Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Cayuga Medical Center at Ithaca

Cayuga Medical Center at Ithaca was paid $33.24M by Medicaid between Jan 2018 and Dec 2024, across 347 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 21% of everything it billed.

33Billing provider infoCAYUGA MEDICAL CENTER AT ITHACA
ITHACA, NY 14850
33aNPI1962422733assigned 07/21/2006
28Total paid$33.24M
24GClaims832,261
24DCodes billed347
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in New York

Rank by total paid#41 of 231
Median peer was paid$561K
This provider vs. median59×

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

$0$500K$1.0M2018201920202021202220232024
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
2018313$16K
201943,856$1.38M
2020158,157$5.56M
2021185,127$6.21M
2022159,722$8.57M
2023161,624$7.17M
2024incomplete123,462$4.34M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 21% 51,377 47,382 $7.04M
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 12% 60,582 45,931 $4.04M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 6.4% 12,037 11,314 $2.12M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4.3% 14,561 6,493 $1.44M
36415 Collection of venous blood by venipuncture 4.0% 31,094 25,340 $1.32M
99282 Emergency department visit for the evaluation and management, low to moderate severity 3.9% 7,629 7,327 $1.31M
96361 Intravenous infusion, hydration; each additional hour 3.2% 4,688 4,021 $1.05M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 3.0% 7,406 7,000 $1.01M
80053 Comprehensive metabolic panel 2.1% 42,059 37,736 $700K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2.1% 851 847 $698K
70450 Computed tomography, head or brain; without contrast material 2.0% 2,309 2,219 $669K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.7% 2,355 2,308 $567K
335 more codes
99285 Emergency room visit (most serious) 1.5% 3,608 $511K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.5% 3,822 $507K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1.4% 8,096 $480K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1.2% 2,178 $404K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1.2% 5,618 $401K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.1% 1,916 $359K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1.0% 709 $337K
70551 Magnetic resonance imaging, brain; without contrast material <1% 690 $308K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 265 $278K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 556 $254K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 10,123 $253K
97161 <1% 1,893 $241K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,445 $233K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 10,127 $215K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,637 $210K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,260 $204K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 6,491 $198K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 786 $187K
97162 <1% 1,136 $173K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 3,603 $163K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 6,447 $157K
84443 Thyroid stimulating hormone (TSH) <1% 20,429 $155K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 3,855 $137K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 1,261 $135K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 4,335 $125K
Q3014 Telehealth originating site facility fee <1% 1,946 $118K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 6,062 $112K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 241 $111K
71275 Computed tomographic angiography, chest, with contrast material <1% 362 $109K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 3,782 $107K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 1,366 $106K
12001 <1% 261 $106K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 6,321 $102K
83036 Hemoglobin; glycosylated (A1C) <1% 10,375 $99K
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% 5,117 $94K
88342 <1% 249 $93K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 45,648 $92K
76830 Ultrasound, transvaginal <1% 1,749 $90K
82607 <1% 7,189 $86K
80061 Lipid panel <1% 13,345 $82K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,097 $77K
86481 <1% 1,544 $76K
80048 Basic metabolic panel (calcium, ionized) <1% 6,989 $75K
82728 <1% 5,804 $73K
86780 <1% 5,367 $67K
84439 <1% 7,705 $66K
87522 Neg quan hep c or qual rna <1% 1,465 $65K
87086 Culture, bacterial; quantitative colony count, urine <1% 13,497 $64K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 969 $62K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) <1% 128 $60K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 2,373 $50K
