Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › DANSVILLE › NICHOLAS H. NOYES MEMORIAL HOSPITAL

NICHOLAS H. NOYES MEMORIAL HOSPITAL

NPI: 1982625661 · DANSVILLE, NY 14437 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 07/21/2006

$16.63M
Total Medicaid Paid
366,196
Total Claims
328,058
Beneficiaries
241
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRUNOSKE, MARK (CFO)
NPI Enumeration Date07/21/2006

Related Entities

Other providers sharing the same authorized official: PRUNOSKE, MARK

ProviderCityStateTotal Paid
NICHOLAS H. NOYES MEMORIAL HOSPITAL GENESEO NY $58K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,590 $103K
2019 24,229 $1.10M
2020 70,947 $2.91M
2021 85,787 $3.68M
2022 64,691 $3.00M
2023 67,942 $3.39M
2024 51,010 $2.46M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90834 Psychotherapy, 45 minutes with patient 31,645 22,703 $3.75M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23,563 22,632 $1.93M
99283 Emergency department visit for the evaluation and management, moderate severity 11,463 10,095 $1.01M
99284 Emergency department visit for the evaluation and management, high severity 8,351 7,025 $957K
90832 Psychotherapy, 30 minutes with patient 8,706 7,480 $784K
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 11,340 10,947 $749K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 7,662 7,005 $622K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,253 6,060 $501K
90791 Psychiatric diagnostic evaluation 2,665 2,399 $413K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,737 3,354 $383K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,216 2,062 $382K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,597 1,571 $358K
96361 Intravenous infusion, hydration; each additional hour 1,830 1,581 $343K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 8,317 2,922 $341K
80053 Comprehensive metabolic panel 20,305 17,988 $271K
90837 Psychotherapy, 53 minutes with patient 2,041 1,564 $257K
70450 Computed tomography, head or brain; without contrast material 782 771 $186K
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 7,263 7,058 $148K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,325 1,302 $137K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 719 709 $119K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 180 177 $119K
H2011 Crisis intervention service, per 15 minutes 694 606 $98K
95810 Polysomnography; sleep staging with 4 or more additional parameters 259 257 $97K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 682 628 $94K
97161 1,283 1,245 $93K
84443 Thyroid stimulating hormone (TSH) 8,340 8,225 $89K
71046 Radiologic examination, chest; 2 views 2,941 2,885 $86K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,032 1,827 $85K
80048 Basic metabolic panel (calcium, ionized) 4,691 4,286 $79K
80061 Lipid panel 7,885 7,841 $78K
87631 1,449 1,439 $75K
36415 Collection of venous blood by venipuncture 21,540 19,324 $66K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,621 2,437 $65K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 17,993 16,089 $60K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,266 2,256 $59K
77067 Screening mammography, bilateral, including computer-aided detection 802 801 $53K
76700 Ultrasound, abdominal, real time with image documentation; complete 578 577 $52K
84439 6,332 6,247 $51K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,040 925 $49K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,270 1,248 $48K
87081 5,776 5,641 $48K
76770 437 437 $46K
74176 Computed tomography, abdomen and pelvis; without contrast material 208 206 $44K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,655 2,400 $44K
86900 1,040 1,014 $40K
90792 Psychiatric diagnostic evaluation with medical services 175 175 $35K
90847 Family psychotherapy with the patient present, 50 minutes 175 149 $34K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 763 753 $33K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,206 1,194 $33K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,228 1,216 $32K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 200 183 $32K
S5161 Emergency response system; service fee, per month (excludes installation and testing) 993 974 $29K
20610 572 324 $29K
76705 Ultrasound, abdominal, real time with image documentation; limited 480 469 $29K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 105 104 $27K
83036 Hemoglobin; glycosylated (A1C) 3,572 3,547 $27K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,331 1,310 $26K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 932 364 $24K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 357 357 $23K
72110 446 445 $22K
87086 Culture, bacterial; quantitative colony count, urine 4,090 3,781 $22K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,874 2,610 $22K
82607 1,908 1,897 $21K
71260 Computed tomography, thorax, diagnostic; with contrast material 129 128 $21K
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 545 376 $21K
73630 1,099 1,070 $21K
73562 858 850 $20K
96375 Therapeutic injection; each additional sequential IV push 2,035 1,731 $18K
76830 Ultrasound, transvaginal 296 293 $17K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 59 59 $17K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,471 1,190 $16K
82728 1,552 1,513 $16K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 261 244 $16K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 26 24 $16K
90836 194 186 $15K
73030 696 687 $15K
81025 2,167 2,115 $14K
73610 797 769 $14K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 274 270 $14K
80076 1,526 1,495 $13K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 55 55 $13K
