Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ADIRONDACK PEDIATRICS, P.C.

NPI: 1285667634 · GLENS FALLS, NY 12801 · Health Service Clinic/Center · NPI assigned 07/09/2006

$6.57M
Total Medicaid Paid
192,680
Total Claims
188,605
Beneficiaries
66
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBRAICO, JOHN (PRESIDENT)
NPI Enumeration Date07/09/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,214 $379K
2019 17,059 $594K
2020 29,079 $868K
2021 36,996 $1.16M
2022 36,098 $1.29M
2023 35,856 $1.28M
2024 27,378 $993K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 43,574 40,939 $3.17M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,382 8,130 $859K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,903 5,902 $548K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,526 5,524 $509K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,010 3,009 $305K
90472 Immunization administration, each additional vaccine (list separately) 8,031 8,025 $285K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,051 2,045 $177K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 16,940 16,867 $176K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 6,334 6,333 $94K
92551 13,254 13,251 $76K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,495 1,463 $65K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,998 3,939 $58K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 945 937 $44K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 3,394 3,394 $42K
99051 6,981 6,836 $36K
96127 4,254 4,253 $18K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,211 1,205 $18K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,288 2,601 $18K
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 11,674 11,672 $12K
87428 222 221 $9K
0072A 214 214 $9K
0071A 203 203 $9K
97802 1,511 1,511 $7K
99000 5,208 5,129 $5K
99429 143 143 $3K
83655 257 257 $3K
99401 109 109 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 12 $1K
0001A 26 26 $1K
90474 130 130 $1K
90480 39 39 $590.15
81002 184 180 $583.32
0074A 13 13 $551.79
0112A 12 12 $496.16
90460 Immunization administration through 18 years of age via any route, first or only component 25 25 $338.04
85018 109 109 $227.15
87088 25 25 $190.10
99177 725 725 $186.49
94760 1,503 1,485 $185.56
90656 480 480 $183.52
99188 16 16 $158.97
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 13 13 $134.79
99173 13,842 13,836 $134.52
36416 185 185 $111.02
90686 5,972 5,966 $61.61
90715 89 89 $0.04
90671 85 85 $0.04
90651 266 264 $0.03
G9818 Documentation of sexual activity 3,178 3,177 $0.00
90681 121 121 $0.00
90670 1,301 1,301 $0.00
90633 198 198 $0.00
G8482 Influenza immunization administered or previously received 43 43 $0.00
90734 243 243 $0.00
91300 37 31 $0.00
90707 13 13 $0.00
91311 15 15 $0.00
H0049 Alcohol and/or drug screening 3,374 3,373 $0.00
90723 598 598 $0.00
3008F 336 335 $0.00
1036F 202 201 $0.00
90716 13 13 $0.00
90647 625 625 $0.00
91307 386 360 $0.00
90677 38 38 $0.00
90619 95 93 $0.00