Medicaid Provider Spending

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

REGIONAL MEDICAL PRACTICE, PC

NPI: 1285749093 · CORTLAND, NY 13045 · Orthopaedic Surgery Physician · NPI assigned 08/20/2006

$930K
Total Medicaid Paid
22,396
Total Claims
20,717
Beneficiaries
49
Codes Billed
2018-01
First Month
2020-09
Last Month

Provider Details

Authorized OfficialSCOTT, ROGER (PRESIDENT)
NPI Enumeration Date08/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,980 $280K
2019 8,482 $334K
2020 9,934 $316K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,007 5,600 $417K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,527 2,394 $257K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 670 638 $71K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 589 584 $70K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 632 632 $60K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 130 124 $9K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 55 55 $6K
90460 Immunization administration through 18 years of age via any route, first or only component 305 304 $6K
90686 544 544 $6K
45380 Colonoscopy, flexible; with biopsy, single or multiple 31 31 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 211 211 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 36 36 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 27 27 $3K
11721 51 51 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 51 49 $2K
92083 42 39 $2K
96127 162 158 $1K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 14 13 $1K
93000 71 70 $1K
81002 266 210 $904.21
20610 15 12 $879.39
73562 14 13 $451.30
94070 13 13 $336.06
92133 16 15 $320.90
90630 15 15 $305.10
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15 14 $244.05
93016 12 12 $241.10
94010 41 41 $232.60
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14 14 $223.98
99406 15 15 $203.84
93018 12 12 $161.21
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 15 14 $48.77
92015 Determination of refractive state 116 114 $13.96
36415 Collection of venous blood by venipuncture 575 430 $10.34
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 476 440 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 793 727 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 1,050 972 $0.00
99024 122 92 $0.00
G8732 No documentation of pain assessment, reason not given 90 84 $0.00
G9908 Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 187 172 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 40 40 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 13 13 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 5,454 4,900 $0.00
G9905 Patient not screened for tobacco use 646 576 $0.00
99173 45 45 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 102 86 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 14 13 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 40 38 $0.00
G9904 Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason) 15 15 $0.00