86850 1,010 982 $12K
73130 543 535 $12K
73110 451 442 $11K
99281 Emergency department visit for the evaluation and management, self-limited or minor 84 80 $11K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,670 2,479 $11K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,459 2,180 $11K
71045 Radiologic examination, chest; single view 1,090 1,063 $11K
83735 3,835 3,231 $10K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 92 92 $10K
45380 Colonoscopy, flexible; with biopsy, single or multiple 13 12 $10K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 558 546 $10K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 48 40 $10K
J2704 Injection, propofol, 10 mg 2,316 2,250 $9K
93971 130 128 $9K
83550 1,255 1,240 $8K
72100 367 367 $8K
87088 1,386 1,279 $8K
83540 1,657 1,625 $8K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 25 25 $8K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 12 12 $8K
86901 1,048 1,020 $8K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 592 592 $7K
87400 593 373 $7K
87070 943 919 $7K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 247 246 $7K
85027 2,008 1,912 $6K
86803 857 853 $6K
78815 Positron emission tomography (PET) for limited area imaging 12 12 $6K
86780 576 575 $6K
83655 708 707 $6K
87186 1,085 1,045 $6K
87158 1,331 1,301 $6K
81003 3,275 3,075 $6K
71271 121 121 $6K
83721 699 694 $5K
86140 1,692 1,606 $5K
87077 697 672 $5K
76536 100 100 $5K
V2632 Posterior chamber intraocular lens 266 13 $5K
81001 2,416 2,278 $5K
84702 477 361 $5K
76000 334 323 $4K
84403 185 182 $4K
77063 Screening digital breast tomosynthesis, bilateral 311 311 $4K
99215 Prolong outpt/office vis 39 38 $4K
87634 122 121 $4K
87340 680 673 $4K
83690 2,008 1,879 $4K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 61 50 $3K
72020 204 131 $3K
86618 269 266 $3K
J3010 Injection, fentanyl citrate, 0.1 mg 1,706 1,646 $3K
74018 160 154 $3K
86703 214 214 $3K
76801 53 50 $3K
70551 Magnetic resonance imaging, brain; without contrast material 12 12 $3K
87430 1,284 1,263 $3K
J0690 Injection, cefazolin sodium, 500 mg 537 497 $3K
86592 707 702 $3K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 113 112 $3K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 183 183 $3K
84484 1,244 848 $3K
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 1,173 1,146 $3K
82746 246 244 $3K
84153 144 144 $3K
73502 144 144 $3K
83880 89 83 $3K
11721 119 95 $2K
85610 953 836 $2K
72050 53 53 $2K
93975 13 13 $2K
12001 12 12 $2K
85651 928 903 $2K
86941 454 445 $2K
99404 24 24 $2K
86038 265 264 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,542 2,406 $2K
G0378 Hospital observation service, per hour 38 37 $2K
83516 177 175 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,846 2,547 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,281 1,243 $2K
59025 Fetal non-stress test 18 13 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg 1,313 1,282 $2K
85652 1,061 1,010 $2K
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening 112 111 $2K
87505 13 13 $1K
82948 479 376 $1K
84703 761 735 $1K
81002 366 352 $1K
71250 12 12 $1K
86756 101 99 $1K
82784 138 132 $1K
86762 184 184 $1K
72072 39 38 $1K
0012A 57 57 $1K
94010 117 76 $1K
90715 83 83 $1K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 25 25 $1K
J1040 Injection, methylprednisolone acetate, 80 mg 69 66 $1K
73140 38 38 $985.39
J1170 Injection, hydromorphone, up to 4 mg 273 209 $892.77
0011A 61 61 $842.16
Q9956 Injection, octafluoropropane microspheres, per ml 43 26 $719.60
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $704.20
73564 12 12 $682.88
G0103 Prostate cancer screening; prostate specific antigen test (psa) 51 51 $656.65
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 237 218 $609.67
86430 144 143 $607.54
83001 42 41 $586.51
82150 178 175 $580.30
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 58 58 $572.15
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 63 62 $509.28
85007 330 302 $467.29
82565 205 203 $440.03
87205 161 158 $431.61
72070 12 12 $409.94
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 806 591 $383.40
84480 40 38 $351.36
73560 25 24 $333.55
A9576 Injection, gadoteridol, (prohance multipack), per ml 25 24 $319.67
82950 80 80 $308.31
88142 12 12 $307.74
85730 195 184 $282.74
84402 12 12 $277.16
86364 36 29 $272.52
J7120 Ringers lactate infusion, up to 1000 cc 1,248 1,161 $259.09
A9573 Injection, gadopiclenol, 1 ml 21 14 $255.63
87147 90 90 $245.79
82570 65 54 $233.68
94727 25 25 $222.83
84520 149 148 $222.04
84146 13 13 $208.38
84460 87 86 $162.52
87040 82 71 $162.20
82043 12 12 $143.48
84550 40 36 $137.69
84100 47 36 $132.94
Q3014 Telehealth originating site facility fee 14 14 $117.24
82247 54 50 $102.27
85014 55 53 $99.74
86706 17 17 $98.20
76870 14 14 $96.35
86704 14 14 $85.00
J0330 Injection, succinylcholine chloride, up to 20 mg 19 19 $77.18
94729 12 12 $75.01
81015 943 860 $65.33
96376 95 64 $62.16
J2765 Injection, metoclopramide hcl, up to 10 mg 94 89 $59.82
82550 16 15 $52.06
85379 52 52 $38.55
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 246 246 $33.25
J1010 Injection, methylprednisolone acetate, 1 mg 57 55 $31.52
J1200 Injection, diphenhydramine hcl, up to 50 mg 28 26 $30.15
J0696 Injection, ceftriaxone sodium, per 250 mg 27 26 $18.21
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 72 66 $13.00
J2270 Injection, morphine sulfate, up to 10 mg 29 25 $10.77
83605 27 27 $9.30
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 350 337 $4.30
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 73 69 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 18 18 $0.00