Agency
Enlarged Middletown City School District
Enlarged Middletown City School District was paid $898K by Medicaid between Sep 2019 and Jun 2024, across 5 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 29% of everything it billed.
33Billing provider infoENLARGED MIDDLETOWN CITY SCHOOL DISTRICT
MIDDLETOWN, NY 10940
MIDDLETOWN, NY 10940
33aNPI1427108208assigned 01/12/2007
33bProvider typeLocal Education Agency (LEA)
28Total paid$898K
24GClaims21,340
24DCodes billed5
24AFirst – last monthSep 2019 – Jun 2024
Compared with peers
Next to other Local Education Agency (LEA) providers in New York
Rank by total paid#91 of 516
Median peer was paid$201K
This provider vs. median4.5×
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 | |
|---|---|---|---|
| 2019 | 2,039 | $69K | |
| 2020 | 2,387 | $66K | |
| 2021 | 5,460 | $201K | |
| 2022 | 4,947 | $206K | |
| 2023 | 4,553 | $227K | |
| 2024incomplete | 1,954 | $129K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 29% | 3,510 | 792 | $262K |
| 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | 28% | 10,470 | 3,623 | $256K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 25% | 3,351 | 899 | $222K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 12% | 1,279 | 261 | $107K |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | 5.6% | 2,730 | 973 | $51K |
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 officialNAPOLITANO, DONNA (SPECIAL EDUCATION PRINCIPAL)