Medicaid Provider Spending

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

BAYSTATE WING HOSPITAL CORPORATION

NPI: 1962410233 · PALMER, MA 01069 · General Acute Care Hospital · NPI assigned 08/03/2006

$38.22M
Total Medicaid Paid
935,684
Total Claims
804,565
Beneficiaries
273
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCARTHY, RAYMOND (SR. VP, CFO & TREASURER, BH)
NPI Enumeration Date08/03/2006

Related Entities

Other providers sharing the same authorized official: MCCARTHY, RAYMOND

ProviderCityStateTotal Paid
BAYSTATE MEDICAL CENTER INC SPRINGFIELD MA $40.55M
BAYSTATE FRANKLIN MEDICAL CENTER GREENFIELD MA $29.11M
BAYSTATE WING HOSPITAL CORPORATION PALMER MA $2.29M
BAYSTATE MEDICAL CENTER INC SPRINGFIELD MA $1.12M
BAYSTATE FRANKLIN MEDICAL CENTER GREENFIELD MA $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 158,469 $6.17M
2019 137,271 $4.79M
2020 121,235 $4.10M
2021 133,810 $4.73M
2022 155,248 $6.65M
2023 141,955 $6.66M
2024 87,696 $5.13M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 58,742 50,808 $6.36M
99283 Emergency department visit for the evaluation and management, moderate severity 45,815 40,259 $5.23M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 29,402 26,073 $4.53M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 30,936 26,582 $4.09M
96361 Intravenous infusion, hydration; each additional hour 13,047 10,541 $3.83M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15,522 14,059 $2.33M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 30,756 24,646 $814K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 14,537 4,852 $801K
74177 Computed tomography, abdomen and pelvis; with contrast material 6,255 5,854 $768K
70450 Computed tomography, head or brain; without contrast material 5,858 5,468 $570K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,720 5,412 $546K
S9485 Crisis intervention mental health services, per diem 1,093 677 $427K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,894 2,746 $416K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,700 4,170 $414K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 8,231 7,441 $375K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 3,323 3,098 $360K
90834 Psychotherapy, 45 minutes with patient 9,252 4,868 $349K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,409 2,343 $259K
90837 Psychotherapy, 53 minutes with patient 3,705 1,739 $252K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 7,268 6,266 $225K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,838 1,791 $210K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,352 1,172 $210K
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 3,815 3,216 $196K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 5,705 2,292 $194K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 44,765 38,754 $191K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,411 2,138 $178K
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 148 122 $177K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,516 4,147 $157K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,289 1,253 $146K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 965 919 $135K
87631 1,795 1,750 $128K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 742 593 $126K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 7,359 6,588 $123K
77063 Screening digital breast tomosynthesis, bilateral 2,192 2,143 $121K
71046 Radiologic examination, chest; 2 views 15,835 14,713 $113K
77067 Screening mammography, bilateral, including computer-aided detection 3,002 2,944 $107K
97161 1,655 1,553 $105K
G0378 Hospital observation service, per hour 2,666 2,416 $103K
84443 Thyroid stimulating hormone (TSH) 9,685 9,259 $85K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 92 91 $84K
83880 5,360 4,904 $78K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 10,036 7,280 $76K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 930 845 $72K
84484 11,360 9,673 $70K
