Medicaid Provider Spending

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

MONTEFIORE MOUNT VERNON HOSPITAL

NPI: 1992131320 · MOUNT VERNON, NY 10550 · Psychiatric Hospital Unit · NPI assigned 09/17/2013

$24.60M
Total Medicaid Paid
329,080
Total Claims
191,733
Beneficiaries
166
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKOHN, RANDI (AVP, REGULATORY PLANNING)
NPI Enumeration Date09/17/2013

Related Entities

Other providers sharing the same authorized official: KOHN, RANDI

ProviderCityStateTotal Paid
MONTEFIORE NEW ROCHELLE HOSPITAL NEW ROCHELLE NY $24.11M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,699 $295K
2019 30,344 $1.50M
2020 57,453 $3.62M
2021 75,100 $4.38M
2022 66,304 $6.05M
2023 61,464 $5.54M
2024 32,716 $3.22M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0040 Assertive community treatment program, per diem 2,614 2,599 $4.83M
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 114,277 8,254 $3.43M
99283 Emergency department visit for the evaluation and management, moderate severity 12,375 9,983 $2.16M
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) 10,025 3,914 $2.06M
99282 Emergency department visit for the evaluation and management, low to moderate severity 8,276 6,969 $1.70M
99284 Emergency department visit for the evaluation and management, high severity 8,984 6,966 $1.32M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 6,214 4,784 $841K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,848 4,236 $822K
80053 Comprehensive metabolic panel 12,370 11,770 $720K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,346 2,272 $711K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,059 1,543 $628K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 5,285 4,064 $610K
70450 Computed tomography, head or brain; without contrast material 1,850 1,815 $531K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,775 2,556 $521K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,963 2,441 $460K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,529 5,270 $408K
97597 1,112 526 $337K
99215 Prolong outpt/office vis 1,105 1,080 $257K
74177 Computed tomography, abdomen and pelvis; with contrast material 731 722 $186K
99281 Emergency department visit for the evaluation and management, self-limited or minor 699 668 $171K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5,732 5,536 $157K
77067 Screening mammography, bilateral, including computer-aided detection 1,796 1,785 $133K
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 775 674 $117K
36415 Collection of venous blood by venipuncture 5,958 5,665 $115K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,853 1,830 $105K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 3,102 1,460 $97K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,274 2,207 $95K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 905 885 $75K
82803 2,861 2,773 $58K
H0004 Behavioral health counseling and therapy, per 15 minutes 1,024 771 $57K
80048 Basic metabolic panel (calcium, ionized) 1,176 1,161 $54K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,395 1,363 $52K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 163 163 $38K
86850 946 928 $36K
86480 539 537 $33K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,843 1,820 $33K
80061 Lipid panel 3,033 3,010 $32K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,417 480 $31K
86901 946 928 $27K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 4,784 4,625 $24K
76830 Ultrasound, transvaginal 465 460 $24K
74176 Computed tomography, abdomen and pelvis; without contrast material 95 95 $24K
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 488 388 $24K
97161 191 191 $23K
90834 Psychotherapy, 45 minutes with patient 162 68 $20K
G0378 Hospital observation service, per hour 13 13 $18K
71046 Radiologic examination, chest; 2 views 2,955 2,908 $18K
86900 946 928 $17K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,249 2,198 $17K
H0034 Medication training and support, per 15 minutes 746 585 $17K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 12 12 $15K
0012A 363 362 $14K
83880 669 630 $14K
83036 Hemoglobin; glycosylated (A1C) 2,296 2,286 $13K
85610 3,484 3,350 $13K
0011A 374 373 $12K
88142 267 267 $12K
81025 240 231 $11K
