Physician
Glens Falls Hospital INC.
Glens Falls Hospital INC. was paid $2.24M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoGLENS FALLS HOSPITAL INC.
GLENS FALLS, NY 12801
GLENS FALLS, NY 12801
33aNPI1336198217assigned 05/09/2006
33bProvider typePsychiatry Physician
28Total paid$2.24M
24GClaims43,650
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychiatry Physician providers in New York
Rank by total paid#20 of 1,033
Median peer was paid$8K
This provider vs. median290×
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 | 1,732 | $47K | |
| 2019 | 3,953 | $209K | |
| 2020 | 5,265 | $230K | |
| 2021 | 7,519 | $327K | |
| 2022 | 7,510 | $420K | |
| 2023 | 9,965 | $603K | |
| 2024incomplete | 7,706 | $406K |
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 | 34% | 13,851 | 13,095 | $757K |
| 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 | 24% | 7,511 | 7,088 | $534K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 11% | 6,883 | 1,956 | $241K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.9% | 1,707 | 1,704 | $132K |
| 99238 | Hospital discharge day management, 30 minutes or less | 5.5% | 1,926 | 1,896 | $124K |
| 99223 | Prolong inpt eval add15 m | 5.4% | 858 | 842 | $122K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.8% | 842 | 823 | $86K |
| 99460 | 3.0% | 808 | 808 | $67K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.3% | 936 | 443 | $51K |
| 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 | 1.2% | 224 | 224 | $27K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 3,852 | 3,455 | $22K |
| 99221 | <1% | 208 | 192 | $14K |
35 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 103 | $13K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 151 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 265 | $8K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 64 | $7K |
| 29848 | <1% | 20 | $5K | |
| 99284 | Emergency room visit (serious) | <1% | 24 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 101 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 26 | $2K |
| 99442 | <1% | 47 | $2K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 18 | $2K |
| 90686 | <1% | 128 | $1K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 65 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $1K |
| 99406 | <1% | 78 | $885.01 | |
| 98929 | <1% | 13 | $795.98 | |
| 98968 | <1% | 53 | $752.04 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 12 | $575.35 |
| 95886 | <1% | 26 | $508.40 | |
| 99441 | <1% | 20 | $501.41 | |
| 99462 | <1% | 13 | $468.74 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 34 | $400.30 |
| 93000 | <1% | 14 | $208.88 | |
| 73030 | <1% | 17 | $161.47 | |
| 73100 | <1% | 18 | $154.09 | |
| 73110 | <1% | 15 | $116.26 | |
| 92551 | <1% | 13 | $76.00 | |
| 3288F | 0% | 2,004 | $0.00 | |
| 3078F | 0% | 70 | $0.00 | |
| 1159F | 0% | 196 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 18 | $0.00 |
| 1000F | 0% | 57 | $0.00 | |
| 2000F | 0% | 160 | $0.00 | |
| 3074F | 0% | 99 | $0.00 | |
| 1125F | 0% | 49 | $0.00 | |
| 3008F | 0% | 39 | $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 officialSCIMECA, PAUL (INTERIM PRESIDENT/CEO)