Physician
Hudson Headwaters Health Network
Hudson Headwaters Health Network was paid $1.34M by Medicaid between Feb 2019 and Dec 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoHUDSON HEADWATERS HEALTH NETWORK
PLATTSBURGH, NY 12901
PLATTSBURGH, NY 12901
33aNPI1164998423assigned 10/15/2018
33bProvider typeFamily Medicine Physician
28Total paid$1.34M
24GClaims39,464
24DCodes billed17
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#99 of 2,605
Median peer was paid$10K
This provider vs. median133×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official PASCO, LAURA controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2019 | 2,227 | $104K | |
| 2020 | 4,345 | $205K | |
| 2021 | 3,963 | $180K | |
| 2022 | 3,519 | $104K | |
| 2023 | 14,955 | $443K | |
| 2024incomplete | 10,455 | $303K |
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 | 49% | 21,068 | 12,070 | $654K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 14,487 | 10,068 | $531K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.7% | 1,121 | 695 | $50K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 702 | 578 | $30K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.8% | 509 | 453 | $24K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 313 | 301 | $13K |
| G0467 | Community health center visit, returning patientFederally 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 | <1% | 691 | 303 | $10K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 150 | 130 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 134 | 131 | $6K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 56 | 52 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 31 | 31 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 49 | 45 | $2K |
5 more codes
| 90832 | Psychotherapy session, about 30 minutes | <1% | 48 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 61 | $2K |
| 99383 | <1% | 19 | $740.85 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $517.44 |
| 0011A | <1% | 12 | $246.20 |
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 officialPASCO, LAURA (EXECUTIVE VP, CFO)
Parent organizationHUDSON HEADWATERS HEALTH NETWORK
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.