South Nassau Communities Hospital

South Nassau Communities Hospital was paid $49.46M by Medicaid between Jan 2018 and Dec 2024, across 317 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 14% of everything it billed.

33Billing provider infoSOUTH NASSAU COMMUNITIES HOSPITAL
OCEANSIDE, NY 11572

33aNPI1922079094assigned 01/27/2006

33bProvider typeGeneral Acute Care Hospital

28Total paid$49.46M

24GClaims863,683

24DCodes billed317

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Acute Care Hospital providers in New York

Rank by total paid#31 of 231

Median peer was paid$561K

This provider vs. median88×

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

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

Year	Claims	Paid
2018	16,613	$714K
2019	61,607	$3.29M
2020	142,482	$8.25M
2021	171,218	$9.92M
2022	168,698	$10.03M
2023	173,494	$10.05M
2024incomplete	129,571	$7.20M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G0463	Hospital outpatient clinic visit for assessment and management of a patient	14%	45,510	36,823	$6.88M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	13%	35,999	34,259	$6.61M
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	6.9%	21,592	9,460	$3.43M
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%	28,740	24,649	$2.97M
99282	Emergency department visit for the evaluation and management, low to moderate severity	5.3%	14,278	13,570	$2.61M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	4.1%	11,293	10,869	$2.02M
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	2.4%	2,943	1,267	$1.20M
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	2.3%	8,901	4,859	$1.12M
70450	Computed tomography, head or brain; without contrast material	2.2%	5,951	5,819	$1.08M
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	2.0%	7,826	7,044	$999K
74177	Computed tomography, abdomen and pelvis; with contrast material	2.0%	4,719	4,644	$975K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.5%	7,173	6,683	$739K

