaluation 446 381 $72K
80061 Lipid panel 8,348 8,295 $70K
80050 General health panel 1,212 1,140 $70K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,157 1,133 $66K
90686 2,097 2,087 $65K
80048 Basic metabolic panel (calcium, ionized) 2,129 1,964 $61K
84443 Thyroid stimulating hormone (TSH) 7,952 7,810 $57K
87486 977 950 $48K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 21,032 18,625 $45K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 298 284 $42K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 53 52 $38K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,442 1,423 $38K
99239 Hospital discharge day management, more than 30 minutes 858 812 $37K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 293 190 $34K
97162 308 308 $33K
99281 Emergency department visit for the evaluation and management, self-limited or minor 251 243 $32K
83036 Hemoglobin; glycosylated (A1C) 5,378 5,337 $30K
99215 Prolong outpt/office vis 191 165 $29K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 206 205 $28K
99401 885 753 $27K
G0444 Annual depression screening, 5 to 15 minutes 1,465 1,452 $27K
99442 263 237 $25K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,411 307 $24K
82728 2,346 2,303 $23K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,762 3,554 $23K
88142 1,021 1,019 $23K
84439 3,150 3,119 $22K
99406 733 703 $21K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,038 1,615 $21K
71275 Computed tomographic angiography, chest, with contrast material 68 67 $21K
82607 2,002 1,988 $20K
90836 240 215 $19K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 12 12 $19K
S5161 Emergency response system; service fee, per month (excludes installation and testing) 1,748 1,689 $19K
87581 977 950 $19K
90715 604 601 $18K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 146 145 $18K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 839 831 $17K
87088 3,917 3,678 $16K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 787 775 $15K
90670 591 588 $15K
76830 Ultrasound, transvaginal 361 350 $14K
71250 179 179 $13K
84153 948 938 $13K
86703 915 910 $13K
11043 123 55 $13K
81001 7,787 7,370 $13K
71046 Radiologic examination, chest; 2 views 2,549 2,481 $12K
90648 599 596 $11K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 66 66 $11K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,538 2,415 $11K
83655 639 637 $10K
94060 108 108 $10K
83540 2,839 2,801 $10K
77063 Screening digital breast tomosynthesis, bilateral 1,369 1,365 $10K
83550 2,839 2,800 $10K
82803 245 239 $9K
99441 73 65 $8K
73564 849 809 $8K
90633 387 386 $8K
86850 187 180 $8K
90651 144 144 $8K
93000 1,649 1,572 $7K
82043 1,888 1,852 $7K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,619 2,293 $7K
59025 Fetal non-stress test 90 52 $6K
90734 240 239 $6K
87076 1,643 1,572 $6K
90460 Immunization administration through 18 years of age via any route, first or only component 2,498 2,471 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 319 166 $6K
84703 2,803 2,653 $6K
84702 595 453 $6K
90723 341 339 $5K
85610 1,941 1,631 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 652 587 $5K
86803 684 670 $5K
83735 1,815 1,412 $5K
87186 1,644 1,573 $5K
86900 257 248 $3K
99443 39 38 $3K
71260 Computed tomography, thorax, diagnostic; with contrast material 27 27 $3K
83020 272 269 $3K
99205 Prolong outpt/office vis 14 14 $3K
81015 4,456 3,386 $3K
99188 42 42 $3K
86140 1,079 993 $3K
36591 86 54 $3K
86141 411 375 $3K
87070 709 675 $2K
76641 81 69 $2K
J3490 Unclassified drugs 350 292 $2K
86901 187 180 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 79 76 $2K
86618 176 165 $2K
86580 84 76 $2K
85652 1,171 1,110 $2K
71045 Radiologic examination, chest; single view 1,249 1,199 $2K
72110 131 131 $2K
00170 Anesthesia for intraoral procedures, including biopsy 18 17 $2K
90461 1,100 1,090 $2K
90707 90 89 $2K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 52 52 $2K
G0378 Hospital observation service, per hour 23 12 $2K
96375 Therapeutic injection; each additional sequential IV push 2,157 1,776 $2K
73030 232 221 $2K
82746 153 150 $2K
80076 229 219 $1K
85730 1,163 1,111 $1K
90681 84 83 $1K
97161 13 13 $1K
87481 70 69 $1K
73630 311 300 $1K
82784 112 110 $1K
84484 1,859 1,661 $1K
90716 54 54 $1K
86038 226 223 $1K
83690 1,943 1,808 $1K
96367 32 25 $1K
71271 51 51 $920.96
73610 234 225 $894.27
86780 86 84 $848.69
94726 40 40 $843.28
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,460 1,431 $842.11
85014 295 285 $817.42
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 71 65 $769.75
J7030 Infusion, normal saline solution , 1000 cc 1,081 661 $617.74
82550 1,091 1,026 $600.84
81002 956 918 $586.21
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 578 254 $505.56
G0442 Annual alcohol misuse screening, 5 to 15 minutes 13 13 $481.55
J7120 Ringers lactate infusion, up to 1000 cc 352 321 $467.43
84480 77 77 $441.67
87086 Culture, bacterial; quantitative colony count, urine 175 161 $422.52
94729 40 40 $340.25
J2704 Injection, propofol, 10 mg 590 543 $334.10
84100 107 87 $326.18
85379 205 202 $305.86
90696 17 17 $303.45
83519 140 133 $297.63
86430 77 76 $293.94
87634 129 128 $275.49
G0435 Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening 21 21 $275.08
J1100 Injection, dexamethasone sodium phosphate, 1 mg 793 651 $247.40
93017 12 12 $210.00
74018 42 42 $208.80
86376 12 12 $203.70
83605 476 443 $184.50
73110 62 61 $179.22
73502 29 26 $157.47
J0696 Injection, ceftriaxone sodium, per 250 mg 425 348 $153.67
87040 260 246 $143.74
82553 537 509 $133.03
94761 848 811 $130.79
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,757 1,586 $130.35
87650 380 378 $128.52
86329 12 12 $128.35
82785 13 13 $124.27
82565 25 25 $111.81
86617 19 19 $107.15
J0131 Injection, acetaminophen, not otherwise specified,10 mg 258 240 $96.59
82150 162 159 $92.81
73130 65 61 $87.58
J1885 Injection, ketorolac tromethamine, per 15 mg 996 913 $84.93
82787 12 12 $68.94
82947 22 12 $43.03
J0690 Injection, cefazolin sodium, 500 mg 25 24 $42.80
82977 12 12 $40.24
J2270 Injection, morphine sulfate, up to 10 mg 320 286 $39.16
83615 18 13 $38.49
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 14 14 $33.10
82948 114 77 $31.41
J1450 Injection fluconazole, 200 mg 86 66 $23.92
J1756 Injection, iron sucrose, 1 mg 60 24 $21.27
J7050 Infusion, normal saline solution, 250 cc 49 47 $15.10
J3010 Injection, fentanyl citrate, 0.1 mg 468 461 $13.62
J1200 Injection, diphenhydramine hcl, up to 50 mg 183 145 $10.50
J2765 Injection, metoclopramide hcl, up to 10 mg 71 69 $9.34
J2250 Injection, midazolam hydrochloride, per 1 mg 220 212 $1.54
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 27 24 $1.50
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 332 332 $0.01
99173 17 17 $0.00
90472 Immunization administration, each additional vaccine (list separately) 33 32 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 14 14 $0.00
88300 61 61 $0.00
J1170 Injection, hydromorphone, up to 4 mg 31 27 $0.00
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 35 34 $0.00
J2060 Injection, lorazepam, 2 mg 14 12 $0.00