Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Latham › NPI 1164704136
Physician

Community Care Physicians, PC

Community Care Physicians, PC was paid $36K by Medicaid between Sep 2022 and Oct 2024, across 7 billing codes. Its largest line is 96112, — 47% of everything it billed.

33Billing provider infoCOMMUNITY CARE PHYSICIANS, PC
LATHAM, NY 12110
33aNPI1164704136assigned 09/15/2011
28Total paid$36K
24GClaims547
24DCodes billed7
24AFirst – last monthSep 2022 – Oct 2024
Compared with peers

Next to other Developmental - Behavioral Pediatrics Physician providers in New York

Rank by total paid#3 of 18
Median peer was paid$6K
This provider vs. median5.7×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2022222$12K
2023217$17K
2024incomplete108$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
96112 47% 198 189 $17K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22% 141 137 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12% 94 92 $5K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 7.4% 24 24 $3K
96113 5.9% 53 52 $2K
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 2.8% 15 14 $997.64
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2.0% 22 22 $730.80

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 officialCOONS, DEBBY (CREDENTIALING MANAGER)
Parent organizationCOMMUNITY CARE PHYSICIANS, PC
Same official

Other billing entities under COONS, DEBBY

Full network →
ProviderLocationPaid
Community Care Physicians, PCSchenectady, NY$18K
Community Care Physicians, PCSchenectady, NY$4K
Community Care Physicians, PLLCLatham, NY$2K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.