Physician
Schenectady Family Health Services, INC.
Schenectady Family Health Services, INC. was paid $24.93M by Medicaid between Jan 2018 and Dec 2024, across 147 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoSCHENECTADY FAMILY HEALTH SERVICES, INC.
SCHENECTADY, NY 12307
SCHENECTADY, NY 12307
33aNPI1396711982assigned 02/24/2006
33bProvider typeFamily Medicine Physician
28Total paid$24.93M
24GClaims706,223
24DCodes billed147
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#6 of 2,605
Median peer was paid$10K
This provider vs. median2,469×
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 | 109,513 | $3.44M | |
| 2019 | 115,673 | $3.61M | |
| 2020 | 103,645 | $3.44M | |
| 2021 | 105,619 | $3.65M | |
| 2022 | 70,272 | $3.33M | |
| 2023 | 87,982 | $3.90M | |
| 2024incomplete | 113,519 | $3.56M |
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 | 28% | 120,495 | 63,889 | $6.90M |
| 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% | 64,797 | 32,781 | $3.36M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 6.7% | 26,529 | 12,753 | $1.67M |
| D7140 | Extraction, erupted tooth or exposed root | 3.5% | 17,236 | 6,957 | $878K |
| D1110 | Prophylaxis - adult | 3.2% | 21,952 | 13,162 | $786K |
| D0140 | Limited oral evaluation - problem focused | 2.6% | 24,220 | 12,513 | $656K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.5% | 22,155 | 9,474 | $633K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.2% | 28,456 | 11,238 | $545K |
| D1351 | Sealant - per tooth | 2.1% | 21,711 | 4,770 | $527K |
| D0330 | Panoramic radiographic image | 2.1% | 24,379 | 10,180 | $523K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 10,335 | 5,157 | $498K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 10,097 | 4,603 | $496K |
135 more codes
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.0% | 9,240 | $486K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.9% | 17,341 | $479K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.9% | 7,817 | $475K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.8% | 17,974 | $459K |
| 90834 | Psychotherapy session, about 45 minutes | 1.8% | 6,114 | $442K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 22,504 | $393K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 8,067 | $385K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 8,398 | $376K |
| D9310 | 1.3% | 5,408 | $331K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.1% | 19,830 | $285K |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 15,690 | $256K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 19,731 | $203K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 6,606 | $190K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,681 | $166K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,830 | $161K |
| D0274 | Bitewings - four radiographic images | <1% | 6,371 | $161K |
| D9243 | <1% | 1,232 | $156K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 8,609 | $127K |
| D4341 | <1% | 2,431 | $126K | |
| D9239 | <1% | 2,162 | $120K | |
| 90686 | <1% | 10,651 | $100K | |
| 99441 | <1% | 2,938 | $94K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 2,467 | $88K |
| D0190 | <1% | 4,540 | $85K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,433 | $83K |
| 59426 | <1% | 757 | $79K | |
| D1206 | Topical application of fluoride varnish | <1% | 2,929 | $78K |
| 81025 | <1% | 4,765 | $59K | |
| 90461 | <1% | 5,717 | $56K | |
| D7230 | <1% | 479 | $47K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 3,677 | $46K |
| D7240 | Removal of impacted tooth - completely bony | <1% | 222 | $44K |
| 85018 | <1% | 4,719 | $43K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,868 | $40K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,270 | $39K |
| G0467 | Community health center visit, returning patient | <1% | 2,361 | $38K |
