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

Massena Hospital INC

Massena Hospital INC was paid $18.16M by Medicaid between Jan 2018 and Dec 2024, across 246 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 15% of everything it billed.

33Billing provider infoMASSENA HOSPITAL INC
MASSENA, NY 13662
33aNPI1972604460assigned 09/26/2006
33bProvider typeAnesthesiology Physician
28Total paid$18.16M
24GClaims365,912
24DCodes billed246
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Anesthesiology Physician providers in New York

Rank by total paid#2 of 493
Median peer was paid$8K
This provider vs. median2,359×

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$200K$400K$600K2018201920202021202220232024
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
20188,076$316K
201933,704$1.32M
202063,612$2.35M
202179,469$3.25M
202275,477$5.41M
202364,201$3.72M
2024incomplete41,373$1.79M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 15% 27,693 25,872 $2.81M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 31,545 28,900 $2.71M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 12% 17,501 16,608 $2.15M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 9.3% 15,538 14,676 $1.70M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 4.9% 7,272 6,915 $897K
96361 Intravenous infusion, hydration; each additional hour 3.5% 2,154 1,829 $638K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.4% 2,598 2,551 $432K
80053 Comprehensive metabolic panel 2.3% 19,038 17,226 $415K
74177 Computed tomography, abdomen and pelvis; with contrast material 2.1% 1,513 1,483 $385K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.1% 4,471 1,482 $384K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2.0% 8,505 7,848 $365K
36415 Collection of venous blood by venipuncture 1.9% 20,292 15,830 $344K
234 more codes
74176 Computed tomography, abdomen and pelvis; without contrast material 1.7% 1,092 $304K
70450 Computed tomography, head or brain; without contrast material 1.7% 1,122 $301K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.5% 1,850 $280K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.5% 4,226 $266K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.1% 2,188 $193K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 1,869 $174K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,463 $171K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 2,074 $170K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 590 $142K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 2,446 $127K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 3,920 $124K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,259 $120K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,622 $117K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 2,539 $115K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,878 $99K
87486 <1% 842 $98K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 751 $95K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 632 $94K
99215 Doctor's office visit, returning patient (complex) <1% 520 $87K
90834 Psychotherapy session, about 45 minutes <1% 287 $77K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 544 $72K
97161 <1% 527 $65K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,168 $63K
81025 <1% 1,271 $50K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 834 $49K
84443 Thyroid stimulating hormone (TSH) <1% 6,916 $46K
80061 Lipid panel <1% 6,130 $43K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 1,248 $42K
87631 <1% 521 $40K
97010 <1% 1,727 $38K
86850 <1% 953 $38K
90792 Psychiatric diagnostic evaluation with medical services <1% 289 $38K
83036 Hemoglobin; glycosylated (A1C) <1% 4,514 $37K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,875 $36K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 686 $35K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 19,532 $33K
80048 Basic metabolic panel (calcium, ionized) <1% 2,232 $33K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 1,467 $32K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 620 $30K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 163 $30K
97162 <1% 147 $30K
76830 Ultrasound, transvaginal <1% 613 $29K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 283 $28K
90686 <1% 1,070 $28K
G0378 Hospital observation service, per hour <1% 134 $26K
97035 <1% 405 $26K
99173 <1% 688 $23K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 419 $22K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,153 $21K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 2,626 $21K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 2,884 $21K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 527 $21K
84439 <1% 3,065 $20K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 1,818 $19K
95886 <1% 289 $19K
86901 <1% 1,010 $18K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 830 $17K
90715 <1% 595 $17K
87581 <1% 842 $16K
71275 Computed tomographic angiography, chest, with contrast material <1% 58 $16K
82728 <1% 1,435 $16K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 53 $16K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 152 $15K
86900 <1% 1,007 $15K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care <1% 540 $15K
90670 <1% 676 $14K
83655 <1% 992 $13K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 584 $13K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 296 $12K
82607 <1% 1,148 $12K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 349 $12K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 170 $10K
