Physician
Upstate Urology, INC.
Upstate Urology, INC. was paid $1.49M by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 31% of everything it billed.
33Billing provider infoUPSTATE UROLOGY, INC.
SYRACUSE, NY 13210
SYRACUSE, NY 13210
33aNPI1003062043assigned 08/11/2008
33bProvider typeUrology Physician
28Total paid$1.49M
24GClaims12,276
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urology Physician providers in New York
Rank by total paid#10 of 461
Median peer was paid$6K
This provider vs. median258×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 547 | $44K | |
| 2019 | 860 | $63K | |
| 2020 | 1,377 | $141K | |
| 2021 | 2,238 | $268K | |
| 2022 | 2,685 | $370K | |
| 2023 | 2,847 | $389K | |
| 2024incomplete | 1,722 | $217K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 31% | 2,918 | 2,916 | $464K |
| 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 | 30% | 3,795 | 3,735 | $446K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 3,189 | 3,127 | $246K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.2% | 1,023 | 1,022 | $108K |
| 14040 | 7.2% | 271 | 271 | $107K | |
| 54360 | 3.9% | 101 | 101 | $59K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.8% | 568 | 567 | $42K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 197 | 194 | $9K |
| 54161 | <1% | 66 | 66 | $8K | |
| 54163 | <1% | 16 | 16 | $2K | |
| 51798 | <1% | 132 | 131 | $1K |
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 officialBRATSLAVSKY, GENNADY (CHAIR)