Oneida Health Systems, INC

Oneida Health Systems, INC was paid $17.62M by Medicaid between Jan 2018 and Dec 2024, across 272 billing codes. Its largest line is 99283, emergency room visit (moderate) — 8.5% of everything it billed.

33Billing provider infoONEIDA HEALTH SYSTEMS, INC
ONEIDA, NY 13421

33aNPI1962408203assigned 06/22/2005

33bProvider typeGeneral Acute Care Hospital

28Total paid$17.62M

24GClaims519,731

24DCodes billed272

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Acute Care Hospital providers in New York

Rank by total paid#65 of 231

Median peer was paid$561K

This provider vs. median31×

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	1,352	$38K
2019	25,593	$834K
2020	89,452	$3.02M
2021	110,593	$3.64M
2022	110,633	$3.57M
2023	108,524	$3.91M
2024incomplete	73,584	$2.62M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	8.5%	11,350	10,877	$1.50M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.7%	14,560	12,373	$1.35M
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	7.5%	10,877	10,185	$1.32M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	6.7%	9,140	8,796	$1.18M
96361	Intravenous infusion, hydration; each additional hour	5.6%	4,656	4,146	$991K
74177	Computed tomography, abdomen and pelvis; with contrast material	5.6%	3,757	3,657	$980K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	5.4%	8,867	8,297	$948K
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	3.5%	6,752	6,334	$619K
80053	Comprehensive metabolic panel	3.2%	31,730	28,530	$562K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	3.2%	1,121	1,115	$559K
70450	Computed tomography, head or brain; without contrast material	2.9%	1,821	1,795	$505K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	2.6%	7,522	2,165	$453K

