Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Albany › NPI 1205926078

The Center for Rheumatology, LLP

The Center for Rheumatology, LLP was paid $271K by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 69% of everything it billed.

33Billing provider infoTHE CENTER FOR RHEUMATOLOGY, LLP
ALBANY, NY 12203
33aNPI1205926078assigned 10/13/2006
33bProvider typeSpecialist
28Total paid$271K
24GClaims7,100
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Specialist providers in New York

Rank by total paid#327 of 1,221
Median peer was paid$45K
This provider vs. median6.0×

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$5.0K$10K2018201920202021202220232024
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
2018897$41K
2019988$42K
2020683$31K
20211,810$39K
20221,436$58K
20231,151$53K
2024incomplete135$7K
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 69% 2,164 2,148 $188K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23% 1,050 1,045 $63K
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 1.8% 39 39 $5K
99205 Prolong outpt/office vis 1.6% 25 25 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.1% 714 712 $3K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 14 14 $2K
99442 <1% 26 26 $2K
85651 <1% 600 599 $1K
99443 <1% 13 13 $1K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 12 12 $1K
36415 Collection of venous blood by venipuncture <1% 1,182 1,161 $186.35
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 42 42 $123.92
2 more codes
J7050 Infusion, normal saline solution, 250 cc <1% 26 $13.42
99072 <1% 1,193 $8.00

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 officialGREENSTEIN, NEAL (MANAGING PARTNER)