Physician
Upstate Emergency Medicine, INC
Upstate Emergency Medicine, INC was paid $22.85M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99284, emergency room visit (serious) — 49% of everything it billed.
33Billing provider infoUPSTATE EMERGENCY MEDICINE, INC
SYRACUSE, NY 13210
SYRACUSE, NY 13210
33aNPI1275589582assigned 05/26/2006
33bProvider typeEmergency Medicine Physician
28Total paid$22.85M
24GClaims232,566
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in New York
Rank by total paid#7 of 2,113
Median peer was paid$5K
This provider vs. median5,038×
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
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 | |
|---|---|---|---|
| 2018 | 23,986 | $2.07M | |
| 2019 | 33,280 | $2.79M | |
| 2020 | 30,923 | $2.88M | |
| 2021 | 40,331 | $4.17M | |
| 2022 | 37,438 | $3.78M | |
| 2023 | 38,896 | $4.16M | |
| 2024incomplete | 27,712 | $3.01M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 49% | 95,886 | 95,471 | $11.16M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 29% | 39,842 | 39,644 | $6.66M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 14% | 50,822 | 50,469 | $3.29M |
| 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 | 3.8% | 7,135 | 7,042 | $878K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.1% | 1,224 | 1,214 | $247K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 2,820 | 2,490 | $210K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 24,177 | 23,734 | $193K |
| 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 | <1% | 779 | 778 | $125K |
| 99051 | <1% | 8,873 | 8,827 | $65K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 296 | 296 | $12K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 95 | 51 | $10K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 206 | 206 | $4K |
6 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 28 | $3K |
| 99406 | <1% | 181 | $2K | |
| 99442 | <1% | 24 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $515.26 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 153 | $68.93 |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 13 | $2.13 |
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 officialJOHNSON, GARY (CHAIRMAN OF DEPARTMENT)
| Provider | Location | Paid |
|---|---|---|
| Greenwood School District 50 | Greenwood, SC | $2.35M |
| Central Minnesota Anesthesia, LTD | Saint Cloud, MN | $262K |
| Ralph Bharati, MD, PA | Wichita, KS | $154K |
| United Emergency Medical Response, LLC | Wisconsin Rapids, WI | $96K |
| Premier Physical Therapy, LLC | Woodville, MS | $94K |
| Johnson Family Chiropractic & Sports Clinic PLLC | Pocatello, ID | $38K |
| Calm-Clinic for Attention, Learning, and Memor | Minneapolis, MN | $27K |
| Gary R Johnson MD, INC | San Andreas, CA | $186.97 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.