90715 452 337 $10K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 10,959 10,336 $10K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 70 68 $10K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 51 51 $8K
87536 86 83 $8K
71275 Computed tomographic angiography, chest, with contrast material 27 27 $7K
76641 189 165 $7K
12001 12 12 $7K
84443 Thyroid stimulating hormone (TSH) 1,475 1,462 $7K
86769 262 257 $7K
96127 1,839 1,731 $7K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 243 241 $6K
76700 Ultrasound, abdominal, real time with image documentation; complete 12 12 $6K
J3490 Unclassified drugs 485 420 $5K
81001 5,467 5,273 $5K
96368 194 189 $5K
76376 1,154 1,138 $5K
0064A 112 112 $5K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 53 53 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 30 27 $4K
88305 Level IV - Surgical pathology, gross and microscopic examination 54 54 $4K
97010 55 21 $4K
99386 39 39 $4K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,790 3,625 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 71 66 $3K
29581 19 13 $3K
J7030 Infusion, normal saline solution , 1000 cc 2,738 2,639 $3K
73630 555 493 $3K
97014 41 14 $2K
H0005 Alcohol and/or drug services; group counseling by a clinician 32 13 $2K
96375 Therapeutic injection; each additional sequential IV push 1,933 1,859 $2K
0031A 63 63 $2K
90654 88 88 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 53 53 $2K
99442 13 13 $2K
77065 Tomosynthesis, mammo 26 26 $2K
71045 Radiologic examination, chest; single view 1,129 1,082 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 166 163 $2K
86592 605 603 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 379 378 $1K
84484 1,704 1,636 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 585 577 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,969 2,808 $1K
86361 41 40 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 640 378 $969.35
87088 968 948 $953.81
85730 2,019 1,941 $920.25
96367 15 15 $863.76
72125 Computed tomography, cervical spine; without contrast material 13 13 $816.58
90686 37 37 $792.05
73030 120 108 $763.06
80076 75 74 $712.24
99443 12 12 $607.26
84439 178 176 $550.27
73130 250 238 $547.01
J1200 Injection, diphenhydramine hcl, up to 50 mg 707 664 $536.31
73610 96 89 $520.05
83735 1,368 1,340 $496.39
83690 2,446 2,346 $460.10
80069 16 16 $424.54
81003 206 147 $400.08
72100 50 50 $390.21
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 90 90 $338.83
82043 109 108 $298.68
80320 1,274 1,209 $284.35
J1100 Injection, dexamethasone sodium phosphate, 1 mg 636 624 $265.85
80329 288 281 $253.85
84702 209 195 $237.50
82550 882 841 $219.06
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 703 688 $194.35
82607 38 38 $154.18
J2270 Injection, morphine sulfate, up to 10 mg 129 121 $145.64
88399 14 14 $126.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 828 800 $124.99
96376 41 40 $106.39
73562 39 37 $102.53
86803 15 15 $102.41
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 431 418 $87.58
J0696 Injection, ceftriaxone sodium, per 250 mg 130 130 $87.34
D0120 Periodic oral evaluation - established patient 13 13 $83.52
85652 112 110 $77.95
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 649 594 $71.36
81002 169 166 $67.93
87340 43 42 $65.06
J2704 Injection, propofol, 10 mg 42 42 $54.57
86706 33 32 $40.20
J2060 Injection, lorazepam, 2 mg 92 90 $36.21
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 58 55 $36.00
86141 82 81 $30.75
J2765 Injection, metoclopramide hcl, up to 10 mg 43 39 $24.75
J1630 Injection, haloperidol, up to 5 mg 40 38 $16.07
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 74 73 $8.83
87040 156 155 $8.15
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 143 139 $4.06
J7050 Infusion, normal saline solution, 250 cc 15 15 $3.50
81015 100 100 $2.02
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 19 16 $1.92
91301 356 339 $1.80
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 53 49 $1.05
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 12 12 $0.76
99080 2,271 419 $0.00
90472 Immunization administration, each additional vaccine (list separately) 15 14 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 14 14 $0.00
87070 12 12 $0.00
82150 13 13 $0.00
85379 12 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 57 54 $0.00
87081 16 16 $0.00