260 more codes

45380	Colonoscopy, flexible; with biopsy, single or multiple	2.5%	680	$440K
74176	Computed tomography, abdomen and pelvis; without contrast material	2.3%	1,501	$412K
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	1.9%	1,214	$339K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	1.9%	6,732	$334K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	1.7%	13,087	$291K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	1.6%	2,373	$288K
59025	Fetal non-stress test	1.2%	1,338	$218K
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	<1%	995	$170K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	1,252	$168K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	<1%	106	$161K
36415	Collection of venous blood by venipuncture	<1%	29,402	$158K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	4,306	$131K
71275	Computed tomographic angiography, chest, with contrast material	<1%	417	$125K
77067	Screening mammography, bilateral, including computer-aided detection	<1%	2,047	$106K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	4,111	$104K
88305	Level IV - Surgical pathology, gross and microscopic examination	<1%	3,029	$99K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	2,722	$95K
97161		<1%	1,125	$93K
84443	Thyroid stimulating hormone (TSH)	<1%	11,168	$89K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	4,116	$85K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	<1%	116	$81K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	2,241	$78K
80048	Basic metabolic panel (calcium, ionized)	<1%	4,654	$65K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	30,089	$60K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	2,844	$60K
80061	Lipid panel	<1%	8,557	$59K
88142		<1%	2,584	$54K
83036	Hemoglobin; glycosylated (A1C)	<1%	6,247	$53K
70553	Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences	<1%	208	$52K
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	1,667	$51K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	6,586	$49K
87088		<1%	9,886	$48K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	<1%	604	$48K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	2,906	$47K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	3,553	$46K
87660		<1%	3,846	$45K
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	<1%	510	$43K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	401	$43K
99201		<1%	409	$42K
88342		<1%	853	$42K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	317	$42K
84439		<1%	4,734	$41K
87624	Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types	<1%	1,482	$40K
86850		<1%	2,303	$40K
87480		<1%	3,526	$40K
87510		<1%	3,320	$37K
96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour	<1%	303	$35K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	103	$35K
99203	Doctor's office visit, new patient (routine)	<1%	368	$35K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	<1%	1,572	$35K
83880		<1%	1,091	$33K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	299	$33K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	<1%	703	$32K
86901		<1%	2,450	$31K
87389	Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies	<1%	1,888	$30K
83655		<1%	2,291	$29K
99215	Doctor's office visit, returning patient (complex)	<1%	251	$29K
82607		<1%	2,521	$28K
76641		<1%	1,362	$28K
86900		<1%	2,451	$28K
71046	Radiologic examination, chest; 2 views	<1%	5,837	$25K
82728		<1%	2,038	$25K
90686		<1%	1,040	$24K
87636	Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B	<1%	170	$23K
87634		<1%	2,077	$23K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	205	$23K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	199	$22K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	534	$22K
87633	Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets	<1%	212	$21K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	469	$20K
87077		<1%	3,560	$20K
94060		<1%	238	$20K
86141		<1%	2,616	$19K
73564		<1%	1,757	$19K
93971		<1%	301	$18K
87070		<1%	2,682	$17K
42820	Tonsillectomy and adenoidectomy; younger than age 12	<1%	12	$17K
81025		<1%	5,388	$17K
84153		<1%	957	$16K
84403		<1%	643	$16K
71250		<1%	211	$15K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	100	$15K
86803		<1%	1,656	$14K
87186		<1%	3,201	$14K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	123	$14K
87340		<1%	1,503	$14K
84702		<1%	1,751	$13K
85027		<1%	5,221	$13K
73721	Magnetic resonance imaging, any joint of lower extremity; without contrast material	<1%	57	$13K
71260	Computed tomography, thorax, diagnostic; with contrast material	<1%	122	$13K
78815	Positron emission tomography (PET) for limited area imaging	<1%	37	$13K
77063	Screening digital breast tomosynthesis, bilateral	<1%	1,936	$12K
80076		<1%	1,200	$11K
76536		<1%	576	$11K
90715		<1%	519	$11K
86762		<1%	829	$11K
86618		<1%	778	$11K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	258	$11K
83540		<1%	2,350	$10K
99441		<1%	96	$10K
87081		<1%	2,213	$10K
73630		<1%	1,754	$9K
88304		<1%	271	$9K
99292		<1%	167	$9K
73610		<1%	1,796	$8K
72110		<1%	590	$8K
96415		<1%	13	$8K
73110		<1%	1,452	$8K
81001		<1%	8,117	$8K
90682		<1%	328	$8K
73030		<1%	1,288	$8K
82784		<1%	720	$7K
81003		<1%	12,305	$7K
83735		<1%	3,902	$7K
73130		<1%	1,382	$7K
76801		<1%	126	$7K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	4,592	$7K
