Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ONEIDA HEALTH SYSTEMS, INC

NPI: 1962408203 · ONEIDA, NY 13421 · General Acute Care Hospital · NPI assigned 06/22/2005

$17.62M
Total Medicaid Paid
519,731
Total Claims
472,014
Beneficiaries
272
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKOERNIG, FELISSA (CEO/PRESIDENT)
NPI Enumeration Date06/22/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 73,584 $2.62M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 11,350 10,877 $1.50M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,560 12,373 $1.35M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 10,877 10,185 $1.32M
99284 Emergency department visit for the evaluation and management, high severity 9,140 8,796 $1.18M
96361 Intravenous infusion, hydration; each additional hour 4,656 4,146 $991K
74177 Computed tomography, abdomen and pelvis; with contrast material 3,757 3,657 $980K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,867 8,297 $948K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,752 6,334 $619K
80053 Comprehensive metabolic panel 31,730 28,530 $562K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,121 1,115 $559K
70450 Computed tomography, head or brain; without contrast material 1,821 1,795 $505K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7,522 2,165 $453K
45380 Colonoscopy, flexible; with biopsy, single or multiple 680 675 $440K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,501 1,467 $412K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,214 519 $339K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 6,732 6,557 $334K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13,087 11,694 $291K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,373 1,884 $288K
59025 Fetal non-stress test 1,338 859 $218K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 995 947 $170K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,252 1,230 $168K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 106 106 $161K
36415 Collection of venous blood by venipuncture 29,402 23,977 $158K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4,306 4,273 $131K
71275 Computed tomographic angiography, chest, with contrast material 417 413 $125K
77067 Screening mammography, bilateral, including computer-aided detection 2,047 2,040 $106K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,111 4,048 $104K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,029 2,975 $99K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,722 991 $95K
97161 1,125 1,111 $93K
84443 Thyroid stimulating hormone (TSH) 11,168 10,943 $89K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4,116 4,051 $85K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 116 115 $81K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,241 2,220 $78K
80048 Basic metabolic panel (calcium, ionized) 4,654 4,377 $65K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 30,089 26,998 $60K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,844 2,312 $60K
80061 Lipid panel 8,557 8,502 $59K
88142 2,584 2,576 $54K
83036 Hemoglobin; glycosylated (A1C) 6,247 6,192 $53K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 208 208 $52K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,667 1,645 $51K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 6,586 6,017 $49K
87088 9,886 9,210 $48K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 604 436 $48K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,906 2,161 $47K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,553 2,926 $46K
87660 3,846 3,750 $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 510 449 $43K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 401 401 $43K
99201 409 395 $42K
88342 853 846 $42K
99281 Emergency department visit for the evaluation and management, self-limited or minor 317 314 $42K
84439 4,734 4,666 $41K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,482 1,467 $40K
86850 2,303 2,245 $40K
87480 3,526 3,440 $40K
87510 3,320 3,240 $37K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 303 234 $35K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 103 101 $35K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 368 363 $35K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,572 1,233 $35K
83880 1,091 1,053 $33K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 299 299 $33K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 703 638 $32K
86901 2,450 2,365 $31K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,888 1,877 $30K
83655 2,291 2,285 $29K
99215 Prolong outpt/office vis 251 211 $29K
82607 2,521 2,491 $28K
76641 1,362 1,334 $28K
86900 2,451 2,365 $28K
71046 Radiologic examination, chest; 2 views 5,837 5,665 $25K
82728 2,038 1,987 $25K
90686 1,040 1,039 $24K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 170 167 $23K
87634 2,077 2,036 $23K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 205 205 $23K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 199 197 $22K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 534 484 $22K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 212 211 $21K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 469 373 $20K
87077 3,560 3,454 $20K
94060 238 237 $20K
86141 2,616 2,445 $19K
73564 1,757 1,616 $19K
93971 301 299 $18K
87070 2,682 2,618 $17K
42820 Tonsillectomy and adenoidectomy; younger than age 12 12 12 $17K
81025 5,388 5,130 $17K
84153 957 946 $16K
84403 643 624 $16K
71250 211 207 $15K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 100 94 $15K
86803 1,656 1,646 $14K
87186 3,201 3,104 $14K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 123 123 $14K
87340 1,503 1,491 $14K
84702 1,751 1,417 $13K
85027 5,221 4,866 $13K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 57 57 $13K
71260 Computed tomography, thorax, diagnostic; with contrast material 122 121 $13K
