Clinic
Adirondack Pediatrics, P.C.
Adirondack Pediatrics, P.C. was paid $6.57M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoADIRONDACK PEDIATRICS, P.C.
GLENS FALLS, NY 12801
GLENS FALLS, NY 12801
33aNPI1285667634assigned 07/09/2006
33bProvider typeHealth Service Clinic/Center
28Total paid$6.57M
24GClaims192,680
24DCodes billed66
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Health Service Clinic/Center providers in New York
Rank by total paid#9 of 54
Median peer was paid$410K
This provider vs. median16×
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 | 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 | |
| 2024incomplete | 27,378 | $993K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 48% | 43,574 | 40,939 | $3.17M |
| 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 | 13% | 8,382 | 8,130 | $859K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.3% | 5,903 | 5,902 | $548K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.7% | 5,526 | 5,524 | $509K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.6% | 3,010 | 3,009 | $305K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.3% | 8,031 | 8,025 | $285K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 2,051 | 2,045 | $177K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.7% | 16,940 | 16,867 | $176K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.4% | 6,334 | 6,333 | $94K |
| 92551 | 1.2% | 13,254 | 13,251 | $76K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,495 | 1,463 | $65K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,998 | 3,939 | $58K |
54 more codes
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 945 | $44K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 3,394 | $42K |
| 99051 | <1% | 6,981 | $36K | |
| 96127 | <1% | 4,254 | $18K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,211 | $18K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,288 | $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 | <1% | 11,674 | $12K |
| 87428 | <1% | 222 | $9K | |
| 0072A | <1% | 214 | $9K | |
| 0071A | <1% | 203 | $9K | |
| 97802 | <1% | 1,511 | $7K | |
| 99000 | <1% | 5,208 | $5K | |
| 99429 | <1% | 143 | $3K | |
| 83655 | <1% | 257 | $3K | |
| 99401 | <1% | 109 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $1K |
| 0001A | <1% | 26 | $1K | |
| 90474 | <1% | 130 | $1K | |
| 90480 | <1% | 39 | $590.15 | |
| 81002 | <1% | 184 | $583.32 | |
| 0074A | <1% | 13 | $551.79 | |
| 0112A | <1% | 12 | $496.16 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 25 | $338.04 |
| 85018 | <1% | 109 | $227.15 | |
| 87088 | <1% | 25 | $190.10 | |
| 99177 | <1% | 725 | $186.49 | |
| 94760 | <1% | 1,503 | $185.56 | |
| 90656 | <1% | 480 | $183.52 | |
| 99188 | <1% | 16 | $158.97 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $134.79 |
| 99173 | <1% | 13,842 | $134.52 | |
| 36416 | <1% | 185 | $111.02 | |
| 90686 | <1% | 5,972 | $61.61 | |
| 90715 | <1% | 89 | $0.04 | |
| 90671 | <1% | 85 | $0.04 | |
| 90651 | <1% | 266 | $0.03 | |
| G9818 | Documentation of sexual activity | 0% | 3,178 | $0.00 |
| 90681 | 0% | 121 | $0.00 | |
| 90670 | 0% | 1,301 | $0.00 | |
| 90633 | 0% | 198 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 43 | $0.00 |
| 90734 | 0% | 243 | $0.00 | |
| 91300 | 0% | 37 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| 91311 | 0% | 15 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 3,374 | $0.00 |
| 90723 | 0% | 598 | $0.00 | |
| 3008F | 0% | 336 | $0.00 | |
| 1036F | 0% | 202 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| 90647 | 0% | 625 | $0.00 | |
| 91307 | 0% | 386 | $0.00 | |
| 90677 | 0% | 38 | $0.00 | |
| 90619 | 0% | 95 | $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 officialBRAICO, JOHN (PRESIDENT)