Enlarged City School District of Troy, NY

Enlarged City School District of Troy, NY was paid $139K by Medicaid between Oct 2019 and May 2023, across 4 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 69% of everything it billed.

33Billing provider infoENLARGED CITY SCHOOL DISTRICT OF TROY, NY
TROY, NY 12180

33aNPI1497801930assigned 01/26/2007

33bProvider typeLocal Education Agency (LEA)

28Total paid$139K

24GClaims2,732

24DCodes billed4

24AFirst – last monthOct 2019 – May 2023

Compared with peers

Next to other Local Education Agency (LEA) providers in New York

Rank by total paid#295 of 516

Median peer was paid$201K

This provider vs. median0.7×

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	193	$14K
2020	585	$34K
2021	971	$50K
2022	733	$31K
2023	250	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
97530	Therapeutic activities, direct patient contact, each 15 minutes	69%	1,385	378	$96K
92508	Group treatment of speech, language, voice, communication, and/or auditory processing disorder	17%	991	300	$24K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	11%	222	99	$15K
90853	Group psychotherapy (other than of a multiple-family group)	2.6%	134	63	$4K

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 officialFITZGERALD, DONNA (DIRECTOR OF SPECIAL EDUCATION)