305 more codes

80053	Comprehensive metabolic panel	1.3%	31,717	$666K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	1.3%	5,760	$650K
90853	Group psychotherapy (other than of a multiple-family group)	1.2%	9,280	$616K
93975		1.2%	1,641	$585K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	1.1%	931	$544K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	1.1%	1,553	$531K
G0378	Hospital observation service, per hour	1.0%	1,021	$503K
59025	Fetal non-stress test	<1%	2,586	$446K
36415	Collection of venous blood by venipuncture	<1%	51,446	$439K
86885		<1%	9,997	$406K
76818		<1%	3,061	$387K
80061	Lipid panel	<1%	8,032	$364K
76641		<1%	2,467	$357K
H0035	Mental health partial hospitalization, treatment, less than 24 hours	<1%	2,058	$350K
74176	Computed tomography, abdomen and pelvis; without contrast material	<1%	1,732	$348K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	1,862	$333K
90791	Psychiatric diagnostic evaluation	<1%	1,649	$331K
96361	Intravenous infusion, hydration; each additional hour	<1%	1,726	$324K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	3,795	$321K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	1,416	$318K
86901		<1%	12,464	$313K
77067	Screening mammography, bilateral, including computer-aided detection	<1%	2,150	$307K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r	<1%	5,382	$293K
93458		<1%	193	$292K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	<1%	1,741	$272K
76819	Fetal biophysical profile; without non-stress testing	<1%	3,216	$272K
71275	Computed tomographic angiography, chest, with contrast material	<1%	1,348	$271K
80048	Basic metabolic panel (calcium, ionized)	<1%	13,831	$265K
90792	Psychiatric diagnostic evaluation with medical services	<1%	1,269	$255K
86900		<1%	12,470	$251K
99285	Emergency room visit (most serious)	<1%	1,336	$247K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	<1%	310	$233K
84443	Thyroid stimulating hormone (TSH)	<1%	7,185	$218K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	302	$204K
83036	Hemoglobin; glycosylated (A1C)	<1%	6,591	$200K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	3,489	$198K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	19,503	$190K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	932	$184K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	5,349	$176K
76801		<1%	1,834	$172K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	1,332	$165K
82607		<1%	2,764	$148K
99051		<1%	7,876	$126K
88305	Level IV - Surgical pathology, gross and microscopic examination	<1%	3,315	$124K
0241U	Neonatal screening for hereditary disorders, genomic sequence analysis panel	<1%	6,572	$120K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	16,535	$119K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	36,488	$119K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	<1%	1,032	$115K
76820		<1%	1,625	$109K
H2010	Comprehensive medication services, per 15 minutes	<1%	1,129	$107K
96367		<1%	884	$107K
86803		<1%	1,613	$104K
99203	Doctor's office visit, new patient (routine)	<1%	1,079	$98K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	3,768	$93K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	<1%	1,897	$89K
76821		<1%	1,351	$89K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	2,569	$88K
93325		<1%	802	$88K
87428		<1%	4,489	$86K
12001		<1%	264	$86K
82746		<1%	1,748	$83K
77063	Screening digital breast tomosynthesis, bilateral	<1%	2,135	$82K
96376		<1%	1,520	$79K
86480		<1%	896	$76K
84466		<1%	1,819	$74K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	5,002	$73K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	2,568	$71K
T1030	Nursing care, in the home, by registered nurse, per diem	<1%	525	$71K
82728		<1%	1,946	$67K
83880		<1%	2,654	$65K
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	1,454	$63K
99441		<1%	455	$61K
80047		<1%	3,654	$59K
83655		<1%	1,410	$54K
90715		<1%	2,256	$51K
86920		<1%	866	$50K
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	<1%	121	$48K
76813		<1%	566	$48K
90686		<1%	2,974	$48K
