Medicaid Provider Spending

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

UPSTATE FAMILY HEALTH CENTER INCORPORATED

NPI: 1205203023 · UTICA, NY 13502 · 261Q00000X

$13.80M
Total Medicaid Paid
190,732
Total Claims
152,586
Beneficiaries
101
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,374 $1.22M
2019 21,237 $1.90M
2020 20,774 $1.52M
2021 28,831 $2.36M
2022 41,284 $2.66M
2023 45,022 $2.56M
2024 21,210 $1.57M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 74,745 57,788 $8.18M
99214 18,628 15,903 $2.04M
99212 12,030 6,738 $1.04M
99393 4,778 3,150 $509K
99203 2,923 2,435 $359K
99394 3,351 1,583 $256K
11721 1,558 1,504 $256K
99392 1,212 1,177 $195K
99391 886 819 $138K
G0467 Fqhc visit, estab pt 8,787 4,206 $138K
99204 1,038 958 $137K
96127 5,670 5,375 $82K
99211 507 427 $58K
99395 286 285 $49K
97140 1,148 754 $45K
36415 8,530 8,106 $34K
0001A 499 484 $28K
90471 5,494 5,408 $28K
0012A 348 330 $26K
0002A 290 285 $21K
0011A 454 431 $19K
T1013 Sign lang/oral interpreter 1,355 1,274 $18K
90832 159 101 $17K
99396 88 88 $16K
90834 103 77 $14K
99385 107 96 $13K
99202 70 48 $8K
99384 73 51 $7K
96372 611 556 $6K
0013A 136 134 $5K
90688 755 753 $4K
99406 2,353 2,184 $4K
90791 27 27 $4K
0003A 103 102 $4K
G2025 Dis site tele svcs rhc/fqhc 170 82 $4K
90837 19 13 $3K
99441 53 48 $3K
98941 548 374 $3K
99495 96 96 $3K
99173 732 719 $2K
G8417 Calc bmi abv up param f/u 3,265 3,004 $2K
98926 279 249 $2K
90674 138 136 $2K
99442 39 35 $2K
90472 2,086 2,053 $1K
99383 16 13 $1K
80305 908 682 $1K
99382 15 14 $1K
90670 530 528 $1K
90633 266 265 $1K
0052A 21 21 $973.85
82962 628 587 $923.49
G8420 Calc bmi norm parameters 1,646 1,511 $877.51
90715 158 157 $861.25
92250 101 99 $780.25
0072A 16 16 $773.85
87637 188 185 $702.48
90651 99 99 $519.51
G8510 Scr dep neg, no plan reqd 4,679 4,201 $430.43
81002 372 358 $362.82
G8431 Pos clin depres scrn f/u doc 806 744 $355.35
G8482 Flu immunize order/admin 918 856 $246.70
G8484 Flu immunize no admin 1,020 939 $246.70
Q0091 Obtaining screen pap smear 235 232 $237.89
69210 21 19 $217.32
G9903 Pt scrn tbco id as non user 985 915 $182.01
90656 667 663 $175.01
81025 74 72 $174.27
G0447 Behavior counsel obesity 15m 119 118 $172.25
G8427 Docrev cur meds by elig clin 3,528 3,041 $69.23
93000 141 138 $58.11
87880 315 305 $55.70
87804 101 100 $11.25
G8418 Calc bmi blw low param f/u 258 243 $0.00
G9902 Pt scrn tbco and id as user 1,148 1,053 $0.00
J1885 Ketorolac tromethamine inj 43 40 $0.00
G9906 Pt recv tbco cess interv 741 679 $0.00
G8754 Dias bp less 90 742 686 $0.00
90697 70 70 $0.00
G8432 Dep scr not doc, rng 35 34 $0.00
90686 251 244 $0.00
90733 13 13 $0.00
91301 34 34 $0.00
87635 29 29 $0.00
87807 44 41 $0.00
90698 24 24 $0.00
91305 21 21 $0.00
G9716 Bmi doc onl fup not cmpltd 12 12 $0.00
G8755 Dias bp > or = 90 19 18 $0.00
G0030 Pt scr tob & cess int 341 298 $0.00
G9905 No pt tbco scrn rng 61 60 $0.00
G9899 Scrn mam perf rslts doc 169 156 $0.00
90734 86 86 $0.00
G8752 Sys bp less 140 686 646 $0.00
91300 112 107 $0.00
G8483 Flu imm no admin doc rea 466 454 $0.00
94664 45 42 $0.00
90710 71 70 $0.00
G8753 Sys bp > or = 140 68 61 $0.00
G9900 Scrn mam perf rslts not doc 31 29 $0.00
97803 12 12 $0.00