Medicaid Provider Spending

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

KOINONIA PRIMARY CARE INC

NPI: 1023389533 · ALBANY, NY 12206 · Clinic/Center · NPI assigned 01/16/2012

$1.53M
Total Medicaid Paid
57,548
Total Claims
51,652
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPAEGLOW, ROBERT (PRESIDENT)
NPI Enumeration Date01/16/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,095 $90K
2019 8,063 $192K
2020 8,017 $181K
2021 9,533 $280K
2022 10,343 $316K
2023 9,164 $271K
2024 6,333 $204K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,621 15,198 $830K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,249 7,229 $462K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,038 2,011 $39K
96127 11,230 9,813 $31K
G0444 Annual depression screening, 5 to 15 minutes 2,477 2,329 $28K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 5,243 4,948 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 549 488 $17K
90686 961 954 $14K
99442 185 174 $11K
36415 Collection of venous blood by venipuncture 4,449 4,330 $8K
99493 131 83 $8K
91322 50 50 $7K
0012A 128 128 $5K
90480 108 108 $4K
90837 Psychotherapy, 53 minutes with patient 55 38 $4K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 84 71 $4K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 1,024 936 $4K
99406 226 221 $4K
99215 Prolong outpt/office vis 70 58 $3K
90472 Immunization administration, each additional vaccine (list separately) 97 97 $3K
0011A 145 145 $3K
0124A 55 55 $3K
90670 13 13 $2K
99000 165 153 $2K
90732 25 25 $2K
90791 Psychiatric diagnostic evaluation 14 14 $2K
99441 62 54 $2K
82947 1,006 896 $1K
91320 13 13 $1K
90834 Psychotherapy, 45 minutes with patient 19 12 $1K
90656 97 97 $1K
T2022 Case management, per month 26 25 $1K
90674 47 47 $815.81
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 204 186 $711.51
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13 13 $533.14
90756 36 35 $439.97
90715 12 12 $412.50
T1013 Sign language or oral interpretive services, per 15 minutes 33 30 $355.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 19 17 $295.56
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $253.17
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 12 $113.57
81002 28 28 $55.48
91301 285 282 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 96 85 $0.00
91312 42 42 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 93 85 $0.00