Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Plattsburgh › NPI 1366510091
Physician

Adirondack Pulmonary & Sleep Medicine PLLC

Adirondack Pulmonary & Sleep Medicine PLLC was paid $57K by Medicaid between Apr 2018 and Apr 2021, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.

33Billing provider infoADIRONDACK PULMONARY & SLEEP MEDICINE PLLC
PLATTSBURGH, NY 12901
33aNPI1366510091assigned 12/01/2006
28Total paid$57K
24GClaims436
24DCodes billed5
24AFirst – last monthApr 2018 – Apr 2021
Compared with peers

Next to other Sleep Medicine (Internal Medicine) Physician providers in New York

Rank by total paid#15 of 41
Median peer was paid$15K
This provider vs. median3.8×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2018145$25K
201984$9K
2020100$12K
2021107$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 56% 302 301 $31K
95810 Polysomnography; sleep staging with 4 or more additional parameters 28% 28 28 $16K
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 13% 50 50 $8K
94618 1.6% 42 42 $924.42
95806 1.5% 14 14 $859.93

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 officialKABELI, SABIELI (SOLE OWNER)