Regional Medical Practice, PC

Regional Medical Practice, PC was paid $930K by Medicaid between Jan 2018 and Sep 2020, across 49 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.

33Billing provider infoREGIONAL MEDICAL PRACTICE, PC
CORTLAND, NY 13045

33aNPI1285749093assigned 08/20/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$930K

24GClaims22,396

24DCodes billed49

24AFirst – last monthJan 2018 – Sep 2020

Compared with peers

Next to other Orthopaedic Surgery Physician providers in New York

Rank by total paid#17 of 429

Median peer was paid$4K

This provider vs. median242×

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

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	45%	6,007	5,600	$417K
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	28%	2,527	2,394	$257K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	7.6%	670	638	$71K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	7.5%	589	584	$70K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.4%	632	632	$60K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	130	124	$9K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	55	55	$6K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	305	304	$6K
90686		<1%	544	544	$6K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	31	31	$5K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	211	211	$4K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	36	36	$3K

37 more codes

99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	27	$3K
11721		<1%	51	$2K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	51	$2K
92083		<1%	42	$2K
96127		<1%	162	$1K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	14	$1K
93000		<1%	71	$1K
81002		<1%	266	$904.21
20610		<1%	15	$879.39
73562		<1%	14	$451.30
94070		<1%	13	$336.06
92133		<1%	16	$320.90
90630		<1%	15	$305.10
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	15	$244.05
93016		<1%	12	$241.10
94010		<1%	41	$232.60
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	14	$223.98
99406		<1%	15	$203.84
93018		<1%	12	$161.21
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	15	$48.77
92015	Determination of refractive state	<1%	116	$13.96
36415	Collection of venous blood by venipuncture	<1%	575	$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)	0%	476	$0.00
G9902	Patient screened for tobacco use and identified as a tobacco user	0%	793	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	1,050	$0.00
99024		0%	122	$0.00
G8732	No documentation of pain assessment, reason not given	0%	90	$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)	0%	187	$0.00
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	0%	40	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	13	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	5,454	$0.00
G9905	Patient not screened for tobacco use	0%	646	$0.00
99173		0%	45	$0.00
G8731	Pain assessment using a standardized tool is documented as negative, no follow-up plan required	0%	102	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	14	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	40	$0.00
G9904	Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason)	0%	15	$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 officialSCOTT, ROGER (PRESIDENT)