87086 Culture, bacterial; quantitative colony count, urine <1% 3,596 $10K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 77 $10K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 766 $10K
82803 <1% 331 $9K
99204 Doctor's office visit, new patient (more involved) <1% 82 $9K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,201 $9K
84702 <1% 1,882 $9K
36000 <1% 2,114 $9K
90472 Immunization administration, each additional vaccine (list separately) <1% 650 $9K
83880 <1% 337 $9K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 179 $8K
97014 <1% 667 $8K
78815 Positron emission tomography (PET) for limited area imaging <1% 24 $8K
82805 <1% 300 $7K
96367 <1% 138 $7K
86803 <1% 1,006 $7K
88142 <1% 287 $7K
90734 <1% 297 $7K
85610 <1% 2,579 $7K
83735 <1% 2,503 $7K
71250 <1% 52 $6K
83540 <1% 1,530 $6K
71046 Radiologic examination, chest; 2 views <1% 1,999 $6K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 4,372 $6K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,212 $5K
82570 <1% 1,214 $5K
83550 <1% 1,289 $5K
29125 <1% 28 $5K
82746 <1% 483 $5K
99205 Prolong outpt/office vis <1% 19 $5K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 55 $4K
99441 <1% 176 $4K
99442 <1% 74 $4K
82043 <1% 1,058 $4K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 143 $4K
87340 <1% 585 $4K
90648 <1% 311 $4K
81001 <1% 4,656 $4K
90837 Psychotherapy session, about an hour <1% 15 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 46 $3K
86140 <1% 1,398 $3K
90651 <1% 99 $3K
87186 <1% 1,241 $3K
86780 <1% 318 $2K
81003 <1% 3,213 $2K
90633 <1% 221 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 107 $2K
73630 <1% 558 $2K
85027 <1% 944 $2K
87077 <1% 795 $2K
99203 Doctor's office visit, new patient (routine) <1% 42 $2K
90688 <1% 66 $2K
99443 <1% 26 $2K
90716 <1% 31 $2K
87070 <1% 428 $2K
76641 <1% 29 $2K
84153 <1% 85 $1K
80305 <1% 1,333 $1K
83690 <1% 3,680 $1K
84436 <1% 269 $1K
85730 <1% 1,043 $1K
95912 <1% 24 $1K
86618 <1% 134 $1K
59025 Fetal non-stress test <1% 40 $1K
85652 <1% 1,136 $1K
87210 <1% 884 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,022 $1K
76801 <1% 12 $1K
71045 Radiologic examination, chest; single view <1% 2,364 $879.01
90681 <1% 63 $821.09
90685 <1% 56 $774.23
90723 <1% 197 $770.41
87468 <1% 24 $690.59
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 26 $678.07
84484 <1% 3,376 $673.22
71271 <1% 37 $633.30
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 3,061 $622.50
86592 <1% 264 $614.57
73610 <1% 343 $599.06
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 13 $592.71
72125 Computed tomography, cervical spine; without contrast material <1% 26 $564.02
90707 <1% 34 $559.31
86762 <1% 40 $530.26
85379 <1% 830 $529.47
73030 <1% 116 $516.15
87469 <1% 24 $477.96
87478 <1% 24 $477.96
87484 <1% 24 $477.96
94760 <1% 139 $464.49
84100 <1% 166 $450.25
82550 <1% 869 $446.02
76819 Fetal biophysical profile; without non-stress testing <1% 14 $435.97
74018 <1% 164 $429.02
87807 <1% 153 $424.96
83605 <1% 1,607 $410.78
80306 <1% 523 $376.86
87040 <1% 934 $359.57
96375 Therapeutic injection; each additional sequential IV push <1% 2,529 $352.57
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 81 $348.00
84703 <1% 1,955 $332.15
80335 <1% 159 $324.50
86706 <1% 56 $318.05
82248 <1% 130 $308.84
90656 <1% 14 $276.82
82150 <1% 291 $241.83
73564 <1% 55 $238.12
82784 <1% 13 $223.20
G0008 Administration of influenza virus vaccine <1% 22 $200.40
76536 <1% 13 $199.62
90710 <1% 136 $178.50
87400 <1% 144 $172.98
73130 <1% 118 $172.66
80320 <1% 321 $172.18
86709 <1% 59 $157.70
72110 <1% 12 $156.00
82553 <1% 376 $147.60
84550 <1% 38 $142.94
90461 <1% 410 $132.29
86038 <1% 26 $128.27
80076 <1% 17 $107.56
86708 <1% 30 $101.92
81002 <1% 326 $82.02
82950 <1% 14 $79.66
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 3,300 $79.61
86787 <1% 12 $75.57
87081 <1% 293 $72.80
84156 <1% 30 $67.49
82565 <1% 15 $65.39
86431 <1% 12 $62.95
82948 <1% 85 $60.03
73110 <1% 55 $60.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 566 $56.25
90647 <1% 28 $53.55
J2270 Injection, morphine sulfate, up to 10 mg <1% 601 $45.91
84479 <1% 14 $39.87
93041 <1% 922 $34.74
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 83 $29.00
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 1,972 $19.47
J2060 Injection, lorazepam, 2 mg <1% 266 $19.35
86308 <1% 12 $18.92
90696 <1% 13 $17.85
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 879 $9.16
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 347 $6.84
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 117 $6.80
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 281 $4.46
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 76 $3.06
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen <1% 124 $0.77
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 86 $0.05
80143 0% 27 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 1,007 $0.00
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 0% 94 $0.00
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 0% 66 $0.00
73562 0% 14 $0.00
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 0% 81 $0.00
80179 0% 14 $0.00
96376 0% 186 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 205 $0.00
96127 0% 137 $0.00
J2704 Injection, propofol, 10 mg 0% 71 $0.00
80329 0% 58 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 17 $0.00
J1170 Injection, hydromorphone, up to 4 mg 0% 14 $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 officialBENDER, DAVID (CEO/AO)