Medicaid Provider Spending

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

NORTHEAST PEDIATRICS & ADOLESCENT MEDICINE, LLP

NPI: 1184724189 · ITHACA, NY 14850 · Pediatrics Physician · NPI assigned 09/22/2006

$5.13M
Total Medicaid Paid
127,769
Total Claims
125,888
Beneficiaries
68
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialUPHOFF, MARUGERITE (SENIOR PARTNER)
NPI Enumeration Date09/22/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,260 $278K
2019 12,389 $451K
2020 18,927 $617K
2021 21,087 $839K
2022 25,022 $1.13M
2023 23,000 $965K
2024 21,084 $858K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,250 20,527 $1.72M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,877 7,437 $928K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,534 4,531 $471K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,894 3,894 $405K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,292 3,281 $320K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,799 1,790 $231K
90460 Immunization administration through 18 years of age via any route, first or only component 10,082 10,078 $220K
90832 Psychotherapy, 30 minutes with patient 2,819 2,466 $183K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 925 918 $128K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,107 1,107 $126K
92551 11,307 11,300 $89K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 7,201 7,171 $77K
99188 3,096 3,094 $44K
90834 Psychotherapy, 45 minutes with patient 417 389 $37K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 545 542 $25K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 397 395 $25K
96127 7,023 6,970 $21K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,960 1,958 $13K
0071A 298 298 $10K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 379 379 $9K
90791 Psychiatric diagnostic evaluation 45 45 $6K
99406 1,549 1,548 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,289 1,286 $5K
0002A 134 134 $5K
83655 372 372 $5K
0001A 149 122 $5K
0072A 118 118 $4K
90686 6,912 6,906 $3K
91320 48 48 $3K
90480 125 125 $2K
0154A 47 47 $2K
90461 2,925 2,924 $2K
99173 8,862 8,850 $1K
0053A 38 38 $1K
96161 562 560 $1K
0124A 31 31 $1K
90656 576 576 $1K
96160 844 843 $1K
0081A 26 26 $990.29
0003A 25 25 $922.93
0073A 17 17 $655.88
90472 Immunization administration, each additional vaccine (list separately) 43 43 $541.82
96381 13 13 $250.12
90671 281 280 $226.89
80061 Lipid panel 15 15 $112.41
94760 3,428 3,330 $22.99
99177 260 260 $4.45
36416 1,898 1,889 $0.00
91307 494 477 $0.00
90723 1,026 1,025 $0.00
90680 323 323 $0.00
90677 243 243 $0.00
90381 13 13 $0.00
90716 44 44 $0.00
91315 45 45 $0.00
91305 70 67 $0.00
91319 30 30 $0.00
90651 12 12 $0.00
90648 2,072 2,069 $0.00
91300 404 387 $0.00
90670 1,500 1,498 $0.00
90633 323 323 $0.00
90734 86 86 $0.00
90707 45 45 $0.00
90681 138 138 $0.00
91311 15 15 $0.00
91308 37 37 $0.00
91312 15 15 $0.00