G0378 Hospital observation service, per hour <1% 1,250 $49K
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% 23,285 $47K
93971 <1% 741 $46K
86850 <1% 2,807 $46K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 65 $45K
87077 <1% 6,918 $44K
82746 <1% 3,577 $43K
86803 <1% 4,355 $41K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 166 $38K
94060 <1% 151 $38K
86618 <1% 2,652 $37K
86762 <1% 2,520 $36K
83880 <1% 1,155 $36K
87480 <1% 3,494 $36K
87510 <1% 3,491 $36K
84403 <1% 1,344 $36K
96415 <1% 61 $34K
87070 <1% 5,673 $34K
73564 <1% 2,493 $33K
83655 <1% 2,521 $32K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 3,931 $32K
86901 <1% 2,859 $31K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 58 $31K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 208 $30K
71046 Radiologic examination, chest; 2 views <1% 4,310 $29K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 381 $29K
86900 <1% 2,860 $27K
84702 <1% 7,982 $27K
86140 <1% 12,595 $27K
87340 <1% 2,596 $26K
0012A <1% 903 $25K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,446 $24K
83540 <1% 5,190 $24K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 181 $24K
72141 <1% 52 $24K
86003 <1% 598 $23K
93226 <1% 131 $23K
0011A <1% 971 $23K
95816 <1% 140 $23K
83550 <1% 4,798 $22K
83735 <1% 8,788 $22K
88304 <1% 883 $21K
76641 <1% 501 $19K
82784 <1% 1,585 $19K
87468 <1% 704 $19K
87186 <1% 4,415 $18K
87660 <1% 1,687 $18K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 12 $18K
0001A <1% 708 $17K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 3,852 $17K
72125 Computed tomography, cervical spine; without contrast material <1% 448 $17K
85610 <1% 7,533 $17K
84146 <1% 832 $16K
73630 <1% 2,272 $16K
82670 <1% 512 $16K
77066 Tomosynthesis, mammo <1% 166 $16K
51798 <1% 46 $16K
86376 <1% 1,065 $15K
76536 <1% 515 $15K
86665 <1% 569 $15K
87469 <1% 704 $15K
87484 <1% 704 $15K
85027 <1% 4,764 $15K
87478 <1% 700 $15K
Q0247 Injection, sotrovimab, 500 mg <1% 19 $14K
87640 <1% 240 $14K
83001 <1% 739 $14K
83970 <1% 336 $14K
73030 <1% 1,707 $14K
73610 <1% 2,455 $14K
82947 <1% 4,132 $13K
80076 <1% 1,687 $13K
90715 <1% 465 $13K
76000 <1% 91 $13K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 424 $13K
73110 <1% 1,860 $13K
73130 <1% 1,778 $13K
64721 <1% 14 $12K
86706 <1% 1,265 $11K
82570 <1% 2,240 $11K
84481 <1% 1,228 $11K
85652 <1% 5,881 $10K
72110 <1% 562 $10K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 42 $10K
97803 <1% 388 $10K
36591 <1% 267 $10K
95886 <1% 67 $10K
81001 <1% 6,908 $9K
83002 <1% 471 $9K
73502 <1% 990 $9K
82043 <1% 1,697 $8K
86617 <1% 450 $8K
70486 <1% 102 $8K
87481 <1% 327 $8K
96367 <1% 291 $7K
86787 <1% 727 $7K
86038 <1% 1,425 $7K
83525 <1% 619 $7K
76775 <1% 120 $7K
86769 <1% 256 $7K
95806 <1% 276 $7K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 144 $7K
86664 <1% 544 $7K
74018 <1% 974 $7K
87641 <1% 325 $7K
81003 <1% 8,942 $6K
12002 <1% 13 $6K
86431 <1% 1,260 $6K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision <1% 490 $6K
86704 <1% 631 $6K
86708 <1% 629 $6K
72100 <1% 678 $6K
76642 <1% 219 $6K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 7,113 $6K
12011 <1% 15 $6K
86765 <1% 423 $6K
82550 <1% 1,823 $6K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 5,973 $5K
71271 <1% 132 $5K
10060 <1% 15 $5K
86364 <1% 631 $5K
82533 <1% 285 $5K
87205 <1% 2,407 $5K
77062 <1% 173 $5K
83690 <1% 4,256 $4K
73221 <1% 12 $4K
73140 <1% 1,153 $4K
85730 <1% 1,691 $4K
84425 <1% 276 $4K
97802 <1% 153 $4K
84550 <1% 981 $4K
70496 <1% 12 $4K
73080 <1% 583 $4K
94726 <1% 54 $3K
71250 <1% 41 $3K
84100 <1% 941 $3K
99214 Doctor's office visit, returning patient (more involved) <1% 63 $3K
86039 <1% 651 $3K
G0483 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; 22 or more drug class(es), including metabolite(s) if performed <1% 2,181 $3K
87634 <1% 422 $3K
83921 <1% 153 $3K
86800 <1% 234 $3K
86696 <1% 228 $3K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 233 $3K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 25 $3K
86747 <1% 84 $3K
87040 <1% 1,606 $3K
84156 <1% 753 $3K
87563 <1% 121 $3K
84402 <1% 101 $2K
86235 <1% 121 $2K
72040 <1% 239 $2K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 257 $2K
99213 Doctor's office visit, returning patient (routine) <1% 51 $2K
82105 <1% 327 $2K
99156 <1% 863 $2K
36592 <1% 100 $2K
85379 <1% 1,302 $2K
84480 <1% 354 $2K
80178 <1% 348 $2K
0002A <1% 69 $2K
0031A <1% 47 $2K
76870 <1% 54 $2K
84484 <1% 6,579 $2K
94729 <1% 54 $2K
