Albany Medical College
Albany Medical College was paid $7.55M by Medicaid between Jan 2018 and Nov 2024, across 116 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.
ALBANY, NY 12208
Next to other Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers in New York
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,271 | $468K | |
| 2019 | 14,440 | $877K | |
| 2020 | 19,121 | $1.07M | |
| 2021 | 25,784 | $1.57M | |
| 2022 | 26,140 | $1.77M | |
| 2023 | 26,300 | $1.73M | |
| 2024incomplete | 1,123 | $66K |
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 | 19% | 20,721 | 20,104 | $1.42M |
| 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 | 16% | 11,231 | 10,786 | $1.24M |
| 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 | 8.2% | 4,216 | 4,216 | $620K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.1% | 5,790 | 5,790 | $537K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 6.2% | 5,090 | 5,039 | $467K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.0% | 2,657 | 2,592 | $453K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 3.5% | 2,358 | 2,161 | $264K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 3.2% | 1,423 | 1,411 | $243K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.6% | 24,674 | 19,298 | $198K |
| 31231 | 2.4% | 1,195 | 1,165 | $182K | |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 2.2% | 1,391 | 1,384 | $168K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.0% | 3,014 | 1,675 | $149K |
104 more codes
| 76770 | 1.8% | 1,459 | $136K | |
| 88307 | 1.5% | 1,198 | $112K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.4% | 1,094 | $106K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.2% | 518 | $93K |
| 99205 | Prolong outpt/office vis | 1.2% | 399 | $88K |
| 99283 | Emergency room visit (moderate) | <1% | 1,044 | $74K |
| 93923 | <1% | 1,308 | $68K | |
| 93970 | <1% | 1,789 | $66K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 259 | $64K |
| 93971 | <1% | 1,831 | $59K | |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 206 | $47K |
| 31579 | <1% | 304 | $44K | |
| 31237 | <1% | 192 | $41K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,552 | $40K |
| 99223 | Prolong inpt eval add15 m | <1% | 221 | $38K |
| 00731 | <1% | 204 | $37K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 504 | $35K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 283 | $30K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 302 | $30K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 551 | $24K |
| 95251 | <1% | 655 | $24K | |
| 92567 | <1% | 1,441 | $20K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,784 | $20K |
| 59025 | Fetal non-stress test | <1% | 490 | $20K |
| 88342 | <1% | 422 | $19K | |
| 97803 | <1% | 635 | $18K | |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 141 | $18K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 234 | $17K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 117 | $16K |
| 31575 | <1% | 147 | $15K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 136 | $15K |
| 92504 | <1% | 580 | $14K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 707 | $13K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 420 | $11K |
| 99221 | <1% | 149 | $10K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 102 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 64 | $7K |
| 69210 | <1% | 195 | $7K | |
| 94010 | <1% | 199 | $6K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 46 | $5K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 61 | $5K |
| 96112 | <1% | 38 | $5K | |
| 92557 | <1% | 145 | $4K | |
| 88304 | <1% | 323 | $4K | |
| 99443 | <1% | 35 | $4K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 38 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 57 | $4K |
| 99442 | <1% | 44 | $3K | |
| 81002 | <1% | 1,168 | $3K | |
| 92551 | <1% | 258 | $3K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 20 | $3K |
| 76825 | <1% | 12 | $3K | |
| 00920 | <1% | 14 | $3K | |
| 99236 | Prolong inpt eval add15 m | <1% | 12 | $3K |
| 88141 | <1% | 165 | $3K | |
| 84165 | <1% | 159 | $3K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 25 | $2K |
| 51798 | <1% | 237 | $2K | |
| 99441 | <1% | 43 | $2K | |
| 90686 | <1% | 1,389 | $2K | |
| 99051 | <1% | 236 | $2K | |
| 92015 | Determination of refractive state | <1% | 305 | $2K |
| 72082 | <1% | 49 | $2K | |
| 51741 | <1% | 114 | $1K | |
| 46600 | <1% | 12 | $1K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 14 | $1K |
| 88112 | <1% | 42 | $1K | |
| 88189 | <1% | 14 | $1K | |
| 88173 | <1% | 12 | $880.44 | |
| 95816 | <1% | 13 | $787.15 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 134 | $630.00 |
| 92556 | <1% | 18 | $548.87 | |
| 92552 | <1% | 18 | $459.24 | |
| 86334 | <1% | 31 | $457.98 | |
| 81000 | <1% | 97 | $332.70 | |
| 99188 | <1% | 26 | $332.28 | |
| 93325 | <1% | 12 | $259.87 | |
| 99152 | <1% | 27 | $250.28 | |
| 95117 | <1% | 21 | $241.08 | |
| 85018 | <1% | 82 | $209.32 | |
| 93000 | <1% | 12 | $163.13 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 16 | $112.50 |
| 96161 | <1% | 27 | $69.25 | |
| 96127 | <1% | 14 | $67.48 | |
| 96160 | <1% | 14 | $39.20 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 476 | $23.14 |
| 99173 | <1% | 766 | $3.08 | |
| 94760 | <1% | 119 | $2.35 | |
| 90670 | 0% | 142 | $0.00 | |
| 90461 | 0% | 516 | $0.00 | |
| 1159F | 0% | 41 | $0.00 | |
| 3078F | 0% | 21 | $0.00 | |
| 36416 | 0% | 104 | $0.00 | |
| 99024 | 0% | 2,682 | $0.00 | |
| 90680 | 0% | 55 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 635 | $0.00 |
| 94762 | 0% | 13 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 160 | $0.00 |
| 90647 | 0% | 44 | $0.00 | |
| 90723 | 0% | 62 | $0.00 | |
| 1000F | 0% | 17 | $0.00 | |
| 3008F | 0% | 35 | $0.00 | |
| 3074F | 0% | 16 | $0.00 | |
| 2000F | 0% | 30 | $0.00 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Albany Medical College | West Coxsackie, NY | $16.49M |
| Albany Medical College | Albany, NY | $6.64M |
| Albany Medical College | Albany, NY | $5.02M |
| Albany Medical College | Albany, NY | $1.56M |
| Albany Medical College | Albany, NY | $1.20M |
| Albany Medical College | Albany, NY | $811K |
| Albany Medical College | Albany, NY | $583K |
| Albany Medical College | Albany, NY | $319K |
| Albany Medical College | Albany, NY | $317K |
| Albany Medical College | Albany, NY | $234K |
| Albany Medical College | Albany, NY | $190K |
| Albany Medical College | Albany, NY | $182K |
| Albany Medical College | Glenmont, NY | $80K |
| Albany Medical College | Glenville, NY | $76K |
| Albany Medical College | Schenectady, NY | $66K |
| Albany Medical College | Albany, NY | $31K |
| Albany Medical College | Albany, NY | $31K |
| Albany Medical College | Albany, NY | $12K |
| Albany Medical College | Albany, NY | $6K |
| Albany Medical College | Albany, NY | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.