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%	13,010	$48K
80076		<1%	3,802	$47K
93970		<1%	116	$47K
90670		<1%	1,915	$46K
85027		<1%	6,811	$43K
90461		<1%	1,477	$42K
81025		<1%	9,189	$39K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	1,832	$39K
81001		<1%	13,619	$38K
96375	Therapeutic injection; each additional sequential IV push	<1%	8,878	$37K
84439		<1%	1,351	$37K
77336		<1%	119	$36K
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	<1%	306	$36K
93976		<1%	96	$34K
87086	Culture, bacterial; quantitative colony count, urine	<1%	10,447	$31K
87340		<1%	1,879	$29K
96415		<1%	52	$28K
76830	Ultrasound, transvaginal	<1%	1,187	$27K
12011		<1%	81	$27K
72125	Computed tomography, cervical spine; without contrast material	<1%	1,053	$26K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	573	$24K
76825		<1%	106	$24K
99204	Doctor's office visit, new patient (more involved)	<1%	169	$23K
88142		<1%	545	$23K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	3,585	$23K
83540		<1%	1,823	$23K
T1013	Sign language or oral interpretive services, per 15 minutes	<1%	2,174	$23K
93971		<1%	415	$21K
88304		<1%	769	$21K
82043		<1%	382	$21K
88307		<1%	340	$21K
87389	Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies	<1%	1,811	$20K
77065	Tomosynthesis, mammo	<1%	199	$20K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	116	$20K
85610		<1%	12,781	$19K
90680		<1%	1,724	$19K
90648		<1%	1,804	$19K
90677		<1%	419	$19K
86706		<1%	746	$18K
84702		<1%	1,896	$18K
0002A		<1%	483	$17K
92558		<1%	312	$17K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	<1%	29	$16K
93017		<1%	91	$16K
77290		<1%	32	$16K
71046	Radiologic examination, chest; 2 views	<1%	5,396	$15K
90723		<1%	1,363	$14K
88342		<1%	527	$14K
0001A		<1%	476	$14K
83970		<1%	174	$13K
93296		<1%	468	$13K
83615		<1%	1,186	$13K
86592		<1%	2,060	$12K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	1,602	$12K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	<1%	12	$12K
99442		<1%	75	$11K
85730		<1%	4,231	$11K
83735		<1%	2,310	$10K
82248		<1%	1,197	$10K
76827		<1%	107	$10K
71045	Radiologic examination, chest; single view	<1%	5,747	$10K
86140		<1%	1,250	$10K
90633		<1%	809	$10K
86704		<1%	190	$9K
84436		<1%	1,428	$9K
84484		<1%	9,715	$9K
87624	Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types	<1%	238	$9K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	416	$9K
82570		<1%	848	$9K
97802		<1%	142	$8K
J1756	Injection, iron sucrose, 1 mg	<1%	155	$8K
77300		<1%	16	$8K
S9484	Crisis intervention mental health services, per hour	<1%	65	$7K
86762		<1%	362	$7K
82550		<1%	7,084	$7K
81002		<1%	5,118	$6K
G0103	Prostate cancer screening; prostate specific antigen test (psa)	<1%	224	$6K
84153		<1%	202	$5K
84479		<1%	930	$5K
77066	Tomosynthesis, mammo	<1%	38	$5K
83690		<1%	7,632	$5K
82784		<1%	83	$5K
31575		<1%	14	$5K
85652		<1%	729	$5K
83020		<1%	137	$5K
C1889	Implantable/insertable device, not otherwise classified	<1%	19	$5K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	4,257	$5K
84480		<1%	226	$5K
90710		<1%	333	$4K
82247		<1%	453	$4K
86765		<1%	64	$4K
86141		<1%	27	$4K
86038		<1%	132	$4K
86255		<1%	16	$4K
87070		<1%	2,066	$4K
82150		<1%	4,908	$4K
36430		<1%	12	$4K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	1,372	$3K
93304		<1%	12	$3K
84100		<1%	1,190	$3K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	108	$3K
87633	Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets	<1%	34	$3K
88141		<1%	147	$3K
C9290	Injection, bupivacaine liposome, 1 mg	<1%	97	$3K
J3490	Unclassified drugs	<1%	2,644	$3K
73562		<1%	828	$3K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	6,054	$3K
87798	Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism	<1%	82	$3K
77334		<1%	18	$3K
0012A		<1%	113	$3K
J1453	Injection, fosaprepitant, 1 mg	<1%	37	$3K
81003		<1%	642	$3K
85379		<1%	2,072	$3K
83605		<1%	6,961	$2K
87631		<1%	68	$2K
87186		<1%	430	$2K
87040		<1%	4,283	$2K
J7050	Infusion, normal saline solution, 250 cc	<1%	4,523	$2K
85651		<1%	455	$2K
0011A		<1%	116	$2K
29125		<1%	14	$2K
73030		<1%	644	$2K
