Medicaid Provider Spending

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

PRIMARY CARE HEALTH PARTNERS - NEW YORK LLP

NPI: 1003861782 · PLATTSBURGH, NY 12901 · Pediatrics Physician · NPI assigned 05/23/2006

$3.22M
Total Medicaid Paid
63,815
Total Claims
60,488
Beneficiaries
43
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialASSELIN, JON (COO)
NPI Enumeration Date05/23/2006

Related Entities

Other providers sharing the same authorized official: ASSELIN, JON

ProviderCityStateTotal Paid
PRIMARY CARE HEALTH PARTNERS - VERMONT LLP WILLISTON VT $2.76M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,298 $257K
2019 10,565 $442K
2020 9,934 $424K
2021 8,496 $481K
2022 10,346 $553K
2023 10,557 $571K
2024 8,619 $492K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,169 18,227 $1.60M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,965 4,568 $568K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,770 2,770 $279K
90460 Immunization administration through 18 years of age via any route, first or only component 6,763 6,751 $234K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,895 1,895 $193K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,233 1,233 $136K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 963 958 $92K
96127 6,962 6,282 $34K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 955 910 $21K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 350 349 $18K
99051 1,714 1,679 $9K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 150 149 $8K
92551 1,047 1,043 $8K
96160 2,511 2,486 $4K
80061 Lipid panel 334 334 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 339 329 $4K
90473 235 235 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 188 188 $2K
99383 13 13 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 34 34 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 198 175 $637.74
83655 42 42 $539.64
96161 173 173 $474.87
85018 221 216 $469.97
87634 12 12 $259.68
99173 478 478 $81.51
81003 26 24 $57.69
99000 4,047 3,924 $0.00
36416 1,445 1,434 $0.00
94760 73 70 $0.00
90660 55 55 $0.00
90686 1,894 1,892 $0.00
90680 143 143 $0.00
90647 198 198 $0.00
90656 107 107 $0.00
A7015 Aerosol mask, used with dme nebulizer 71 71 $0.00
90677 60 60 $0.00
90723 148 148 $0.00
90670 272 272 $0.00
90672 505 505 $0.00
90734 29 29 $0.00
98960 13 12 $0.00
90671 15 15 $0.00