93971 772 702 $69K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 15,085 13,303 $68K
20610 550 455 $63K
80053 Comprehensive metabolic panel 16,999 15,429 $62K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4,003 3,932 $60K
83605 9,066 8,055 $60K
83690 13,412 11,926 $56K
80048 Basic metabolic panel (calcium, ionized) 19,993 17,939 $51K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,322 4,126 $48K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 443 191 $47K
81025 8,216 7,727 $45K
Q3014 Telehealth originating site facility fee 12,954 11,594 $43K
12001 306 282 $39K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,491 1,457 $37K
99215 Prolong outpt/office vis 263 234 $37K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,463 1,426 $36K
76830 Ultrasound, transvaginal 321 314 $35K
ATP14 4,535 3,666 $34K
83036 Hemoglobin; glycosylated (A1C) 7,358 7,156 $34K
96375 Therapeutic injection; each additional sequential IV push 11,550 9,482 $33K
83735 8,791 7,370 $30K
87040 5,155 3,153 $30K
85027 8,923 7,460 $29K
87086 Culture, bacterial; quantitative colony count, urine 6,321 5,849 $28K
96110 Developmental screening, with scoring and documentation, per standardized instrument 349 347 $28K
73630 2,804 2,713 $27K
ATP08 4,428 3,668 $27K
81001 14,508 13,240 $27K
73562 1,943 1,857 $25K
87088 3,837 2,652 $25K
73030 2,023 1,938 $25K
90715 853 829 $24K
73610 2,542 2,410 $24K
71275 Computed tomographic angiography, chest, with contrast material 234 209 $23K
73130 1,819 1,750 $22K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 135 131 $22K
80051 17,345 14,226 $21K
ATP07 3,193 2,557 $21K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 155 146 $21K
97162 437 423 $20K
72100 1,112 1,063 $20K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 22,552 20,001 $18K
90686 1,079 1,026 $17K
87081 3,131 3,002 $17K
71045 Radiologic examination, chest; single view 2,246 2,055 $16K
ATP11 2,334 1,950 $16K
80061 Lipid panel 6,879 6,674 $15K
73110 922 856 $15K
73502 755 714 $14K
84703 2,477 2,334 $13K
86140 4,202 3,947 $13K
93975 109 105 $13K
82565 18,724 15,739 $12K
70496 79 78 $12K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 81 81 $12K
85379 2,024 1,920 $12K
71250 335 316 $12K
71260 Computed tomography, thorax, diagnostic; with contrast material 277 251 $12K
84439 2,415 2,350 $11K
81003 8,197 7,690 $11K
85610 7,426 5,370 $11K
86803 1,247 1,226 $11K
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 297 282 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,469 3,234 $10K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 580 572 $10K
82947 14,758 13,002 $10K
82607 1,422 1,382 $10K
84702 843 780 $10K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 424 331 $9K
84520 16,776 14,198 $9K
ATP17 1,325 1,203 $8K
80305 1,335 1,109 $8K
87186 1,884 1,758 $8K
10060 60 52 $8K
82728 1,225 1,185 $8K
90674 402 386 $7K
80076 4,404 4,191 $7K
84460 9,240 8,282 $6K
71271 192 179 $6K
84450 9,019 8,131 $5K
77080 171 170 $5K
87070 837 795 $5K
J3490 Unclassified drugs 1,062 794 $5K
72125 Computed tomography, cervical spine; without contrast material 1,208 1,110 $5K
83550 1,288 1,247 $5K
92587 77 77 $4K
84075 7,566 6,780 $4K
12002 43 37 $4K
82247 7,417 6,639 $4K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,506 1,420 $4K
83540 1,417 1,371 $4K
ATP15 585 483 $4K
76642 28 28 $4K
ATP12 552 430 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 28 28 $3K
12011 13 13 $3K
92567 287 283 $3K
ATP10 486 388 $3K
76775 46 38 $3K
87147 762 711 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 8,267 7,361 $3K
94664 918 871 $3K
87476 113 106 $3K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 67 66 $3K
85730 847 762 $2K
82570 1,107 1,074 $2K
V5266 Battery for use in hearing device 56 50 $2K
36415 Collection of venous blood by venipuncture 25,676 22,309 $2K
87486 156 147 $2K
87581 156 147 $2K
87077 1,181 1,061 $2K
94060 12 12 $2K
82746 280 274 $2K
85652 1,325 1,260 $2K
