Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NH › Keene › NPI 1952415812
Hospital

Cheshire Medical Center

Cheshire Medical Center was paid $8.71M by Medicaid between Jan 2018 and Nov 2024, across 270 billing codes. Its largest line is 99284, emergency room visit (serious) — 11% of everything it billed.

33Billing provider infoCHESHIRE MEDICAL CENTER
KEENE, NH 03431
33aNPI1952415812assigned 08/18/2006
28Total paid$8.71M
24GClaims478,297
24DCodes billed270
24AFirst – last monthJan 2018 – Nov 2024
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
201883,732$1.13M
201999,619$1.76M
2020100,344$2.26M
2021112,732$2.40M
202245,854$928K
202320,368$124K
2024incomplete15,648$100K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 11% 10,304 7,790 $934K
74177 Computed tomography, abdomen and pelvis; with contrast material 8.9% 2,557 2,032 $776K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 8.7% 6,746 5,197 $761K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 6.7% 11,607 9,676 $581K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 4.6% 5,391 4,618 $399K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 4.5% 43,432 24,097 $396K
G0378 Hospital observation service, per hour 2.6% 2,125 810 $230K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.6% 13,834 5,183 $229K
70450 Computed tomography, head or brain; without contrast material 2.3% 2,443 1,859 $197K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2.0% 305 241 $176K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.9% 9,691 7,022 $166K
96375 Therapeutic injection; each additional sequential IV push 1.8% 4,832 3,183 $159K
258 more codes
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.7% 718 $152K
71046 Radiologic examination, chest; 2 views 1.6% 4,836 $141K
71260 Computed tomography, thorax, diagnostic; with contrast material 1.6% 815 $138K
80053 Comprehensive metabolic panel 1.4% 22,367 $126K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.3% 695 $115K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.2% 30,549 $105K
97161 1.2% 2,052 $101K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.1% 5,697 $98K
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% 4,334 $92K
84443 Thyroid stimulating hormone (TSH) 1.0% 11,256 $89K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.0% 2,513 $88K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 1,750 $84K
71275 Computed tomographic angiography, chest, with contrast material <1% 279 $70K
72125 Computed tomography, cervical spine; without contrast material <1% 542 $68K
73630 <1% 1,533 $63K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 3,055 $58K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 3,060 $58K
96361 Intravenous infusion, hydration; each additional hour <1% 3,780 $52K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,916 $51K
80048 Basic metabolic panel (calcium, ionized) <1% 13,393 $50K
77067 Screening mammography, bilateral, including computer-aided detection <1% 608 $49K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,052 $48K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 1,753 $46K
96376 <1% 1,331 $46K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 2,614 $44K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 1,116 $43K
71045 Radiologic examination, chest; single view <1% 1,669 $43K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 4,698 $42K
73610 <1% 946 $42K
99214 Doctor's office visit, returning patient (more involved) <1% 3,320 $41K
80061 Lipid panel <1% 5,066 $40K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 372 $39K
73562 <1% 791 $38K
73030 <1% 967 $38K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,330 $38K
87806 <1% 2,408 $35K
83036 Hemoglobin; glycosylated (A1C) <1% 7,197 $34K
87800 <1% 1,846 $33K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 146 $31K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 150 $30K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 1,946 $29K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 4,086 $29K
99213 Doctor's office visit, returning patient (routine) <1% 2,197 $29K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 1,322 $28K
73130 <1% 641 $28K
76830 Ultrasound, transvaginal <1% 325 $27K
84702 <1% 2,645 $27K
72100 <1% 616 $26K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 229 $24K
77063 Screening digital breast tomosynthesis, bilateral <1% 608 $23K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 1,244 $21K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 557 $21K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 1,698 $21K
85027 <1% 4,787 $20K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 216 $20K
86803 <1% 1,951 $20K
84484 <1% 4,524 $19K
86850 <1% 1,876 $18K
80306 <1% 2,432 $17K
87086 Culture, bacterial; quantitative colony count, urine <1% 4,679 $16K
74018 <1% 409 $16K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 107 $16K
87522 Neg quan hep c or qual rna <1% 505 $15K
20610 <1% 490 $15K
83655 <1% 1,467 $15K
83690 <1% 4,434 $15K
87150 <1% 377 $14K
82728 <1% 1,649 $14K
83880 <1% 1,116 $14K
73110 <1% 363 $13K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 1,191 $12K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 943 $12K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 393 $11K
84439 <1% 2,058 $11K
11721 <1% 1,654 $11K
86780 <1% 1,123 $11K
87340 <1% 1,517 $10K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 541 $10K
87186 <1% 2,133 $10K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 404 $10K
80076 <1% 2,088 $10K
81025 <1% 2,724 $10K
81001 <1% 6,478 $10K
86140 <1% 3,189 $9K
83605 <1% 1,920 $9K
82607 <1% 1,499 $9K
82803 <1% 882 $9K
85610 <1% 5,074 $9K
94726 <1% 127 $9K
87040 <1% 939 $8K
83550 <1% 1,522 $8K
73502 <1% 251 $8K
82784 <1% 930 $7K
97162 <1% 177 $7K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 367 $7K
