Clinic
Essex County Chapter, Nysarc, INC.
Essex County Chapter, Nysarc, INC. was paid $2.83M by Medicaid between Apr 2019 and Nov 2024, across 16 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 43% of everything it billed.
33Billing provider infoESSEX COUNTY CHAPTER, NYSARC, INC.
PORT HENRY, NY 12974
PORT HENRY, NY 12974
33aNPI1427134451assigned 10/31/2006
33bProvider typeDevelopmental Disabilities Clinic/Center
28Total paid$2.83M
24GClaims56,793
24DCodes billed16
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers
Next to other Developmental Disabilities Clinic/Center providers in New York
Rank by total paid#16 of 34
Median peer was paid$1.56M
This provider vs. median1.8×
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
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 | 5,785 | $232K | |
| 2020 | 9,081 | $380K | |
| 2021 | 12,141 | $530K | |
| 2022 | 12,465 | $653K | |
| 2023 | 9,014 | $520K | |
| 2024incomplete | 8,307 | $510K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 43% | 26,246 | 6,043 | $1.21M |
| 97129 | 15% | 12,901 | 929 | $421K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 14% | 3,795 | 1,326 | $393K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 12% | 5,419 | 2,113 | $331K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.5% | 1,552 | 1,545 | $156K |
| 97127 | 3.6% | 3,012 | 360 | $101K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 2.2% | 1,867 | 519 | $62K |
| 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 | 2.1% | 722 | 718 | $58K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.4% | 361 | 190 | $39K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 334 | 161 | $20K |
| 97533 | <1% | 277 | 89 | $11K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 64 | 62 | $11K |
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 officialNEPHEW, MARTIN (EXECUTIVE DIRECTOR)