Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Albany Ent & Allergy Services PC

Albany Ent & Allergy Services PC was paid $2.42M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.

33Billing provider infoALBANY ENT & ALLERGY SERVICES PC
ALBANY, NY 12205
33aNPI1205838729assigned 08/15/2005
33bProvider typeOtolaryngology Physician
28Total paid$2.42M
24GClaims53,151
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Otolaryngology Physician providers in New York

Rank by total paid#10 of 302
Median peer was paid$10K
This provider vs. median239×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20182,498$97K
20192,800$123K
20204,757$132K
20217,966$301K
202210,529$464K
202313,163$695K
2024incomplete11,438$610K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 23% 7,038 6,965 $549K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 8,683 8,547 $441K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 15% 1,841 1,694 $368K
31231 13% 2,520 2,505 $313K
95117 7.3% 22,920 8,290 $177K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7.2% 2,537 2,537 $175K
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 6.7% 1,496 1,496 $163K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 4.1% 711 709 $99K
95024 2.9% 523 522 $71K
92567 1.5% 3,083 3,077 $36K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 332 325 $11K
92557 <1% 320 320 $8K
8 more codes
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 36 $3K
77011 <1% 14 $3K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 13 $2K
31575 <1% 25 $2K
92556 <1% 55 $1K
92552 <1% 27 $625.08
99024 0% 12 $0.00
99072 0% 965 $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 officialSETZEN, GAVIN (PRESIDENT)