Physician
Southern Tier Medical Care - NY PC
Southern Tier Medical Care - NY PC was paid $40K by Medicaid between Jan 2022 and Mar 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 82% of everything it billed.
33Billing provider infoSOUTHERN TIER MEDICAL CARE - NY PC
BINGHAMTON, NY 13905
BINGHAMTON, NY 13905
33aNPI1134646276assigned 08/29/2017
33bProvider typeInternal Medicine Physician
28Total paid$40K
24GClaims459
24DCodes billed6
24AFirst – last monthJan 2022 – Mar 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#1,904 of 6,049
Median peer was paid$11K
This provider vs. median3.5×
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 | |
|---|---|---|---|
| 2022 | 206 | $14K | |
| 2023 | 198 | $20K | |
| 2024incomplete | 55 | $6K |
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 | 82% | 309 | 288 | $33K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 73 | 70 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 12 | 12 | $990.27 |
| 90686 | <1% | 12 | 12 | $113.25 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 12 | 12 | $65.00 |
| 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% | 41 | 31 | $25.00 |
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 officialRAI, JAGRAJ (PRESIDENT)