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

Crystal Run Healthcare Physicians LLP

Crystal Run Healthcare Physicians LLP was paid $202K by Medicaid between Jan 2018 and Oct 2021, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.

33Billing provider infoCRYSTAL RUN HEALTHCARE PHYSICIANS LLP
GOSHEN, NY 10924
33aNPI1225255615assigned 04/19/2007
28Total paid$202K
24GClaims3,113
24DCodes billed21
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in New York

Rank by total paid#218 of 479
Median peer was paid$138K
This provider vs. median1.5×

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$10K$15K2018201920202021202220232024
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
2018886$62K
2019728$48K
2020718$36K
2021781$56K
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 41% 621 562 $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 24% 518 491 $49K
90460 Immunization administration through 18 years of age via any route, first or only component 18% 842 829 $36K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.5% 73 73 $7K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 3.2% 41 40 $6K
92551 2.3% 302 302 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.1% 42 42 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.1% 78 73 $4K
90461 1.7% 69 69 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 14 14 $2K
99173 <1% 37 37 $612.00
36415 Collection of venous blood by venipuncture <1% 41 41 $324.00
9 more codes
80053 Comprehensive metabolic panel <1% 27 $274.56
96127 <1% 33 $231.36
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 13 $181.83
80061 Lipid panel <1% 13 $107.12
96160 <1% 29 $94.64
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 13 $85.47
83036 Hemoglobin; glycosylated (A1C) <1% 13 $48.55
90686 <1% 281 $19.58
90734 0% 13 $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 officialSPENCER, GREGORY (CHIEF MEDICAL OFFICER)
Same official

Other billing entities under SPENCER, GREGORY

Full network →
ProviderLocationPaid
Crystal Run Healthcare Physicians LLPMiddletown, NY$34.14M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.