Carenet Medical Group, PC

Carenet Medical Group, PC was paid $358K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 76830, Ultrasound, transvaginal — 28% of everything it billed.

33Billing provider infoCARENET MEDICAL GROUP, PC
SCHENECTADY, NY 12309

33aNPI1194785527assigned 03/28/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$358K

24GClaims5,110

24DCodes billed18

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in New York

Rank by total paid#167 of 762

Median peer was paid$22K

This provider vs. median17×

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	541	$43K
2019	353	$25K
2020	568	$44K
2021	1,004	$70K
2022	1,002	$67K
2023	933	$60K
2024incomplete	709	$50K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
76830	Ultrasound, transvaginal	28%	1,216	1,206	$100K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	24%	1,123	1,113	$84K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	19%	1,230	1,175	$67K
77067	Screening mammography, bilateral, including computer-aided detection	11%	435	435	$40K
76801		4.0%	164	155	$14K
77063	Screening digital breast tomosynthesis, bilateral	3.8%	362	362	$14K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	3.3%	133	118	$12K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	2.3%	38	38	$8K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	1.8%	66	64	$6K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.8%	84	84	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	71	69	$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	<1%	29	27	$2K

6 more codes

76813		<1%	12	$1K
90674		<1%	12	$358.83
87210		<1%	84	$342.92
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	14	$308.88
81025		<1%	13	$79.15
81002		<1%	24	$51.24

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 officialGROSSI, PAULA (ASSISTANT ADMINISTRATOR)