| D9110 | <1% | 785 | $32K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,244 | $31K |
| 99188 | <1% | 3,494 | $30K | |
| 81002 | <1% | 2,060 | $30K | |
| 86580 | <1% | 1,681 | $27K | |
| D5110 | <1% | 333 | $25K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 498 | $22K |
| 0012A | <1% | 543 | $21K | |
| D7250 | <1% | 708 | $20K | |
| D0272 | Bitewings - two radiographic images | <1% | 1,251 | $20K |
| 3008F | <1% | 2,843 | $18K | |
| 90756 | <1% | 1,511 | $18K | |
| 83655 | <1% | 2,240 | $18K | |
| 90734 | <1% | 2,572 | $17K | |
| 94760 | <1% | 1,034 | $16K | |
| 99406 | <1% | 3,844 | $16K | |
| 0011A | <1% | 514 | $16K | |
| 99385 | <1% | 266 | $16K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 339 | $16K |
| 82962 | <1% | 978 | $14K | |
| 90715 | <1% | 1,237 | $14K | |
| 99442 | <1% | 330 | $14K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 812 | $13K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 392 | $13K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 266 | $12K |
| 82274 | <1% | 713 | $12K | |
| 99384 | <1% | 251 | $11K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 645 | $10K |
| 90670 | <1% | 3,942 | $10K | |
| 80305 | <1% | 801 | $9K | |
| D2331 | <1% | 145 | $8K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 93 | $8K |
| 90674 | <1% | 820 | $7K | |
| 90633 | <1% | 2,225 | $7K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 691 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 661 | $7K |
| 92015 | Determination of refractive state | <1% | 1,550 | $6K |
| 99381 | <1% | 57 | $4K | |
| 90744 | <1% | 1,217 | $4K | |
| 0072A | <1% | 96 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 58 | $3K |
| 99443 | <1% | 65 | $3K | |
| 59425 | <1% | 22 | $3K | |
| D2752 | <1% | 24 | $3K | |
| D2330 | <1% | 53 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 339 | $3K |
| 0134A | <1% | 78 | $3K | |
| 1160F | <1% | 475 | $3K | |
| 92201 | <1% | 227 | $2K | |
| 90696 | <1% | 413 | $2K | |
| 99407 | <1% | 206 | $2K | |
| 0071A | <1% | 65 | $2K | |
| 90707 | <1% | 522 | $2K | |
| 0064A | <1% | 69 | $2K | |
| 90837 | Psychotherapy session, about an hour | <1% | 24 | $2K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 92 | $2K |
| 90700 | <1% | 338 | $2K | |
| 0013A | <1% | 53 | $2K | |
| 90677 | <1% | 474 | $2K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 124 | $1K |
| 90656 | <1% | 84 | $1K | |
| 90621 | <1% | 203 | $1K | |
| 90732 | <1% | 138 | $1K | |
| 96160 | <1% | 417 | $1K | |
| 96127 | <1% | 253 | $1K | |
| 92551 | <1% | 476 | $881.79 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 45 | $812.77 |
| 90723 | <1% | 129 | $703.90 | |
| 92225 | <1% | 117 | $694.27 | |
| D0603 | <1% | 5,360 | $665.27 | |
| D9995 | <1% | 68 | $630.33 | |
| 0111A | <1% | 13 | $515.10 | |
| 99173 | <1% | 407 | $444.86 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 31 | $443.02 |
| D9996 | <1% | 81 | $407.85 | |
| 90651 | <1% | 997 | $390.00 | |
| 90685 | <1% | 79 | $352.70 | |
| D9219 | <1% | 281 | $329.30 | |
| 91301 | <1% | 16 | $167.22 | |
| 90680 | <1% | 1,653 | $163.15 | |
| 90648 | <1% | 209 | $127.62 | |
| 90710 | <1% | 215 | $114.66 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 15 | $71.84 |
| 90716 | <1% | 108 | $70.54 | |
| D0602 | <1% | 2,876 | $70.29 | |
| D0601 | <1% | 1,410 | $70.29 | |
| 93000 | <1% | 16 | $18.51 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 62 | $17.46 |
| 90698 | 0% | 2,013 | $0.00 | |
| 99000 | 0% | 376 | $0.00 | |
| 92250 | 0% | 13 | $0.00 | |
| D1353 | 0% | 19 | $0.00 | |
| 2023F | 0% | 14 | $0.00 | |
| 91311 | 0% | 27 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 12 | $0.00 |
| 91313 | 0% | 58 | $0.00 | |
| 99001 | 0% | 278 | $0.00 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 0% | 29 | $0.00 |
| 92202 | 0% | 31 | $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 officialGAMBINO, JOSEPH (CEO)