Medicaid Provider Spending

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

UPSTATE FAMILY AND PREVENTIVE MEDICINE, INC

NPI: 1073988911 · SYRACUSE, NY 13210 · Family Medicine Physician · NPI assigned 12/03/2015

$960K
Total Medicaid Paid
28,514
Total Claims
27,101
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEPLING, JOHN (CHAIRMAN)
NPI Enumeration Date12/03/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,176 $78K
2019 2,307 $88K
2020 4,197 $95K
2021 5,733 $165K
2022 3,085 $156K
2023 6,974 $215K
2024 5,042 $162K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,343 10,939 $480K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,118 14,130 $448K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 167 167 $9K
90460 Immunization administration through 18 years of age via any route, first or only component 430 425 $7K
90686 508 506 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 449 447 $3K
90674 73 73 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 98 93 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 26 26 $1K
0031A 33 33 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 27 27 $796.29
99238 Hospital discharge day management, 30 minutes or less 24 24 $787.60
0001A 14 12 $468.10
90656 26 26 $368.80
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 178 173 $308.27