80050 General health panel <1% 886 $7K
36415 Collection of venous blood by venipuncture <1% 34,823 $7K
83735 <1% 2,687 $7K
82962 <1% 4,960 $6K
87581 <1% 371 $6K
87486 <1% 371 $6K
83540 <1% 1,555 $6K
85379 <1% 1,226 $6K
93017 <1% 108 $6K
83516 <1% 625 $5K
87070 <1% 913 $5K
J7120 Ringers lactate infusion, up to 1000 cc <1% 5,587 $5K
86787 <1% 512 $5K
86762 <1% 451 $5K
70551 Magnetic resonance imaging, brain; without contrast material <1% 21 $5K
85652 <1% 2,902 $4K
93971 <1% 117 $4K
84153 <1% 493 $4K
86618 <1% 436 $4K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 14 $4K
71250 <1% 31 $4K
86900 <1% 1,880 $4K
84403 <1% 192 $4K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 15 $4K
86706 <1% 568 $4K
72040 <1% 72 $4K
87507 <1% 26 $4K
82043 <1% 1,350 $4K
81003 <1% 4,305 $4K
94729 <1% 151 $4K
82570 <1% 1,138 $4K
87081 <1% 888 $3K
76770 <1% 34 $3K
86901 <1% 1,880 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,208 $3K
87147 <1% 448 $3K
85730 <1% 1,124 $3K
J7050 Infusion, normal saline solution, 250 cc <1% 3,782 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 159 $3K
84460 <1% 881 $3K
J7030 Infusion, normal saline solution , 1000 cc <1% 4,759 $3K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 3,097 $3K
82565 <1% 910 $3K
94060 <1% 32 $2K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 79 $2K
87205 <1% 836 $2K
59025 Fetal non-stress test <1% 62 $2K
83970 <1% 87 $2K
73140 <1% 70 $2K
84450 <1% 568 $2K
73590 <1% 33 $2K
86704 <1% 241 $2K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 2,595 $2K
A9585 Injection, gadobutrol, 0.1 ml <1% 99 $2K
84146 <1% 110 $2K
J0690 Injection, cefazolin sodium, 500 mg <1% 866 $2K
86038 <1% 198 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 526 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 3,345 $1K
76536 <1% 15 $1K
84100 <1% 513 $1K
80164 <1% 188 $1K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 87 $1K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 14 $1K
J2704 Injection, propofol, 10 mg <1% 557 $1K
G0008 Administration of influenza virus vaccine <1% 1,670 $1K
86480 <1% 28 $1K
82746 <1% 125 $1K
86708 <1% 133 $1K
73100 <1% 35 $1K
97113 <1% 38 $1K
82950 <1% 270 $1K
76641 <1% 14 $982.84
84145 <1% 112 $957.96
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 46 $950.29
87430 <1% 108 $923.94
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 4,183 $915.13
90686 <1% 1,060 $886.19
84550 <1% 349 $885.73
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 40 $885.12
J2270 Injection, morphine sulfate, up to 10 mg <1% 540 $858.84
94664 <1% 60 $843.08
82150 <1% 212 $811.95
82977 <1% 194 $794.75
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 27 $780.86
86039 <1% 95 $761.53
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 269 $732.54
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 2,588 $710.51
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 74 $652.84
11720 <1% 89 $646.32
86431 <1% 172 $630.46
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,067 $606.28
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 34 $554.33
84402 <1% 29 $551.79
J1170 Injection, hydromorphone, up to 4 mg <1% 723 $502.48
97116 <1% 28 $491.91
90677 <1% 64 $469.40
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 14 $425.62
76642 <1% 15 $418.00
Q3014 Telehealth originating site facility fee <1% 150 $357.97
83001 <1% 32 $345.71
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% 136 $337.50
84156 <1% 137 $335.02
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 91 $319.81
90715 <1% 19 $315.19
83883 <1% 59 $299.15
82040 <1% 103 $269.12
80320 <1% 38 $261.25
81002 <1% 552 $253.75
82247 <1% 95 $247.65
85018 <1% 159 $242.81
85014 <1% 159 $242.81
86200 <1% 27 $241.11
82550 <1% 79 $239.14
90662 <1% 172 $232.64
96127 <1% 81 $190.87
80178 <1% 54 $185.08
83010 <1% 28 $184.18
84132 <1% 69 $171.98
90653 <1% 157 $168.10
99203 Doctor's office visit, new patient (routine) <1% 20 $163.08
84480 <1% 12 $158.12
84075 <1% 53 $154.18
84520 <1% 55 $144.09
82172 <1% 13 $143.76
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 151 $142.90
80177 <1% 13 $139.26
90632 <1% 50 $130.96
82947 <1% 53 $127.89
99152 <1% 16 $126.36
82310 <1% 44 $120.52
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 60 $118.32
86308 <1% 28 $111.05
84155 <1% 53 $110.37
80175 <1% 15 $104.76
J2060 Injection, lorazepam, 2 mg <1% 422 $99.96
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 134 $95.18
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 144 $91.21
J1790 Injection, droperidol, up to 5 mg <1% 26 $87.75
36416 <1% 26 $66.00
84295 <1% 27 $65.78
82435 <1% 27 $64.99
94010 <1% 17 $60.07
J1030 Injection, methylprednisolone acetate, 40 mg <1% 35 $55.85
92015 Determination of refractive state <1% 702 $46.45
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 98 $40.57
G0009 Administration of pneumococcal vaccine <1% 151 $38.96
82374 <1% 13 $32.99
C9113 Injection, pantoprazole sodium, per vial <1% 36 $26.87
91322 <1% 29 $24.97
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 39 $9.19
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 92 $8.02
J1630 Injection, haloperidol, up to 5 mg <1% 18 $5.27
80329 0% 33 $0.00
90694 0% 46 $0.00
90656 0% 57 $0.00
90480 0% 29 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 743 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 100 $0.00
0124A 0% 17 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 185 $0.00
80364 0% 12 $0.00
91312 0% 17 $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 officialCARUSO, DON (CEO)
Parent organizationCHESHIRE MEDICAL CENTER
Same official

Other billing entities under CARUSO, DON

Full network →
ProviderLocationPaid
Cheshire Health Services INCKeene, NH$382K
Cheshire Medical CenterKeene, NH$20K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.