73560 276 250 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,487 1,427 $2K
J2704 Injection, propofol, 10 mg 3,790 3,586 $2K
84153 190 184 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 9,376 7,877 $2K
73140 134 132 $2K
ATP03 1,348 1,173 $2K
G0297 Low dose ct scan (ldct) for lung cancer screening 76 75 $2K
80050 General health panel 61 61 $2K
94729 38 38 $2K
82043 834 818 $2K
73080 71 66 $2K
69210 121 119 $1K
86618 143 142 $1K
83655 110 110 $1K
86780 124 120 $1K
J3010 Injection, fentanyl citrate, 0.1 mg 1,144 1,052 $1K
82962 6,192 4,272 $1K
G0008 Administration of influenza virus vaccine 732 719 $1K
77065 Tomosynthesis, mammo 12 12 $1K
93225 27 26 $1K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 43 43 $1K
82550 1,226 1,146 $1K
J1170 Injection, hydromorphone, up to 4 mg 2,288 1,585 $1K
29125 35 27 $1K
77062 12 12 $1K
98940 247 104 $1K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 34 29 $1K
87210 301 291 $994.66
94726 12 12 $976.14
93017 13 13 $889.56
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,054 4,520 $823.32
87205 347 329 $779.46
92579 26 26 $769.34
76937 111 89 $763.14
87340 95 93 $762.85
87660 41 41 $682.44
87510 41 41 $682.44
J2270 Injection, morphine sulfate, up to 10 mg 3,570 2,713 $681.82
87480 40 40 $661.76
94727 24 24 $627.00
96376 4,244 2,729 $624.64
74018 44 37 $601.08
ATP09 106 81 $582.40
93226 27 26 $547.47
77066 Tomosynthesis, mammo 12 12 $514.68
83718 135 134 $504.78
86850 60 55 $494.65
ATP18 101 90 $460.74
90791 Psychiatric diagnostic evaluation 19 19 $435.04
ATP06 83 48 $420.16
87522 Neg quan hep c or qual rna 12 12 $397.53
93296 25 24 $356.09
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 34 26 $344.60
82274 60 59 $302.68
J2060 Injection, lorazepam, 2 mg 1,601 1,294 $288.83
90732 27 26 $274.86
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 13 13 $264.70
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,877 2,633 $257.41
90662 246 244 $244.00
J0696 Injection, ceftriaxone sodium, per 250 mg 1,582 1,282 $242.76
70486 12 12 $228.63
90832 Psychotherapy, 30 minutes with patient 23 16 $224.07
82465 190 189 $209.54
36410 50 39 $204.12
73590 25 25 $199.11
80179 78 74 $197.28
70498 65 64 $192.61
ATP02 80 79 $187.95
86200 13 13 $148.46
86900 86 78 $128.92
86901 86 78 $128.92
84100 272 225 $124.08
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 19 12 $112.00
J0690 Injection, cefazolin sodium, 500 mg 150 123 $100.07
80164 14 14 $97.86
11056 14 12 $96.88
0004A 19 19 $91.74
11719 51 50 $81.59
ATP13 14 12 $78.65
81002 67 61 $76.56
84481 12 12 $69.88
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 60 51 $42.38
82310 374 362 $38.60
84550 86 83 $28.09
84155 130 126 $19.88
84156 29 28 $18.85
90460 Immunization administration through 18 years of age via any route, first or only component 13 13 $17.22
90472 Immunization administration, each additional vaccine (list separately) 52 50 $17.13
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 318 252 $14.35
82040 152 148 $8.57
J2250 Injection, midazolam hydrochloride, per 1 mg 237 210 $1.38
J1200 Injection, diphenhydramine hcl, up to 50 mg 418 368 $1.22
J1650 Injection, enoxaparin sodium, 10 mg 352 114 $0.00
92015 Determination of refractive state 16 16 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 122 118 $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 163 158 $0.00
96367 12 12 $0.00
80143 97 93 $0.00
90670 40 40 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 96 89 $0.00
82248 51 49 $0.00
87469 33 29 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 27 26 $0.00
93356 14 14 $0.00
J1630 Injection, haloperidol, up to 5 mg 126 109 $0.00
90688 25 22 $0.00
36416 249 171 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 66 52 $0.00
G0103 Prostate cancer screening; prostate specific antigen test (psa) 25 25 $0.00
87478 33 29 $0.00
87468 33 29 $0.00
88304 31 25 $0.00
G0009 Administration of pneumococcal vaccine 25 25 $0.00
90839 12 12 $0.00