MOLINA HEALTHCARE OF NEW YORK, INC.
NPI: 1134622970
· NORTH SYRACUSE, NY 13212
· 363L00000X
$6.55M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,365 |
$76K |
| 2019 |
9,356 |
$374K |
| 2020 |
16,324 |
$833K |
| 2021 |
9,314 |
$504K |
| 2022 |
23,004 |
$1.33M |
| 2023 |
62,226 |
$1.58M |
| 2024 |
79,733 |
$1.86M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99345 |
Prolong home eval add 15m |
22,735 |
22,721 |
$5.48M |
| 99350 |
Prolong home eval add 15m |
2,679 |
2,678 |
$477K |
| G8510 |
Scr dep neg, no plan reqd |
21,238 |
21,218 |
$241K |
| 96127 |
|
25,282 |
25,257 |
$109K |
| 99384 |
|
340 |
339 |
$55K |
| 99383 |
|
335 |
335 |
$52K |
| 99344 |
|
96 |
96 |
$38K |
| 36416 |
|
1,233 |
1,230 |
$30K |
| 83037 |
|
1,233 |
1,230 |
$26K |
| 82044 |
|
692 |
691 |
$12K |
| G8431 |
Pos clin depres scrn f/u doc |
1,058 |
1,057 |
$11K |
| 82945 |
|
693 |
692 |
$10K |
| 99382 |
|
52 |
50 |
$7K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$5K |
| 99501 |
|
367 |
367 |
$1K |
| 99408 |
|
12 |
12 |
$852.72 |
| 1160F |
|
28,763 |
28,743 |
$287.64 |
| G8427 |
Docrev cur meds by elig clin |
28,730 |
28,711 |
$287.31 |
| 1159F |
|
28,711 |
28,688 |
$287.14 |
| 96161 |
|
376 |
376 |
$177.83 |
| 1126F |
|
16,290 |
16,274 |
$162.90 |
| 3016F |
|
5,500 |
5,498 |
$55.00 |
| 1125F |
|
3,769 |
3,768 |
$37.73 |
| 3078F |
|
3,150 |
3,139 |
$31.50 |
| 3074F |
|
3,023 |
3,019 |
$30.23 |
| 3079F |
|
1,244 |
1,241 |
$12.44 |
| G9226 |
3 comp foot exam completed |
1,201 |
1,198 |
$12.01 |
| 3077F |
|
571 |
571 |
$5.71 |
| 3044F |
|
511 |
510 |
$5.11 |
| 1111F |
|
508 |
507 |
$5.08 |
| 3061F |
|
418 |
417 |
$4.18 |
| 3075F |
|
378 |
375 |
$3.78 |
| 2023F |
|
276 |
276 |
$2.76 |
| 4010F |
|
249 |
249 |
$2.49 |
| 3080F |
|
139 |
139 |
$1.39 |
| 92558 |
|
121 |
121 |
$1.21 |
| 99173 |
|
111 |
111 |
$1.11 |
| 2022F |
|
95 |
95 |
$0.95 |
| 3060F |
|
76 |
76 |
$0.76 |
| 3045F |
|
38 |
38 |
$0.38 |
| G8511 |
Scr dep pos, no plan doc rng |
17 |
17 |
$0.17 |