Clinic
Koinonia Primary Care INC
Koinonia Primary Care INC was paid $1.53M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoKOINONIA PRIMARY CARE INC
ALBANY, NY 12206
ALBANY, NY 12206
33aNPI1023389533assigned 01/16/2012
33bProvider typeClinic/Center
28Total paid$1.53M
24GClaims57,548
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in New York
Rank by total paid#90 of 235
Median peer was paid$630K
This provider vs. median2.4×
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 | 6,095 | $90K | |
| 2019 | 8,063 | $192K | |
| 2020 | 8,017 | $181K | |
| 2021 | 9,533 | $280K | |
| 2022 | 10,343 | $316K | |
| 2023 | 9,164 | $271K | |
| 2024incomplete | 6,333 | $204K |
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 | 54% | 17,621 | 15,198 | $830K |
| 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% | 8,249 | 7,229 | $462K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.5% | 2,038 | 2,011 | $39K |
| 96127 | 2.0% | 11,230 | 9,813 | $31K | |
| G0444 | Annual depression screening, 5 to 15 minutes | 1.8% | 2,477 | 2,329 | $28K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.7% | 5,243 | 4,948 | $26K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 549 | 488 | $17K |
| 90686 | <1% | 961 | 954 | $14K | |
| 99442 | <1% | 185 | 174 | $11K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,449 | 4,330 | $8K |
| 99493 | <1% | 131 | 83 | $8K | |
| 91322 | <1% | 50 | 50 | $7K |
34 more codes
| 0012A | <1% | 128 | $5K | |
| 90480 | <1% | 108 | $4K | |
| 90837 | Psychotherapy session, about an hour | <1% | 55 | $4K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 84 | $4K |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 1,024 | $4K |
| 99406 | <1% | 226 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 70 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 97 | $3K |
| 0011A | <1% | 145 | $3K | |
| 0124A | <1% | 55 | $3K | |
| 90670 | <1% | 13 | $2K | |
| 99000 | <1% | 165 | $2K | |
| 90732 | <1% | 25 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 14 | $2K |
| 99441 | <1% | 62 | $2K | |
| 82947 | <1% | 1,006 | $1K | |
| 91320 | <1% | 13 | $1K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 19 | $1K |
| 90656 | <1% | 97 | $1K | |
| T2022 | Case management, per month | <1% | 26 | $1K |
| 90674 | <1% | 47 | $815.81 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 204 | $711.51 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $533.14 |
| 90756 | <1% | 36 | $439.97 | |
| 90715 | <1% | 12 | $412.50 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 33 | $355.00 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 19 | $295.56 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $253.17 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $113.57 |
| 81002 | <1% | 28 | $55.48 | |
| 91301 | 0% | 285 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 96 | $0.00 |
| 91312 | 0% | 42 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 93 | $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 officialPAEGLOW, ROBERT (PRESIDENT)