Medicaid Provider Spending

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

ST. PETER'S HOSPITAL OF THE CITY OF ALBANY

NPI: 1518042357 · ALBANY, NY 12208 · Family Medicine Physician · NPI assigned 10/26/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official KNOWLES, COURTNEY controls 20+ related entities in our dataset. Read more

$7.54M
Total Medicaid Paid
191,620
Total Claims
169,832
Beneficiaries
242
Codes Billed
2021-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKNOWLES, COURTNEY (CREDENTIALING & ENROLLMENT MANAGER)
Parent OrganizationST. PETER'S HOSPITAL OF THE CITY OF ALBANY
NPI Enumeration Date10/26/2006

Related Entities

Other providers sharing the same authorized official: KNOWLES, COURTNEY

ProviderCityStateTotal Paid
SAMARITAN HOSPITAL OF TROY, NEW YORK TROY NY $9.83M
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY ALBANY NY $3.78M
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY COHOES NY $1.08M
ST. PETER'S HOSPITALOF THE CITY OF ALBANY ALBANY NY $874K
SAMARITAN HOSPITAL OF TROY, NEW YORK TROY NY $707K
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY ALBANY NY $694K
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY LATHAM NY $574K
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY SCHENECTADY NY $525K
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY ALBANY NY $504K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. SLINGERLANDS NY $467K
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY SARATOGA SPRINGS NY $280K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. TROY NY $174K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. ALBANY NY $153K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. ALBANY NY $148K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. ALBANY NY $134K
SETON HEALTH SYSTEM, INC TROY NY $129K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. ALBANY NY $81K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. ALBANY NY $73K
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY SLINGERLANDS NY $58K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. RENSSELAER NY $57K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 33 $2K
2022 519 $22K
2023 99,160 $3.95M
2024 91,908 $3.57M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0005 Alcohol and/or drug services; group counseling by a clinician 4,502 917 $639K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 4,788 4,247 $558K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,606 5,205 $405K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,190 4,042 $385K
S9480 Intensive outpatient psychiatric services, per diem 1,824 219 $256K
99284 Emergency department visit for the evaluation and management, high severity 1,664 1,581 $238K
90853 Group psychotherapy (other than of a multiple-family group) 1,685 392 $230K
96361 Intravenous infusion, hydration; each additional hour 1,079 928 $223K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 1,287 950 $200K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,466 1,371 $193K
99283 Emergency department visit for the evaluation and management, moderate severity 1,246 1,111 $182K
74177 Computed tomography, abdomen and pelvis; with contrast material 700 680 $177K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,910 1,909 $155K
80053 Comprehensive metabolic panel 10,088 8,883 $155K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,043 2,295 $143K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,660 1,660 $133K
70450 Computed tomography, head or brain; without contrast material 483 465 $126K
90460 Immunization administration through 18 years of age via any route, first or only component 3,694 3,686 $123K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 335 335 $119K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,487 1,372 $118K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 809 725 $112K
99222 Initial hospital care, per day, moderate complexity 1,445 1,413 $111K
71275 Computed tomographic angiography, chest, with contrast material 380 368 $108K
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 502 421 $89K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,016 1,016 $88K
99223 Prolong inpt eval add15 m 885 872 $87K
36415 Collection of venous blood by venipuncture 14,152 11,672 $86K
93975 206 195 $77K
99282 Emergency department visit for the evaluation and management, low to moderate severity 474 440 $71K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 513 503 $66K
G0378 Hospital observation service, per hour 1,070 853 $63K
99238 Hospital discharge day management, 30 minutes or less 1,302 1,286 $63K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 655 395 $63K
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 411 323 $58K
99233 Prolong inpt eval add15 m 1,067 507 $55K
86900 906 871 $53K
88342 461 459 $52K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 407 400 $49K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,969 1,961 $49K
90461 1,500 1,500 $47K
84443 Thyroid stimulating hormone (TSH) 4,012 3,954 $47K
80061 Lipid panel 3,677 3,662 $46K
99460 731 729 $43K
77067 Screening mammography, bilateral, including computer-aided detection 580 578 $43K
H0004 Behavioral health counseling and therapy, per 15 minutes 290 252 $42K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,461 1,449 $42K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 345 317 $41K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 278 268 $39K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 614 609 $37K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 105 103 $37K
99281 Emergency department visit for the evaluation and management, self-limited or minor 245 231 $35K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 207 205 $35K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,461 1,449 $33K
99239 Hospital discharge day management, more than 30 minutes 477 472 $30K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,544 8,328 $29K
76641 300 299 $27K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 604 559 $26K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 561 559 $24K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 377 374 $24K
99232 Subsequent hospital care, per day, moderate complexity 508 380 $24K
