Physician
Oneida Medical Practice, PC
Oneida Medical Practice, PC was paid $1.28M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoONEIDA MEDICAL PRACTICE, PC
VERNON, NY 13476
VERNON, NY 13476
33aNPI1184142697assigned 09/05/2017
33bProvider typeFamily Medicine Physician
28Total paid$1.28M
24GClaims21,459
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#105 of 2,605
Median peer was paid$10K
This provider vs. median126×
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 | |
|---|---|---|---|
| 2018 | 3,334 | $188K | |
| 2019 | 5,046 | $295K | |
| 2020 | 3,785 | $240K | |
| 2021 | 6,099 | $376K | |
| 2022 | 772 | $41K | |
| 2023 | 809 | $43K | |
| 2024incomplete | 1,614 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 57% | 9,592 | 9,320 | $729K |
| 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 | 13% | 1,499 | 1,467 | $161K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.0% | 852 | 851 | $89K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 6.7% | 1,686 | 1,617 | $86K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.1% | 1,495 | 1,466 | $77K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.5% | 600 | 595 | $32K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.8% | 321 | 321 | $23K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.4% | 808 | 800 | $17K |
| 99051 | <1% | 1,674 | 1,665 | $12K | |
| 95117 | <1% | 845 | 396 | $9K | |
| 92567 | <1% | 581 | 579 | $8K | |
| 99441 | <1% | 140 | 140 | $7K |
10 more codes
| 11721 | <1% | 213 | $7K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 38 | $6K |
| 92557 | <1% | 119 | $4K | |
| 95115 | <1% | 232 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 533 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 84 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 51 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 37 | $542.05 |
| 92555 | <1% | 12 | $130.32 | |
| 99000 | 0% | 47 | $0.00 |
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 officialCAPONE, HARRY (PRESIDENT/MEDICAL DIRECTOR)
Parent organizationONEIDA MEDICAL PRACTICE, PC
| Provider | Location | Paid |
|---|---|---|
| Oneida Medical Practice, PC | Oneida, NY | $3.59M |
| Oneida Medical Services, PLLC | Oneida, NY | $186K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.