Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Rances, Alexander

Rances, Alexander was paid $466K by Medicaid between Oct 2020 and Nov 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.

33Billing provider infoRANCES, ALEXANDER
NEW YORK, NY 10001
33aNPI1235365149assigned 06/05/2009
33bProvider typeAcupuncturist
28Total paid$466K
24GClaims10,981
24DCodes billed20
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers

Next to other Acupuncturist providers in New York

Rank by total paid#17 of 81
Median peer was paid$10K
This provider vs. median48×

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$20K$40K2018201920202021202220232024
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
2020132$6K
2021192$11K
20221,239$88K
20235,325$229K
2024incomplete4,093$131K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30% 3,601 3,365 $139K
64636 15% 298 285 $69K
64635 12% 284 284 $57K
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 12% 693 692 $55K
77002 8.8% 1,558 939 $41K
20610 6.4% 1,519 903 $30K
64483 5.9% 321 319 $28K
64493 3.7% 187 181 $17K
64484 2.6% 321 319 $12K
64494 1.4% 144 139 $6K
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose <1% 142 70 $4K
64495 <1% 35 32 $2K
8 more codes
99203 Doctor's office visit, new patient (routine) <1% 25 $2K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 242 $1K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 168 $711.38
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 448 $654.32
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 282 $284.06
J1010 Injection, methylprednisolone acetate, 1 mg <1% 97 $199.21
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 560 $66.23
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg 0% 56 $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.