Q9992 Injection, buprenorphine extended-release (sublocade), greater than 100 mg 13 13 $22K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,089 905 $20K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 202 126 $19K
86850 929 894 $18K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,071 1,059 $18K
95810 Polysomnography; sleep staging with 4 or more additional parameters 27 27 $17K
77063 Screening digital breast tomosynthesis, bilateral 580 578 $17K
74176 Computed tomography, abdomen and pelvis; without contrast material 68 67 $17K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 545 538 $16K
93017 109 109 $15K
80048 Basic metabolic panel (calcium, ionized) 1,033 880 $14K
83036 Hemoglobin; glycosylated (A1C) 2,946 2,931 $13K
90686 901 900 $13K
86780 1,162 1,154 $13K
96375 Therapeutic injection; each additional sequential IV push 1,197 982 $12K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 400 399 $12K
G0475 Hiv antigen/antibody, combination assay, screening 495 492 $12K
83880 421 395 $11K
71046 Radiologic examination, chest; 2 views 842 809 $11K
84439 2,038 2,020 $11K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 78 76 $10K
82607 953 943 $10K
90651 352 352 $9K
93970 16 16 $9K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 171 171 $9K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,466 1,339 $8K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 544 433 $8K
86901 915 879 $8K
90648 432 432 $8K
0223U 165 164 $8K
99385 103 101 $8K
86480 131 130 $7K
0352U 147 147 $6K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,257 1,927 $6K
82728 762 745 $6K
99462 223 207 $6K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 736 733 $6K
90715 236 236 $6K
96127 2,996 2,926 $6K
90723 269 269 $6K
90633 309 309 $5K
76937 30 26 $5K
83655 595 589 $5K
76830 Ultrasound, transvaginal 107 105 $5K
90677 219 219 $5K
88142 216 215 $5K
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 1,120 802 $5K
85027 1,663 1,450 $5K
83550 935 918 $5K
90670 269 269 $4K
84153 296 295 $4K
87660 451 439 $4K
87086 Culture, bacterial; quantitative colony count, urine 965 928 $4K
82570 1,076 1,049 $4K
82043 935 927 $4K
83540 985 961 $4K
99406 206 196 $4K
82746 393 388 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 692 686 $4K
87480 411 400 $4K
87510 410 399 $4K
87653 122 122 $4K
85610 991 720 $3K
90656 246 246 $3K
59025 Fetal non-stress test 133 128 $3K
99221 62 61 $3K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 28 26 $3K
70496 12 12 $3K
76705 Ultrasound, abdominal, real time with image documentation; limited 164 162 $3K
90734 129 129 $3K
95806 24 24 $3K
84702 415 346 $3K
81001 1,992 1,897 $3K
87563 102 100 $2K
86803 401 400 $2K
90710 98 97 $2K
83735 1,483 1,176 $2K
H0001 Alcohol and/or drug assessment 15 12 $2K
87340 557 554 $2K
76801 17 15 $2K
90681 91 91 $2K
84481 124 123 $2K
H0033 Oral medication administration, direct observation 69 28 $2K
90696 61 61 $2K
99215 Prolong outpt/office vis 13 12 $1K
86038 159 156 $1K
71045 Radiologic examination, chest; single view 964 908 $1K
71250 13 12 $1K
90716 42 42 $1K
86140 451 440 $1K
82105 82 74 $989.43
88304 61 61 $977.04
86762 271 270 $942.10
72125 Computed tomography, cervical spine; without contrast material 45 43 $919.17
81003 1,055 1,027 $891.84
87077 267 264 $790.91
85652 549 543 $790.60
82950 183 183 $784.79
88307 12 12 $744.00
87428 14 13 $741.57
83970 25 24 $734.24
83690 1,108 1,036 $733.26
80074 25 24 $732.59
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 14 14 $713.15
87186 199 196 $659.30
86706 80 79 $656.76
84403 27 26 $611.37
86765 135 135 $610.64
84703 1,265 1,206 $574.17
86787 209 209 $562.13
86431 95 95 $487.19
84484 1,661 1,363 $474.91
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 776 723 $459.36
83520 32 32 $450.84
86618 37 35 $429.86
87522 Neg quan hep c or qual rna 12 12 $404.90
84100 444 357 $401.04
90707 15 15 $376.50
90620 14 14 $351.40
82784 40 39 $297.60
85018 405 387 $291.53
84550 99 95 $282.52
91320 36 36 $274.36
84146 14 13 $251.94
82248 49 42 $220.88
90700 12 12 $214.20
85730 427 399 $209.17
82962 186 180 $200.10
86800 13 13 $190.92
84156 96 84 $173.89
90480 42 42 $164.00
86376 12 12 $160.05
87070 41 40 $129.30
87040 350 287 $122.72
83605 532 462 $92.85
81025 55 53 $66.89
85379 170 167 $61.08
82805 32 25 $48.68
83615 12 12 $37.86
82550 17 15 $32.55
85045 13 13 $7.98
J1885 Injection, ketorolac tromethamine, per 15 mg 913 829 $4.20
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 373 303 $1.98
J0690 Injection, cefazolin sodium, 500 mg 474 393 $0.00
3079F 405 400 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 56 55 $0.00
3008F 2,263 2,256 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 766 686 $0.00
96376 481 287 $0.00
J7050 Infusion, normal saline solution, 250 cc 276 183 $0.00
3074F 1,796 1,759 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 887 854 $0.00
J1170 Injection, hydromorphone, up to 4 mg 284 239 $0.00
J2704 Injection, propofol, 10 mg 943 924 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 305 273 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 165 155 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 1,076 1,045 $0.00
J1815 Injection, insulin, per 5 units 122 65 $0.00
C1769 Guide wire 56 53 $0.00
3044F 186 185 $0.00
3075F 28 28 $0.00
70498 12 12 $0.00
J2060 Injection, lorazepam, 2 mg 33 29 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 27 27 $0.00
84132 15 13 $0.00
3078F 1,326 1,305 $0.00
J7030 Infusion, normal saline solution , 1000 cc 1,761 1,466 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 1,314 1,200 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,435 1,274 $0.00
90472 Immunization administration, each additional vaccine (list separately) 35 34 $0.00
J1644 Injection, heparin sodium, per 1000 units 153 115 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 138 136 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 63 60 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 446 393 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,308 1,238 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 495 387 $0.00
G9920 Screening performed and negative 91 91 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 94 92 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 28 27 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 26 26 $0.00
J3370 Injection, vancomycin hcl, 500 mg 22 14 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 53 29 $0.00