Residential
Nysarc INC Fulton County Chapter
Nysarc INC Fulton County Chapter was paid $5.30M by Medicaid between Jan 2019 and Nov 2024, across 15 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 27% of everything it billed.
33Billing provider infoNYSARC INC FULTON COUNTY CHAPTER
JOHNSTOWN, NY 12095
JOHNSTOWN, NY 12095
33aNPI1245309434assigned 11/06/2006
28Total paid$5.30M
24GClaims96,263
24DCodes billed15
24AFirst – last monthJan 2019 – Nov 2024
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 14,921 | $747K | |
| 2020 | 12,878 | $655K | |
| 2021 | 13,255 | $712K | |
| 2022 | 16,866 | $956K | |
| 2023 | 20,462 | $1.14M | |
| 2024incomplete | 17,881 | $1.09M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 27% | 34,532 | 10,103 | $1.41M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 22% | 12,093 | 4,763 | $1.17M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 8,490 | 7,892 | $907K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 9.4% | 16,206 | 4,388 | $499K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.7% | 3,842 | 3,722 | $460K |
| 97116 | 6.1% | 9,299 | 2,706 | $324K | |
| 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 | 3.7% | 2,193 | 2,040 | $196K |
| 97533 | 3.4% | 6,296 | 1,160 | $183K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 1.4% | 2,322 | 643 | $76K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 1.0% | 573 | 194 | $53K |
| 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% | 251 | 117 | $14K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 76 | 71 | $6K |
3 more codes
| 97168 | <1% | 31 | $2K | |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 25 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 34 | $286.77 |
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 officialKUZNIA, JOHN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Nysarc INC Fulton County Chapter | Gloversville, NY | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.