Orleans Community Health

Orleans Community Health was paid $368K by Medicaid between Aug 2018 and Oct 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.

33Billing provider infoORLEANS COMMUNITY HEALTH
ALBION, NY 14411

33aNPI1508119884assigned 10/24/2012

33bProvider typeFamily Medicine Physician

28Total paid$368K

24GClaims4,368

24DCodes billed10

24AFirst – last monthAug 2018 – Oct 2024

Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#274 of 2,605

Median peer was paid$10K

This provider vs. median36×

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
2018	12	$682.30
2019	39	$749.27
2020	44	$1K
2021	80	$3K
2022	585	$22K
2023	2,395	$182K
2024incomplete	1,213	$158K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	65%	2,897	2,638	$237K
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	30%	1,103	1,017	$110K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.0%	101	95	$7K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1.5%	64	64	$6K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	1.3%	27	27	$5K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	67	67	$2K
87636	Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B	<1%	72	72	$942.43
90686		<1%	12	12	$196.54
0011A		<1%	13	13	$193.76
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	12	12	$43.28

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 officialCONDO, LORI (ASSISTANT CONTROLLER)

Parent organizationORLEANS COMMUNITY HEALTH