Medicaid Provider Spending

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

FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC.

NPI: 1043374853 · HOMER, NY 13077 · General Practice Dentistry · NPI assigned 12/19/2006

$15.24M
Total Medicaid Paid
311,727
Total Claims
180,637
Beneficiaries
89
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialOSBORNE, KIMBERLY (CEO)
NPI Enumeration Date12/19/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 43,753 $2.11M
2019 46,375 $2.21M
2020 47,103 $2.34M
2021 46,523 $2.46M
2022 25,002 $2.15M
2023 34,734 $2.14M
2024 68,237 $1.82M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 99,974 55,340 $6.70M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 76,081 39,305 $4.67M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14,003 5,163 $618K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 11,131 4,513 $537K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11,828 3,981 $493K
59425 5,893 2,392 $391K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,746 3,801 $389K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7,093 2,798 $320K
90837 Psychotherapy, 53 minutes with patient 3,367 1,691 $232K
59426 1,522 392 $99K
D1110 Prophylaxis - adult 1,310 1,190 $73K
D0120 Periodic oral evaluation - established patient 3,108 1,446 $72K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 11,968 11,834 $63K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 4,419 1,808 $60K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,304 2,063 $44K
D0140 Limited oral evaluation - problem focused 1,740 1,093 $42K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,162 403 $38K
D1120 Prophylaxis - child 1,095 914 $38K
90832 Psychotherapy, 30 minutes with patient 819 522 $36K
90834 Psychotherapy, 45 minutes with patient 555 358 $34K
90472 Immunization administration, each additional vaccine (list separately) 3,944 3,925 $33K
90460 Immunization administration through 18 years of age via any route, first or only component 1,805 1,756 $28K
90686 3,965 3,941 $24K
36415 Collection of venous blood by venipuncture 9,210 7,679 $19K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,637 375 $19K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 389 199 $17K
99215 Prolong outpt/office vis 270 112 $16K
D0150 Comprehensive oral evaluation - new or established patient 524 251 $11K
D0220 Intraoral - periapical first radiographic image 750 697 $11K
D0274 Bitewings - four radiographic images 387 365 $11K
D1208 Topical application of fluoride, excluding varnish 686 669 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 367 62 $7K
99493 68 64 $7K
90658 293 269 $7K
D1206 Topical application of fluoride varnish 239 239 $7K
81002 5,526 4,077 $7K
90791 Psychiatric diagnostic evaluation 62 41 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 154 64 $5K
0012A 108 108 $4K
92551 349 282 $4K
99492 38 29 $3K
90847 Family psychotherapy with the patient present, 50 minutes 43 27 $3K
96127 4,361 4,133 $3K
0011A 103 103 $3K
D7140 Extraction, erupted tooth or exposed root 37 24 $3K
0064A 42 42 $2K
99442 58 53 $2K
0071A 31 31 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 42 30 $2K
90792 Psychiatric diagnostic evaluation with medical services 24 12 $2K
59430 12 12 $2K
0072A 31 31 $2K
99383 38 13 $1K
0031A 31 31 $1K
90656 195 194 $1K
0001A 14 14 $660.40
D0210 Intraoral - complete series of radiographic images 14 13 $566.05
D0272 Bitewings - two radiographic images 28 27 $562.94
90715 44 43 $541.94
0111A 12 12 $480.00
99000 125 108 $447.58
99177 3,641 3,599 $377.29
81025 146 139 $288.53
87430 262 249 $282.23
99188 120 120 $222.66
D0230 Intraoral - periapical each additional radiographic image 27 27 $189.00
83655 274 273 $152.42
96110 Developmental screening, with scoring and documentation, per standardized instrument 445 445 $146.62
90473 53 53 $35.00
85018 304 303 $30.90
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 24 24 $13.75
88150 54 54 $12.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 12 12 $1.51
90670 956 950 $0.16
90647 523 520 $0.13
90700 427 424 $0.13
90633 175 175 $0.03
90685 27 27 $0.01
99173 405 405 $0.01
90697 271 271 $0.00
90651 95 93 $0.00
90677 277 277 $0.00
90723 68 67 $0.00
90696 14 14 $0.00
90710 44 44 $0.00
90461 580 580 $0.00
90734 179 179 $0.00
90681 120 120 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 30 29 $0.00