Medicaid Provider Spending

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

SAMARITAN HOSPITAL OF TROY, NEW YORK

NPI: 1538606181 · TROY, NY 12180 · Internal Medicine Physician · NPI assigned 01/20/2017

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

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

$9.83M
Total Medicaid Paid
178,690
Total Claims
169,489
Beneficiaries
100
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialKNOWLES, COURTNEY (CREDENTIALING MANAGER)
Parent OrganizationSAMARITAN HOSPITAL OF TROY, NEW YORK
NPI Enumeration Date01/20/2017

Related Entities

Other providers sharing the same authorized official: KNOWLES, COURTNEY

ProviderCityStateTotal Paid
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY ALBANY NY $7.54M
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
2018 8,617 $317K
2019 34,873 $1.89M
2020 44,123 $2.68M
2021 35,553 $2.25M
2022 42,998 $2.14M
2023 10,994 $494K
2024 1,532 $55K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 80,480 75,594 $5.96M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33,225 31,665 $1.69M
90460 Immunization administration through 18 years of age via any route, first or only component 5,883 5,779 $282K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,867 3,860 $267K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,827 3,550 $243K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,459 3,455 $240K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,054 2,052 $162K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,798 1,793 $139K
90461 1,827 1,826 $121K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 884 884 $74K
99233 Prolong inpt eval add15 m 905 490 $60K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 31 31 $53K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 807 805 $51K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,161 2,149 $47K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 378 378 $47K
99223 Prolong inpt eval add15 m 349 348 $41K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 577 468 $36K
99222 Initial hospital care, per day, moderate complexity 458 443 $32K
99215 Prolong outpt/office vis 277 270 $31K
76819 Fetal biophysical profile; without non-stress testing 542 368 $28K
99232 Subsequent hospital care, per day, moderate complexity 616 240 $26K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 174 169 $21K
90686 3,069 3,065 $17K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 310 257 $16K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 143 135 $16K
99406 1,696 1,658 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 822 464 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,041 1,017 $10K
81025 1,481 1,449 $9K
20610 186 171 $6K
99218 116 103 $6K
90682 81 81 $5K
99238 Hospital discharge day management, 30 minutes or less 66 65 $4K
90472 Immunization administration, each additional vaccine (list separately) 154 154 $4K
99460 43 43 $4K
96127 1,034 1,004 $3K
0011A 59 59 $3K
0072A 59 59 $3K
99443 37 33 $3K
0012A 54 54 $3K
76813 43 41 $3K
76801 43 40 $3K
0071A 48 48 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 82 81 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 94 94 $2K
0002A 38 38 $2K
99239 Hospital discharge day management, more than 30 minutes 27 27 $2K
81003 1,155 1,144 $2K
87428 76 75 $2K
87210 422 412 $2K
83036 Hemoglobin; glycosylated (A1C) 235 235 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 55 26 $1K
83655 131 131 $1K
99050 149 148 $1K
0001A 39 39 $1K
59025 Fetal non-stress test 43 33 $1K
0124A 20 20 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 72 71 $1K
99221 37 37 $1K
80061 Lipid panel 102 102 $728.56
99442 13 12 $532.62
92551 68 68 $521.96
G0444 Annual depression screening, 5 to 15 minutes 41 41 $382.10
85018 200 200 $360.44
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 97 95 $334.09
81002 136 134 $330.58
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 65 65 $309.32
36415 Collection of venous blood by venipuncture 491 484 $260.82
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 25 25 $228.52
90651 55 55 $227.93
85025 Blood count; complete (CBC), automated, and automated differential WBC count 45 45 $165.97
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 13 13 $153.56
90715 74 74 $102.84
99051 106 106 $59.63
94761 20 20 $5.00
90670 878 875 $0.00
3078F 6,023 5,880 $0.00
3077F 66 65 $0.00
90633 176 176 $0.00
90734 201 201 $0.00
90648 39 39 $0.00
90710 27 27 $0.00
87400 44 22 $0.00
91300 75 56 $0.00
99173 16 16 $0.00
3074F 5,532 5,385 $0.00
3079F 1,574 1,542 $0.00
3008F 2,434 2,401 $0.00
90698 738 736 $0.00
36416 184 183 $0.00
4037F 14 14 $0.00
90744 40 40 $0.00
99024 486 321 $0.00
3080F 12 12 $0.00
91301 78 78 $0.00
90680 220 220 $0.00
3044F 201 191 $0.00
90696 28 28 $0.00
3075F 201 201 $0.00
90723 13 13 $0.00