Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clancy NP Adult Health PC

Clancy NP Adult Health PC was paid $259K by Medicaid between May 2019 and Mar 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider infoCLANCY NP ADULT HEALTH PC
NEW YORK, NY 10027
33aNPI1255865499assigned 04/14/2017
33bProvider typeLicensed Practical Nurse
28Total paid$259K
24GClaims6,833
24DCodes billed22
24AFirst – last monthMay 2019 – Mar 2024
Compared with peers

Next to other Licensed Practical Nurse providers in New York

Rank by total paid#6 of 14
Median peer was paid$64K
This provider vs. median4.1×

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
2019241$5K
20201,116$28K
20211,517$48K
20222,262$108K
20231,539$64K
2024incomplete158$6K
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 54% 2,034 1,608 $141K
99490 Ccm add 20min 17% 971 970 $44K
99439 11% 786 785 $29K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5.3% 295 253 $14K
99442 3.9% 138 130 $10K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2.1% 98 61 $5K
36000 2.0% 245 168 $5K
36415 Collection of venous blood by venipuncture 1.1% 915 882 $3K
94760 <1% 819 551 $2K
94010 <1% 55 55 $1K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 13 13 $1K
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% 12 12 $1K
10 more codes
93000 <1% 87 $1K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 26 $933.92
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 20 $311.98
J7050 Infusion, normal saline solution, 250 cc <1% 97 $45.41
81002 <1% 17 $39.60
3080F 0% 89 $0.00
3074F 0% 80 $0.00
3044F 0% 12 $0.00
3049F 0% 12 $0.00
3077F 0% 12 $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 officialCLANCY, PHELAN (PRESIDENT)