Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › West Coxsackie › NPI 1578500153
Physician

Spear, Alison

Spear, Alison was paid $313K by Medicaid between Mar 2021 and Sep 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.

33Billing provider infoSPEAR, ALISON
WEST COXSACKIE, NY 12192
33aNPI1578500153assigned 06/01/2006
28Total paid$313K
24GClaims9,751
24DCodes billed9
24AFirst – last monthMar 2021 – Sep 2024
Compared with peers

Next to other Emergency Medicine Physician providers in New York

Rank by total paid#91 of 2,113
Median peer was paid$5K
This provider vs. median69×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20212,706$67K
20223,037$99K
20233,333$113K
2024incomplete675$34K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 46% 4,554 4,320 $142K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 31% 2,027 2,027 $97K
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% 1,266 1,239 $51K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2.2% 200 200 $7K
99051 2.1% 1,004 974 $7K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1.6% 94 83 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 65 64 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 380 373 $1K
81003 <1% 161 159 $236.35

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.