Upstate Physician Services, PC

Upstate Physician Services, PC was paid $899K by Medicaid between Jan 2018 and Sep 2019, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.

33Billing provider infoUPSTATE PHYSICIAN SERVICES, PC
TROY, NY 12180

33aNPI1114340510assigned 01/22/2014

33bProvider typePsychologist

28Total paid$899K

24GClaims11,192

24DCodes billed11

24AFirst – last monthJan 2018 – Sep 2019

Compared with peers

Next to other Psychologist providers in New York

Rank by total paid#25 of 255

Median peer was paid$39K

This provider vs. median23×

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	6,896	$556K
2019	4,296	$344K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	52%	5,089	4,692	$467K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	25%	3,237	2,991	$223K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	7.7%	909	563	$69K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	5.1%	696	479	$46K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.4%	311	311	$30K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	2.9%	582	538	$26K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1.9%	124	124	$17K
17110		1.2%	118	93	$11K
11401		<1%	28	24	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	80	73	$3K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	18	18	$2K

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 officialMEGHANI, MUSTAFAIN (CEO)