Clinic
Alice Hyde Medical Center
Alice Hyde Medical Center was paid $4.95M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is D1110, Prophylaxis - adult — 16% of everything it billed.
33Billing provider infoALICE HYDE MEDICAL CENTER
MALONE, NY 12953
MALONE, NY 12953
33aNPI1114954682assigned 06/28/2006
33bProvider typeRural Health Clinic/Center
28Total paid$4.95M
24GClaims104,118
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in New York
Rank by total paid#1 of 17
Median peer was paid$8K
This provider vs. median644×
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 | 6,571 | $309K | |
| 2019 | 10,522 | $447K | |
| 2020 | 16,705 | $634K | |
| 2021 | 19,746 | $805K | |
| 2022 | 18,054 | $1.02M | |
| 2023 | 18,585 | $1.01M | |
| 2024incomplete | 13,935 | $723K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 16% | 11,278 | 9,962 | $773K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 18,669 | 14,308 | $723K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 6,759 | 6,061 | $633K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.8% | 3,124 | 2,627 | $388K |
| 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 | 5.1% | 2,939 | 2,505 | $253K |
| D0274 | Bitewings - four radiographic images | 4.3% | 5,809 | 5,033 | $214K |
| D0210 | Intraoral - complete series of radiographic images | 3.7% | 3,450 | 3,312 | $181K |
| 36415 | Collection of venous blood by venipuncture | 3.3% | 9,870 | 2,279 | $163K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.0% | 1,019 | 868 | $146K |
| D0140 | Limited oral evaluation - problem focused | 2.6% | 5,693 | 4,687 | $129K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 6,285 | 5,492 | $129K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.5% | 2,287 | 2,179 | $124K |
51 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 1,325 | $111K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 3,382 | $111K |
| D5110 | 2.0% | 340 | $98K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.5% | 3,879 | $74K |
| 99442 | 1.4% | 1,585 | $70K | |
| 80053 | Comprehensive metabolic panel | 1.4% | 1,981 | $69K |
| 99283 | Emergency room visit (moderate) | 1.3% | 353 | $64K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 1.2% | 752 | $59K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 798 | $56K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 779 | $54K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 740 | $52K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 228 | $36K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 1,793 | $30K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,024 | $21K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 692 | $15K |
| D2331 | <1% | 121 | $15K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 390 | $11K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 254 | $11K |
| D0330 | Panoramic radiographic image | <1% | 246 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 129 | $10K |
| D2330 | <1% | 101 | $10K | |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 706 | $10K |
| 87631 | <1% | 54 | $9K | |
| 99284 | Emergency room visit (serious) | <1% | 53 | $9K |
| D2740 | Crown - porcelain/ceramic | <1% | 15 | $9K |
| 80061 | Lipid panel | <1% | 805 | $8K |
| 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) | <1% | 489 | $7K |
| 99406 | <1% | 749 | $7K | |
| D2394 | <1% | 40 | $7K | |
| 99285 | Emergency room visit (most serious) | <1% | 44 | $6K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 611 | $6K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,426 | $5K |
| D2335 | <1% | 13 | $3K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 83 | $3K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 27 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 314 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 100 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 34 | $2K |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | <1% | 15 | $1K |
| 81003 | <1% | 183 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 33 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 13 | $767.78 |
| 20610 | <1% | 12 | $614.40 | |
| 99441 | <1% | 24 | $259.30 | |
| 88304 | <1% | 12 | $224.64 | |
| 51798 | <1% | 15 | $190.23 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | $148.78 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 28 | $84.14 |
| 85027 | <1% | 12 | $47.83 | |
| 83690 | <1% | 13 | $21.80 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 109 | $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 officialKOLLAR, MATEJ (CFO)