Upstate Cerebral Palsy, INC.
Upstate Cerebral Palsy, INC. was paid $6.83M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 22% of everything it billed.
UTICA, NY 13502
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in New York
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 9,434 | $688K | |
| 2019 | 9,143 | $630K | |
| 2020 | 6,009 | $405K | |
| 2021 | 6,586 | $422K | |
| 2022 | 8,459 | $615K | |
| 2023 | 6,935 | $488K | |
| 2024incomplete | 27,580 | $3.58M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 22% | 20,870 | 17,772 | $1.53M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 22% | 12,089 | 4,931 | $1.52M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 19% | 15,742 | 11,623 | $1.32M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 15% | 10,209 | 7,464 | $1.02M |
| 99442 | 7.2% | 6,951 | 6,518 | $493K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.8% | 3,365 | 2,184 | $394K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.9% | 1,528 | 1,270 | $199K |
| H0038 | Self-help/peer services, per 15 minutes | 1.7% | 803 | 255 | $117K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 1,190 | 900 | $82K |
| 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 | 1.0% | 675 | 445 | $69K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 383 | 159 | $50K |
| T1016 | Case management, each 15 minutes | <1% | 206 | 77 | $29K |
4 more codes
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Upstate Cerebral Palsy, INC | Utica, NY | $12.02M |
| Upstate Cerebral Palsy | Utica, NY | $2.34M |
| Upstate Cerebral Palsy, INC. | Barneveld, NY | $283K |
| Upstate Cerebral Palsy, INC | Utica, NY | $85K |
| Upstate Cerebral Palsy, INC. | Utica, NY | $45K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.