78815 Positron emission tomography (PET) for limited area imaging 37 37 $13K
77063 Screening digital breast tomosynthesis, bilateral 1,936 1,931 $12K
80076 1,200 1,164 $11K
76536 576 568 $11K
90715 519 518 $11K
86762 829 819 $11K
86618 778 762 $11K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 258 250 $11K
83540 2,350 2,293 $10K
99441 96 93 $10K
87081 2,213 2,180 $10K
73630 1,754 1,672 $9K
88304 271 271 $9K
99292 167 158 $9K
73610 1,796 1,596 $8K
72110 590 588 $8K
96415 13 12 $8K
73110 1,452 1,227 $8K
81001 8,117 7,553 $8K
90682 328 327 $8K
73030 1,288 1,198 $8K
82784 720 712 $7K
81003 12,305 11,390 $7K
83735 3,902 3,373 $7K
73130 1,382 1,234 $7K
76801 126 125 $7K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,592 4,373 $7K
83550 1,505 1,472 $6K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 7,550 6,712 $6K
A9575 Injection, gadoterate meglumine, 0.1 ml 474 469 $6K
H0049 Alcohol and/or drug screening 183 182 $6K
85610 2,693 2,319 $6K
74018 1,298 1,247 $6K
86665 296 175 $6K
J7120 Ringers lactate infusion, up to 1000 cc 2,397 2,166 $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 360 282 $6K
86592 1,869 1,840 $6K
84466 534 523 $6K
85007 3,488 3,270 $5K
82746 456 454 $5K
12001 12 12 $5K
12002 12 12 $5K
85652 2,449 2,353 $4K
84480 704 695 $4K
83690 5,098 4,746 $4K
72141 12 12 $3K
H1000 Prenatal care, at-risk assessment 113 113 $3K
85730 1,804 1,686 $3K
72125 Computed tomography, cervical spine; without contrast material 74 74 $3K
86003 52 50 $3K
94726 45 45 $3K
70486 25 25 $3K
82043 629 620 $3K
96375 Therapeutic injection; each additional sequential IV push 3,869 3,333 $3K
76830 Ultrasound, transvaginal 67 66 $3K
86703 183 181 $3K
82248 571 547 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 24 24 $3K
71271 100 100 $2K
86664 169 169 $2K
86038 511 451 $2K
90734 66 66 $2K
84550 672 616 $2K
86663 170 170 $2K
86431 447 443 $2K
86039 421 419 $2K
83001 105 105 $2K
84146 110 105 $2K
96367 35 27 $2K
86617 120 66 $2K
87086 Culture, bacterial; quantitative colony count, urine 374 361 $2K
94729 45 45 $2K
J1756 Injection, iron sucrose, 1 mg 29 14 $2K
86706 184 181 $2K
87045 220 219 $2K
90673 78 78 $2K
84703 1,661 1,629 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 638 511 $2K
87631 25 25 $2K
82950 538 536 $2K
86308 490 484 $1K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,467 4,154 $1K
85018 798 790 $1K
87899 207 206 $1K
84100 885 773 $1K
85379 1,035 1,003 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $1K
A6010 Collagen based wound filler, dry form, sterile, per gram of collagen 42 12 $1K
71045 Radiologic examination, chest; single view 1,545 1,476 $1K
73080 253 223 $1K
87040 1,660 1,077 $1K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 28 28 $1K
G0008 Administration of influenza virus vaccine 132 132 $1K
73562 109 107 $1K
86709 140 139 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete 27 27 $981.72
82550 417 385 $967.80
85014 455 448 $940.94
86705 126 126 $923.87
99173 12 12 $835.08
77066 Tomosynthesis, mammo 13 13 $763.56
73502 153 147 $716.84
86480 12 12 $645.94
0012A 45 45 $595.35
82105 94 92 $593.86
82150 159 153 $560.65
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 21 21 $558.81
84484 3,865 3,375 $548.83
87328 37 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 29 29 $448.55
86235 14 14 $440.66
87329 37 37 $389.87
87177 51 50 $379.89
83615 90 87 $335.10
81002 3,010 1,742 $328.99
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,032 747 $303.11
82962 2,888 2,218 $289.12
A4213 Syringe, sterile, 20 cc or greater, each 1,613 1,567 $282.94
90651 12 12 $255.85
87209 51 50 $252.64
83993 26 25 $239.19
83605 1,414 1,261 $228.98
90460 Immunization administration through 18 years of age via any route, first or only component 957 953 $228.56
A9576 Injection, gadoteridol, (prohance multipack), per ml 31 31 $206.03
76882 13 13 $202.11
73590 40 38 $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) 13 13 $180.88
0011A 13 13 $175.70
73140 70 67 $153.60
82977 42 40 $150.88
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,282 1,268 $150.31
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,648 2,396 $129.50
82565 29 29 $125.75
80305 516 464 $125.45
87420 17 16 $99.41
J7030 Infusion, normal saline solution , 1000 cc 1,398 1,272 $96.51
J2270 Injection, morphine sulfate, up to 10 mg 1,364 1,138 $80.17
87101 12 12 $69.39
86225 16 15 $63.01
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,202 3,799 $62.44
84460 12 12 $50.80
J1200 Injection, diphenhydramine hcl, up to 50 mg 772 678 $50.21
84520 12 12 $47.40
96376 353 286 $45.05
89055 12 12 $34.03
71101 12 12 $31.83
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 21 20 $27.90
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 86 85 $24.83
J2704 Injection, propofol, 10 mg 1,926 1,876 $16.06
J1885 Injection, ketorolac tromethamine, per 15 mg 4,084 3,783 $13.51
J0690 Injection, cefazolin sodium, 500 mg 476 449 $8.53
J0696 Injection, ceftriaxone sodium, per 250 mg 366 332 $6.80
J3010 Injection, fentanyl citrate, 0.1 mg 2,558 2,481 $3.61
J7050 Infusion, normal saline solution, 250 cc 88 73 $2.70
J2250 Injection, midazolam hydrochloride, per 1 mg 1,896 1,853 $2.20
J1644 Injection, heparin sodium, per 1000 units 189 147 $1.43
J2765 Injection, metoclopramide hcl, up to 10 mg 323 294 $0.60
J1170 Injection, hydromorphone, up to 4 mg 12 12 $0.00
A4615 Cannula, nasal 17 17 $0.00
95806 26 26 $0.00
88300 14 14 $0.00
96127 40 39 $0.00
L8699 Prosthetic implant, not otherwise specified 12 12 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 52 52 $0.00
87430 49 48 $0.00
J1790 Injection, droperidol, up to 5 mg 14 14 $0.00
59430 13 13 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 12 12 $0.00
90461 90 90 $0.00
C9113 Injection, pantoprazole sodium, per vial 16 12 $0.00