Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HUDSON HEADWATERS HEALTH NETWORK

NPI: 1164998423 · PLATTSBURGH, NY 12901 · Family Medicine Physician · NPI assigned 10/15/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PASCO, LAURA controls 20+ related entities in our dataset. Read more

$1.34M
Total Medicaid Paid
39,464
Total Claims
24,970
Beneficiaries
17
Codes Billed
2019-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPASCO, LAURA (EXECUTIVE VP, CFO)
Parent OrganizationHUDSON HEADWATERS HEALTH NETWORK
NPI Enumeration Date10/15/2018

Related Entities

Other providers sharing the same authorized official: PASCO, LAURA

ProviderCityStateTotal Paid
HUDSON HEADWATERS HEALTH NETWORK GLENS FALLS NY $3.40M
HUDSON HEADWATERS HEALTH NETWORK QUEENSBURY NY $2.66M
HUDSON HEADWATERS HEALTH NETWORK WARRENSBURG NY $2.39M
HUDSON HEADWATERS HEALTH NETWORK WARRENSBURG NY $2.37M
HUDSON HEADWATERS HEALTH NETWORK CHAMPLAIN NY $1.73M
HUDSON HEADWATERS HEALTH NETWORK GANSEVOORT NY $1.52M
HUDSON HEADWATERS HEALTH NETWORK QUEENSBURY NY $1.29M
HUDSON HEADWATERS HEALTH NETWORK FORT EDWARD NY $1.24M
HUDSON HEADWATERS HEALTH NETWORK TICONDEROGA NY $899K
HUDSON HEADWATERS HEALTH NETWORK GLENS FALLS NY $531K
HUDSON HEADWATERS HEALTH NETWORK MINEVILLE NY $222K
HUDSON HEADWATERS HEALTH NETWORK NORTH CREEK NY $131K
HUDSON HEADWATERS HEALTH NETWORK GLENS FALLS NY $123K
HUDSON HEADWATERS HEALTH NETWORK SARANAC LAKE NY $93K
HUDSON HEADWATERS HEALTH NETWORK CHESTERTOWN NY $62K
HUDSON HEADWATERS HEALTH NETWORK SCHROON LAKE NY $38K
HUDSON HEADWATERS HEALTH NETWORK LAKE LUZERNE NY $24K
HUDSON HEADWATERS HEALTH NETWORK BOLTON LANDING NY $11K
HUDSON HEADWATERS HEALTH NETWORK MALONE NY $10K
HUDSON HEADWATERS HEALTH NETWORK INDIAN LAKE NY $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,227 $104K
2020 4,345 $205K
2021 3,963 $180K
2022 3,519 $104K
2023 14,955 $443K
2024 10,455 $303K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21,068 12,070 $654K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,487 10,068 $531K
90834 Psychotherapy, 45 minutes with patient 1,121 695 $50K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 702 578 $30K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 509 453 $24K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 313 301 $13K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 691 303 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 150 130 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 134 131 $6K
90791 Psychiatric diagnostic evaluation 56 52 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 31 31 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 49 45 $2K
90832 Psychotherapy, 30 minutes with patient 48 28 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 61 43 $2K
99383 19 18 $740.85
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 12 $517.44
0011A 12 12 $246.20