NP / PA
Champlain Valley Physicians Hospital Medical Center
Champlain Valley Physicians Hospital Medical Center was paid $3.36M by Medicaid between Jan 2018 and Nov 2024, across 59 billing codes. Its largest line is 99284, emergency room visit (serious) — 31% of everything it billed.
33Billing provider infoCHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER
PLATTSBURGH, NY 12901
PLATTSBURGH, NY 12901
33aNPI1124189782assigned 12/13/2006
33bProvider typeNurse Practitioner
28Total paid$3.36M
24GClaims66,518
24DCodes billed59
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nurse Practitioner providers in New York
Rank by total paid#4 of 346
Median peer was paid$1K
This provider vs. median2,345×
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 | 4,424 | $311K | |
| 2019 | 4,625 | $291K | |
| 2020 | 8,347 | $443K | |
| 2021 | 11,588 | $632K | |
| 2022 | 13,188 | $671K | |
| 2023 | 13,976 | $605K | |
| 2024incomplete | 10,370 | $409K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 31% | 9,529 | 9,435 | $1.04M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 11,327 | 10,854 | $592K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 15% | 7,868 | 7,809 | $492K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 8.0% | 2,913 | 927 | $269K |
| 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 | 7.3% | 3,119 | 2,989 | $244K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 5.4% | 3,769 | 3,751 | $182K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.7% | 18,696 | 16,645 | $125K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.0% | 2,081 | 2,078 | $100K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.2% | 474 | 469 | $74K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 644 | 644 | $47K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.1% | 574 | 182 | $38K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 196 | 194 | $19K |
47 more codes
| 93227 | <1% | 452 | $15K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 288 | $10K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 230 | $9K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 73 | $9K |
| 99223 | Prolong inpt eval add15 m | <1% | 63 | $9K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 197 | $8K |
| 95806 | <1% | 271 | $7K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 287 | $7K |
| 93458 | <1% | 25 | $6K | |
| 94060 | <1% | 570 | $5K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 555 | $5K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 99 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 87 | $4K |
| 71271 | <1% | 59 | $4K | |
| 92511 | <1% | 95 | $3K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 15 | $3K |
| 99460 | <1% | 32 | $3K | |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 12 | $3K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 25 | $3K |
| 94726 | <1% | 337 | $2K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 103 | $2K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 27 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 29 | $2K |
| 93016 | <1% | 119 | $2K | |
| 94729 | <1% | 318 | $2K | |
| 93018 | <1% | 129 | $2K | |
| 88342 | <1% | 76 | $1K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 37 | $1K |
| 20610 | <1% | 28 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 25 | $748.63 |
| 86320 | <1% | 29 | $690.66 | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 12 | $687.96 |
| 93297 | <1% | 51 | $606.28 | |
| 76642 | <1% | 18 | $533.86 | |
| 71045 | Radiologic examination, chest; single view | <1% | 68 | $479.79 |
| 76000 | <1% | 72 | $363.27 | |
| 88304 | <1% | 25 | $352.98 | |
| 88112 | <1% | 12 | $316.82 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 13 | $271.82 |
| 86334 | <1% | 12 | $255.76 | |
| 99406 | <1% | 25 | $227.92 | |
| 99442 | <1% | 40 | $134.68 | |
| 88141 | <1% | 13 | $128.16 | |
| 99152 | <1% | 13 | $127.83 | |
| 93244 | <1% | 12 | $117.40 | |
| 93356 | <1% | 237 | $49.42 |
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 officialLEBEAU, MICHELLE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Champlain Valley Physicians Hospital Medical Center | Plattsburgh, NY | $35.88M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.