Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Samaritan Hospital of Troy, New York

Troy, NY·NPI: 1043267727Share
Active Billing Period:2018-01→2024-12(84 months)
Sharp billing drop in final month

Total Paid

$132.1M

$132,148,573

Total Claims

2.1M

Beneficiaries

1.8M

1.1 claims/patient

Avg Cost/Claim

$63

#870 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Samaritan Hospital of Troy, New York is a Medicaid provider based in Troy, NY. From the 2018–2024 period, this provider received $132.1M in Medicaid payments across 2.1M claims.

Why This Matters

This provider received $132.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,518 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 46022% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$51K
+16888%
2019
$8.7M
+128%
2020
$19.8M
+18%
2021
$23.4M
+12%
2022
$26.2M
+16%
2023
$30.4M
-22%
2024
$23.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G9005 (Coordinated care fee, risk-adjusted, ESRD)) accounts for 33% of total spending.

G9005Top 25%

Coordinated care fee, risk-adjusted, ESRD

$43.4M

131K claims · 32.8%

Your Cost: $330.92/claim|Median: $47.08
7.0× median
99283Top 25%

Emergency dept visit, moderate complexity

$6.6M

53K claims · 5.0%

Your Cost: $126.31/claim|Median: $42.48
3.0× median
99284Top 25%

Emergency dept visit, high complexity

$5.0M

40K claims · 3.8%

Your Cost: $124.78/claim|Median: $69.51
1.8× median
99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$4.5M

59K claims · 3.4%

Your Cost: $77.09/claim|Median: $53.41
1.4× median
G0463Top 25%

Hospital outpatient clinic visit

$4.0M

47K claims · 3.0%

Your Cost: $84.34/claim|Median: $26.41
3.2× median
99213Top 10%

Office/outpatient visit, est. patient, low-mod complexity

$3.1M

41K claims · 2.4%

Your Cost: $76.06/claim|Median: $37.81
2.0× median
96361Top 25%

IV infusion, hydration, each additional hour

$3.1M

15K claims · 2.4%

Your Cost: $207.13/claim|Median: $38.92
5.3× median
99285Normal range

Emergency dept visit, high/urgent complexity

$3.1M

26K claims · 2.4%

Your Cost: $120.26/claim|Median: $85.65
1.4× median
99282Top 25%

Emergency dept visit, low complexity

$2.9M

23K claims · 2.2%

Your Cost: $126.14/claim|Median: $37.72
3.3× median
74177Top 25%

CT abdomen and pelvis with contrast

$2.7M

11K claims · 2.0%

Your Cost: $245.15/claim|Median: $65.76
3.7× median
11042Top 5%

Debridement, subcutaneous tissue, first 20 sq cm

$2.6M

10K claims · 1.9%

Your Cost: $262.99/claim|Median: $36.13
7.3× median
97110Top 25%

Therapeutic exercises, each 15 min

$2.4M

44K claims · 1.8%

Your Cost: $55.47/claim|Median: $24.49
2.3× median
70450Top 5%

CT head/brain without contrast

$2.3M

9K claims · 1.7%

Your Cost: $252.82/claim|Median: $45.53
5.5× median
76856Top 5%

Ultrasound, pelvic, complete

$2.0M

6K claims · 1.5%

Your Cost: $329.22/claim|Median: $47.58
6.9× median
90834Top 25%

Psychotherapy, 45 minutes

$1.8M

20K claims · 1.4%

Your Cost: $89.14/claim|Median: $63.65
1.4× median
43239Top 10%

Upper GI endoscopy with biopsy

$1.7M

3K claims · 1.3%

Your Cost: $550.92/claim|Median: $151.68
3.6× median
H2019Top 5%

Therapeutic behavioral services, per 15 min

$1.6M

3K claims · 1.2%

Your Cost: $538.00/claim|Median: $84.12
6.4× median
80053Top 25%

Comprehensive metabolic panel

$1.6M

80K claims · 1.2%

Your Cost: $19.76/claim|Median: $7.24
2.7× median
93975Top 10%

Duplex scan of arterial inflow and venous outflow, complete

$1.5M

5K claims · 1.2%

Your Cost: $290.82/claim|Median: $79.28
3.7× median
90832Top 25%

Psychotherapy, 30 minutes

$1.3M

18K claims · 1.0%

Your Cost: $68.88/claim|Median: $41.28
1.7× median
99281Top 25%

Emergency dept visit, minimal complexity

$1.1M

9K claims · 0.8%

Your Cost: $124.59/claim|Median: $52.03
2.4× median
45380Top 10%

Colonoscopy with biopsy

$1.1M

2K claims · 0.8%

Your Cost: $655.76/claim|Median: $200.68
3.3× median
71275Top 10%

CT angiography, chest, with contrast

$1.1M

4K claims · 0.8%

Your Cost: $292.44/claim|Median: $92.96
3.1× median
U0003Normal range

Infectious disease detection (COVID-19)

$1.1M

14K claims · 0.8%

Your Cost: $74.48/claim|Median: $63.08
1.2× median
96365Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$950K

7K claims · 0.7%

Your Cost: $133.48/claim|Median: $54.77
2.4× median
74176Top 25%

CT abdomen and pelvis without contrast

$866K

4K claims · 0.7%

Your Cost: $241.40/claim|Median: $60.19
4.0× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$753K

26K claims · 0.6%

Your Cost: $29.38/claim|Median: $16.79
1.8× median
36415Top 10%

Collection of venous blood by venipuncture

$736K

134K claims · 0.6%

Your Cost: $5.50/claim|Median: $1.57
3.5× median
11045Top 5%

$727K

987 claims · 0.5%

Your Cost: $736.16/claim|Median: $27.04
27.2× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$627K

9K claims · 0.5%

Your Cost: $73.41/claim|Median: $97.61
0.8× median

Other Top Providers in New York

View all →

Public Partnerships LLC

Supports Brokerage

$7.18B

Freedom Care LLC

Home Health

$3.03B

American Business Institute Corp

Home Health

$1.68B

Premier Home Health Care Services INC

Home Health

$1.48B

Assistcarehome Healthcare Services

Home Health

$1.44B

← All providersAll providers in New York →How we detect fraud →