99443		<1%	12	$2K
85007		<1%	855	$2K
90656		<1%	149	$2K
85018		<1%	525	$2K
97161		<1%	13	$2K
85014		<1%	524	$2K
82962		<1%	513	$2K
S9445	Patient education, not otherwise classified, non-physician provider, individual, per session	<1%	81	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	2,014	$2K
99232	Hospital visit by a doctor, follow-up day	<1%	59	$2K
86735		<1%	40	$1K
80306		<1%	2,298	$1K
82553		<1%	2,318	$1K
82378		<1%	32	$1K
84703		<1%	1,560	$1K
80320		<1%	2,917	$1K
88112		<1%	12	$1K
90698		<1%	90	$1K
82950		<1%	139	$1K
J0690	Injection, cefazolin sodium, 500 mg	<1%	2,222	$1K
72100		<1%	697	$1K
84145		<1%	75	$1K
87486		<1%	47	$1K
J7120	Ringers lactate infusion, up to 1000 cc	<1%	3,868	$1K
99152		<1%	164	$1K
86787		<1%	61	$975.87
88313		<1%	12	$961.48
87088		<1%	325	$941.72
93321		<1%	82	$916.42
76870		<1%	26	$877.84
90649		<1%	20	$868.00
90700		<1%	94	$741.02
J2469	Injection, palonosetron hcl, 25 mcg	<1%	56	$736.56
87581		<1%	47	$731.48
82948		<1%	884	$715.52
84156		<1%	160	$714.95
C1769	Guide wire	<1%	28	$653.46
C1766	Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away	<1%	74	$605.82
96040		<1%	14	$604.70
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	2,223	$596.80
73130		<1%	436	$577.42
J0131	Injection, acetaminophen, not otherwise specified,10 mg	<1%	804	$575.83
90734		<1%	14	$570.35
73610		<1%	851	$554.56
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	26	$550.26
73080		<1%	15	$534.00
0004A		<1%	14	$511.04
J7030	Infusion, normal saline solution , 1000 cc	<1%	13,188	$476.22
J1170	Injection, hydromorphone, up to 4 mg	<1%	1,396	$466.58
A9579	Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml	<1%	31	$442.01
87081		<1%	86	$435.23
90472	Immunization administration, each additional vaccine (list separately)	<1%	69	$417.93
73630		<1%	898	$350.42
87420		<1%	146	$337.46
94760		<1%	68	$318.29
90685		<1%	169	$300.79
J1200	Injection, diphenhydramine hcl, up to 50 mg	<1%	2,019	$294.11
C1893	Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away	<1%	69	$287.32
J3010	Injection, fentanyl citrate, 0.1 mg	<1%	1,563	$279.47
80329		<1%	1,893	$278.94
Q2035	Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	<1%	12	$272.55
90661		<1%	12	$268.52
86769		<1%	19	$264.31
84550		<1%	67	$213.77
C1765	Adhesion barrier	<1%	79	$172.00
J2543	Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)	<1%	64	$169.10
73110		<1%	151	$168.59
74018		<1%	41	$166.34
J1644	Injection, heparin sodium, per 1000 units	<1%	1,353	$159.67
A4649	Surgical supply; miscellaneous	<1%	427	$150.89
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	6,254	$142.26
J7040	Infusion, normal saline solution, sterile (500 ml = 1 unit)	<1%	409	$135.17
J2270	Injection, morphine sulfate, up to 10 mg	<1%	1,651	$113.40
87660		<1%	13	$98.07
87510		<1%	13	$98.07
87480		<1%	13	$98.07
87077		<1%	79	$83.77
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	1,288	$81.66
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	<1%	248	$70.78
J2405	Injection, ondansetron hydrochloride, per 1 mg	<1%	5,515	$64.67
82105		<1%	13	$49.34
85045		<1%	27	$49.27
J1650	Injection, enoxaparin sodium, 10 mg	<1%	73	$35.42
J2765	Injection, metoclopramide hcl, up to 10 mg	<1%	1,427	$19.69
88300		<1%	16	$12.35
87205		<1%	38	$10.20
J2060	Injection, lorazepam, 2 mg	<1%	589	$8.34
J2919	Injection, methylprednisolone sodium succinate, 5 mg	<1%	42	$7.69
J7060	5% dextrose/water (500 ml = 1 unit)	<1%	18	$7.49
J1171	Injection, hydromorphone, 0.1 mg	<1%	22	$6.99
J2250	Injection, midazolam hydrochloride, per 1 mg	<1%	285	$5.99
J7512	Prednisone, immediate release or delayed release, oral, 1 mg	<1%	317	$2.48
3077F		<1%	29	$0.04
3079F		<1%	15	$0.03
99080		0%	1,273	$0.00
73590		0%	25	$0.00
73140		0%	41	$0.00
82805		0%	12	$0.00
88302		0%	13	$0.00
Q0162	Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen	0%	201	$0.00
74022		0%	101	$0.00
J1815	Injection, insulin, per 5 units	0%	14	$0.00
73090		0%	27	$0.00
99153	Mod sedat endo service >5yrs	0%	12	$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 officialSHARMA, ADHI (PRESIDENT)