Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Nysarc INC

Nysarc INC was paid $8.71M by Medicaid between May 2018 and Dec 2024, across 12 billing codes. Its largest line is 90832, psychotherapy session, about 30 minutes — 41% of everything it billed.

33Billing provider infoNYSARC INC
ROCHESTER, NY 14623
33aNPI1457458424assigned 09/20/2006
28Total paid$8.71M
24GClaims81,688
24DCodes billed12
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers

Next to other Developmental Disabilities Clinic/Center providers in New York

Rank by total paid#7 of 34
Median peer was paid$1.56M
This provider vs. median5.6×

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$100K$200K2018201920202021202220232024
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
201826$3K
20195,517$583K
202013,920$1.47M
202116,553$1.68M
202215,469$1.64M
202316,812$1.78M
2024incomplete13,391$1.55M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 41% 28,998 13,877 $3.56M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 17% 13,173 4,641 $1.49M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 15% 14,996 4,013 $1.27M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 12% 7,106 3,751 $1.08M
97530 Therapeutic activities, direct patient contact, each 15 minutes 3.7% 4,746 1,572 $326K
97803 3.3% 4,171 2,397 $283K
99443 2.2% 2,627 2,502 $188K
98968 2.0% 2,019 1,182 $174K
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 2.0% 1,777 1,704 $173K
90853 Group psychotherapy (other than of a multiple-family group) 1.3% 1,758 694 $115K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 245 238 $28K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 72 72 $15K

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 officialWALE, BARBARA (COO)