84590 <1% 143 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 24 $2K
70498 <1% 25 $2K
72131 <1% 12 $1K
86735 <1% 171 $1K
71045 Radiologic examination, chest; single view <1% 3,422 $1K
86141 <1% 161 $1K
81596 <1% 25 $1K
95911 <1% 25 $1K
87328 <1% 106 $1K
83605 <1% 5,512 $1K
84446 <1% 97 $1K
86160 <1% 72 $1K
82248 <1% 329 $1K
73590 <1% 230 $1K
96375 Therapeutic injection; each additional sequential IV push <1% 5,002 $1K
86308 <1% 439 $1K
87329 <1% 93 $1K
84165 <1% 161 $1K
84460 <1% 223 $1K
76801 <1% 17 $987.23
83993 <1% 86 $956.76
88173 <1% 51 $920.74
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 15 $855.23
90686 <1% 32 $832.01
86777 <1% 52 $827.32
84144 <1% 37 $811.96
84436 <1% 365 $805.26
72070 <1% 85 $797.40
87899 <1% 69 $781.80
82150 <1% 214 $767.30
73560 <1% 183 $748.96
86778 <1% 51 $720.12
87045 <1% 92 $654.55
84155 <1% 134 $590.62
82040 <1% 128 $569.61
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 36 $566.72
83615 <1% 183 $550.60
84479 <1% 660 $535.26
G0008 Administration of influenza virus vaccine <1% 43 $529.20
86225 <1% 95 $487.00
80164 <1% 60 $452.38
73090 <1% 123 $423.76
73523 <1% 25 $371.12
76882 <1% 64 $361.66
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 3,015 $342.41
J2704 Injection, propofol, 10 mg <1% 3,552 $334.76
82977 <1% 66 $323.56
96376 <1% 1,008 $318.15
87046 <1% 92 $293.54
81025 <1% 79 $245.63
86036 <1% 16 $233.60
86592 <1% 69 $199.47
82525 <1% 12 $183.84
93000 <1% 128 $166.65
85014 <1% 93 $166.37
82247 <1% 40 $160.87
73620 <1% 27 $155.81
72050 <1% 12 $140.00
85018 <1% 78 $137.13
99152 <1% 623 $136.62
80175 <1% 13 $126.00
99153 Mod sedat endo service >5yrs <1% 323 $125.40
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,827 $123.30
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 446 $121.60
81513 <1% 17 $113.85
84630 <1% 14 $110.60
87177 <1% 12 $106.80
J1170 Injection, hydromorphone, up to 4 mg <1% 799 $99.18
J0690 Injection, cefazolin sodium, 500 mg <1% 1,723 $93.16
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 5,867 $90.65
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml <1% 15 $87.85
J3010 Injection, fentanyl citrate, 0.1 mg <1% 5,242 $82.72
J3475 Injection, magnesium sulfate, per 500 mg <1% 929 $79.14
84482 <1% 13 $74.10
87209 <1% 12 $70.92
71101 <1% 12 $70.36
87102 <1% 13 $58.87
86255 <1% 12 $57.20
83630 <1% 12 $57.20
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 3,983 $56.88
82565 <1% 12 $55.33
J3490 Unclassified drugs <1% 279 $54.20
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 5,194 $52.87
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 5,834 $44.89
82274 <1% 14 $41.16
82803 <1% 45 $32.40
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,005 $26.28
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,521 $26.22
J1240 Injection, dimenhydrinate, up to 50 mg <1% 179 $25.61
J1644 Injection, heparin sodium, per 1000 units <1% 60 $24.00
85046 <1% 13 $22.86
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 53 $12.00
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 531 $10.57
J1790 Injection, droperidol, up to 5 mg <1% 26 $8.95
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 250 $8.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 882 $7.92
J2060 Injection, lorazepam, 2 mg <1% 663 $3.88
J0780 Injection, prochlorperazine, up to 10 mg <1% 72 $1.27
91301 <1% 55 $0.14
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 102 $0.00
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 0% 102 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 12 $0.00
88311 0% 12 $0.00
A9270 Non-covered item or service 0% 17 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 144 $0.00
99157 0% 663 $0.00
C1776 Joint device (implantable) 0% 134 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 506 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 13 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 16 $0.00
81002 0% 64 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 0% 66 $0.00
Q0244 Injection, casirivimab and imdevimab, 1200 mg 0% 18 $0.00
J7510 Prednisolone oral, per 5 mg 0% 15 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 56 $0.00
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 0% 13 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 0% 20 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 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 officialGOULD, REBECCA (CFO)
Same official

Other billing entities under GOULD, REBECCA

Full network →
ProviderLocationPaid
Cayuga Medical Center at IthacaIthaca, NY$111K

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