Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ALBANY MEDICAL COLLEGE

NPI: 1497921688 · ALBANY, NY 12208 · Obstetrics & Gynecology Physician · NPI assigned 05/07/2008

$5.46M
Total Medicaid Paid
93,210
Total Claims
85,384
Beneficiaries
143
Codes Billed
2023-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOULOS, ALAN (DEAN)
NPI Enumeration Date05/07/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 4,444 $291K
2024 88,766 $5.17M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 8,362 8,281 $689K
99215 Prolong outpt/office vis 4,424 4,193 $622K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,976 5,835 $579K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,413 7,281 $533K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,937 3,892 $450K
99283 Emergency department visit for the evaluation and management, moderate severity 6,746 6,657 $313K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,433 2,958 $218K
99233 Prolong inpt eval add15 m 2,694 1,174 $172K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,065 1,062 $144K
99232 Subsequent hospital care, per day, moderate complexity 3,047 1,296 $134K
99205 Prolong outpt/office vis 723 720 $132K
00170 Anesthesia for intraoral procedures, including biopsy 539 538 $123K
J0585 Injection, onabotulinumtoxina, 1 unit 93 92 $116K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,210 1,122 $110K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,091 1,090 $97K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 471 458 $67K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 9,782 7,927 $61K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 725 721 $58K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 385 205 $55K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,008 1,004 $53K
90460 Immunization administration through 18 years of age via any route, first or only component 1,464 1,461 $52K
99223 Prolong inpt eval add15 m 472 463 $47K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 448 448 $37K
76770 346 342 $31K
99238 Hospital discharge day management, 30 minutes or less 486 485 $26K
88307 338 315 $25K
00731 126 122 $23K
99479 Subsequent intensive care, per day, very low birth weight infant 209 57 $20K
42820 Tonsillectomy and adenoidectomy; younger than age 12 80 80 $20K
92567 1,475 1,470 $19K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 193 192 $19K
95720 109 53 $19K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 57 27 $19K
93970 542 515 $16K
99460 245 244 $16K
90461 660 659 $15K
95251 528 527 $15K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 179 179 $15K
01922 41 41 $14K
99239 Hospital discharge day management, more than 30 minutes 225 219 $14K
59025 Fetal non-stress test 371 270 $14K
99282 Emergency department visit for the evaluation and management, low to moderate severity 475 471 $13K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 122 76 $13K
99222 Initial hospital care, per day, moderate complexity 145 142 $12K
76819 Fetal biophysical profile; without non-stress testing 153 134 $11K
64615 95 95 $11K
96112 136 136 $11K
83036 Hemoglobin; glycosylated (A1C) 1,117 1,094 $9K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 98 98 $9K
90834 Psychotherapy, 45 minutes with patient 103 71 $8K
93923 229 212 $8K
88342 266 254 $8K
90837 Psychotherapy, 53 minutes with patient 51 41 $7K
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 401 398 $6K
93971 238 222 $6K
31231 38 38 $6K
92557 189 189 $6K
88304 575 563 $5K
99231 Subsequent hospital care, per day, straightforward or low complexity 180 109 $5K
92551 523 523 $5K
90792 Psychiatric diagnostic evaluation with medical services 42 39 $5K
99480 Subsequent intensive care, per day, low birth weight infant 62 12 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,229 1,228 $4K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 65 65 $4K
92504 172 169 $4K
92579 104 104 $4K
88141 169 169 $4K
92201 167 91 $3K
84165 257 250 $3K
99051 435 434 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 202 202 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 181 178 $3K
88112 123 118 $3K
86334 195 194 $3K
99462 95 68 $3K
99417 Prolong home eval add 15m 35 35 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 60 57 $3K
00920 13 13 $3K
97803 81 81 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 163 160 $2K
95117 223 99 $2K
76830 Ultrasound, transvaginal 19 19 $2K
69210 59 53 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 12 12 $1K
95816 38 38 $1K
43237 12 12 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 103 54 $1K
92015 Determination of refractive state 299 298 $1K
96040 14 14 $1K
76801 12 12 $1K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 14 14 $1K
90832 Psychotherapy, 30 minutes with patient 16 16 $1K
80503 54 51 $878.81
51798 94 91 $837.70
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 14 $798.74
88189 12 12 $755.65
92582 12 12 $749.66
96161 561 554 $746.97
94010 47 47 $727.09
99188 72 72 $672.27
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 14 14 $668.16
81003 348 338 $664.80
96127 180 172 $648.66
99221 13 13 $597.21
91200 25 25 $587.14
90472 Immunization administration, each additional vaccine (list separately) 18 18 $574.21
93308 26 26 $565.28
93298 33 27 $553.50
96160 378 376 $541.55
70450 Computed tomography, head or brain; without contrast material 17 16 $516.42
36415 Collection of venous blood by venipuncture 1,199 1,179 $427.21
92587 25 25 $425.46
98960 12 12 $302.56
T1013 Sign language or oral interpretive services, per 15 minutes 29 29 $287.76
92555 14 14 $277.54
90656 212 212 $251.75
G8510 Screening for depression is documented as negative, a follow-up plan is not required 453 451 $212.94
11721 13 13 $206.63
51741 16 16 $203.99
85018 38 38 $51.46
88300 12 12 $51.14
81002 12 12 $31.40
90686 99 99 $23.53
T1017 Targeted case management, each 15 minutes 13 13 $15.00
99173 559 559 $11.82
1159F 2,019 1,975 $0.00
3078F 692 687 $0.00
99199 Unlisted special service, procedure or report 54 51 $0.00
90633 52 52 $0.00
4250F 14 14 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 13 13 $0.00
2000F 1,021 1,007 $0.00
90677 266 266 $0.00
99024 13 13 $0.00
90647 99 99 $0.00
3008F 1,230 1,215 $0.00
90680 47 47 $0.00
3074F 623 619 $0.00
1000F 158 154 $0.00
36416 553 553 $0.00
90723 151 151 $0.00
1125F 45 45 $0.00
1036F 13 12 $0.00