Behavioral
Hudson Headwaters Health Network
Hudson Headwaters Health Network was paid $32.15M by Medicaid between Jan 2018 and Dec 2024, across 92 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoHUDSON HEADWATERS HEALTH NETWORK
WARRENSBURG, NY 12885
WARRENSBURG, NY 12885
33aNPI1013928159assigned 08/11/2006
33bProvider typeSocial Worker
28Total paid$32.15M
24GClaims452,653
24DCodes billed92
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Social Worker providers in New York
Rank by total paid#3 of 192
Median peer was paid$40K
This provider vs. median813×
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 | 34,562 | $2.83M | |
| 2019 | 49,062 | $3.82M | |
| 2020 | 60,833 | $4.25M | |
| 2021 | 83,806 | $6.08M | |
| 2022 | 90,388 | $5.85M | |
| 2023 | 89,051 | $6.06M | |
| 2024incomplete | 44,951 | $3.26M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 161,429 | 155,876 | $13.97M |
| 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 | 39% | 117,332 | 112,796 | $12.62M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.8% | 11,465 | 8,427 | $902K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.2% | 7,957 | 5,513 | $706K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 6,041 | 6,040 | $613K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.6% | 33,957 | 33,708 | $527K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 4,269 | 4,268 | $433K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 3,095 | 3,095 | $345K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 2,573 | 2,565 | $303K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 2,757 | 2,755 | $286K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 25,501 | 25,370 | $280K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 31,504 | 16,257 | $204K |
80 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,034 | $184K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 3,612 | $143K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 748 | $86K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,326 | $71K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 603 | $53K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 664 | $45K |
| 80305 | <1% | 8,144 | $43K | |
| 90686 | <1% | 7,816 | $38K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 554 | $33K |
| 99443 | <1% | 783 | $30K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 220 | $24K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 138 | $22K |
| 99406 | <1% | 1,547 | $21K | |
| 0012A | <1% | 507 | $19K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 599 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,948 | $12K |
| 0011A | <1% | 483 | $12K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,129 | $11K |
| 99442 | <1% | 248 | $11K | |
| 99383 | <1% | 82 | $9K | |
| 76830 | Ultrasound, transvaginal | <1% | 116 | $9K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 75 | $9K |
| 87428 | <1% | 916 | $9K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 82 | $7K |
| 99417 | Prolong home eval add 15m | <1% | 275 | $5K |
| 0071A | <1% | 115 | $4K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 39 | $4K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 24 | $4K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 267 | $4K |
| 0072A | <1% | 82 | $3K | |
| 83655 | <1% | 238 | $3K | |
| 99384 | <1% | 25 | $3K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 28 | $3K |
| 98926 | <1% | 49 | $2K | |
| D1110 | Prophylaxis - adult | <1% | 40 | $2K |
| 0001A | <1% | 46 | $1K | |
| 81002 | <1% | 664 | $1K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 13 | $1K |
| 87420 | <1% | 124 | $1K | |
| 59426 | <1% | 12 | $991.28 | |
| 0064A | <1% | 21 | $816.20 | |
| 99441 | <1% | 26 | $748.56 | |
| 85018 | <1% | 303 | $603.11 | |
| 90715 | <1% | 62 | $569.88 | |
| 90656 | <1% | 427 | $490.59 | |
| 0002A | <1% | 12 | $452.50 | |
| 81025 | <1% | 166 | $329.58 | |
| 90480 | <1% | 29 | $310.60 | |
| D0120 | Dental checkup, returning patient | <1% | 12 | $301.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 12 | $179.28 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 51 | $156.60 |
| 81003 | <1% | 189 | $133.63 | |
| 91301 | <1% | 1,011 | $92.61 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $57.90 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 35 | $40.05 |
| 87807 | <1% | 41 | $31.44 | |
| 86318 | <1% | 14 | $14.21 | |
| 90677 | <1% | 154 | $0.01 | |
| 90734 | 0% | 121 | $0.00 | |
| 90648 | 0% | 76 | $0.00 | |
| 90670 | 0% | 1,102 | $0.00 | |
| 90710 | 0% | 162 | $0.00 | |
| 90633 | 0% | 121 | $0.00 | |
| 90685 | 0% | 123 | $0.00 | |
| D0190 | 0% | 29 | $0.00 | |
| 91300 | 0% | 63 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 91311 | 0% | 12 | $0.00 | |
| 90680 | 0% | 351 | $0.00 | |
| 90698 | 0% | 409 | $0.00 | |
| 99000 | 0% | 616 | $0.00 | |
| 90620 | 0% | 14 | $0.00 | |
| 90697 | 0% | 92 | $0.00 | |
| 91307 | 0% | 255 | $0.00 | |
| 90619 | 0% | 71 | $0.00 | |
| 90651 | 0% | 12 | $0.00 | |
| 90744 | 0% | 57 | $0.00 | |
| 36416 | 0% | 12 | $0.00 | |
| 90696 | 0% | 51 | $0.00 | |
| 91306 | 0% | 20 | $0.00 |
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 officialTOURNIER, CHRISTOPHER (EXECUTIVE VP OF FINANCE / CFO)
| Provider | Location | Paid |
|---|---|---|
| Hudson Headwaters Health Network | Glens Falls, NY | $106K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.