83550		<1%	1,505	$6K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	7,550	$6K
A9575	Injection, gadoterate meglumine, 0.1 ml	<1%	474	$6K
H0049	Alcohol and/or drug screening	<1%	183	$6K
85610		<1%	2,693	$6K
74018		<1%	1,298	$6K
86665		<1%	296	$6K
J7120	Ringers lactate infusion, up to 1000 cc	<1%	2,397	$6K
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%	360	$6K
86592		<1%	1,869	$6K
84466		<1%	534	$6K
85007		<1%	3,488	$5K
82746		<1%	456	$5K
12001		<1%	12	$5K
12002		<1%	12	$5K
85652		<1%	2,449	$4K
84480		<1%	704	$4K
83690		<1%	5,098	$4K
72141		<1%	12	$3K
H1000	Prenatal care, at-risk assessment	<1%	113	$3K
85730		<1%	1,804	$3K
72125	Computed tomography, cervical spine; without contrast material	<1%	74	$3K
86003		<1%	52	$3K
94726		<1%	45	$3K
70486		<1%	25	$3K
82043		<1%	629	$3K
96375	Therapeutic injection; each additional sequential IV push	<1%	3,869	$3K
76830	Ultrasound, transvaginal	<1%	67	$3K
86703		<1%	183	$3K
82248		<1%	571	$3K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	24	$3K
71271		<1%	100	$2K
86664		<1%	169	$2K
86038		<1%	511	$2K
90734		<1%	66	$2K
84550		<1%	672	$2K
86663		<1%	170	$2K
86431		<1%	447	$2K
86039		<1%	421	$2K
83001		<1%	105	$2K
84146		<1%	110	$2K
96367		<1%	35	$2K
86617		<1%	120	$2K
87086	Culture, bacterial; quantitative colony count, urine	<1%	374	$2K
94729		<1%	45	$2K
J1756	Injection, iron sucrose, 1 mg	<1%	29	$2K
86706		<1%	184	$2K
87045		<1%	220	$2K
90673		<1%	78	$2K
84703		<1%	1,661	$2K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	638	$2K
87631		<1%	25	$2K
82950		<1%	538	$2K
86308		<1%	490	$1K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	4,467	$1K
85018		<1%	798	$1K
87899		<1%	207	$1K
84100		<1%	885	$1K
85379		<1%	1,035	$1K
99204	Doctor's office visit, new patient (more involved)	<1%	12	$1K
A6010	Collagen based wound filler, dry form, sterile, per gram of collagen	<1%	42	$1K
71045	Radiologic examination, chest; single view	<1%	1,545	$1K
73080		<1%	253	$1K
87040		<1%	1,660	$1K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	<1%	28	$1K
G0008	Administration of influenza virus vaccine	<1%	132	$1K
73562		<1%	109	$1K
86709		<1%	140	$1K
76700	Ultrasound, abdominal, real time with image documentation; complete	<1%	27	$981.72
82550		<1%	417	$967.80
85014		<1%	455	$940.94
86705		<1%	126	$923.87
99173		<1%	12	$835.08
77066	Tomosynthesis, mammo	<1%	13	$763.56
73502		<1%	153	$716.84
86480		<1%	12	$645.94
0012A		<1%	45	$595.35
82105		<1%	94	$593.86
82150		<1%	159	$560.65
88175	Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer	<1%	21	$558.81
84484		<1%	3,865	$548.83
87328		<1%	37	$462.82
G0123	Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision	<1%	29	$448.55
86235		<1%	14	$440.66
87329		<1%	37	$389.87
87177		<1%	51	$379.89
83615		<1%	90	$335.10
81002		<1%	3,010	$328.99
J7040	Infusion, normal saline solution, sterile (500 ml = 1 unit)	<1%	1,032	$303.11
82962		<1%	2,888	$289.12
A4213	Syringe, sterile, 20 cc or greater, each	<1%	1,613	$282.94
90651		<1%	12	$255.85
87209		<1%	51	$252.64
83993		<1%	26	$239.19
83605		<1%	1,414	$228.98
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	957	$228.56
A9576	Injection, gadoteridol, (prohance multipack), per ml	<1%	31	$206.03
76882		<1%	13	$202.11
73590		<1%	40	$192.48
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	13	$180.88
0011A		<1%	13	$175.70
73140		<1%	70	$153.60
82977		<1%	42	$150.88
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	1,282	$150.31
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	2,648	$129.50
82565		<1%	29	$125.75
80305		<1%	516	$125.45
87420		<1%	17	$99.41
J7030	Infusion, normal saline solution , 1000 cc	<1%	1,398	$96.51
J2270	Injection, morphine sulfate, up to 10 mg	<1%	1,364	$80.17
87101		<1%	12	$69.39
86225		<1%	16	$63.01
J2405	Injection, ondansetron hydrochloride, per 1 mg	<1%	4,202	$62.44
84460		<1%	12	$50.80
J1200	Injection, diphenhydramine hcl, up to 50 mg	<1%	772	$50.21
84520		<1%	12	$47.40
96376		<1%	353	$45.05
89055		<1%	12	$34.03
71101		<1%	12	$31.83
Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	<1%	21	$27.90
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	86	$24.83
J2704	Injection, propofol, 10 mg	<1%	1,926	$16.06
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	4,084	$13.51
J0690	Injection, cefazolin sodium, 500 mg	<1%	476	$8.53
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	366	$6.80
J3010	Injection, fentanyl citrate, 0.1 mg	<1%	2,558	$3.61
J7050	Infusion, normal saline solution, 250 cc	<1%	88	$2.70
J2250	Injection, midazolam hydrochloride, per 1 mg	<1%	1,896	$2.20
J1644	Injection, heparin sodium, per 1000 units	<1%	189	$1.43
J2765	Injection, metoclopramide hcl, up to 10 mg	<1%	323	$0.60
J1170	Injection, hydromorphone, up to 4 mg	0%	12	$0.00
A4615	Cannula, nasal	0%	17	$0.00
95806		0%	26	$0.00
88300		0%	14	$0.00
96127		0%	40	$0.00
L8699	Prosthetic implant, not otherwise specified	0%	12	$0.00
J0330	Injection, succinylcholine chloride, up to 20 mg	0%	52	$0.00
87430		0%	49	$0.00
J1790	Injection, droperidol, up to 5 mg	0%	14	$0.00
59430		0%	13	$0.00
J7512	Prednisone, immediate release or delayed release, oral, 1 mg	0%	12	$0.00
90461		0%	90	$0.00
C9113	Injection, pantoprazole sodium, per vial	0%	16	$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 officialKOERNIG, FELISSA (CEO/PRESIDENT)