Mohawk Valley Orthopedics, P.C.

Mohawk Valley Orthopedics, P.C. was paid $1.68M by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoMOHAWK VALLEY ORTHOPEDICS, P.C.
AMSTERDAM, NY 12010

33aNPI1578577417assigned 07/28/2006

33bProvider typeSpecialist

28Total paid$1.68M

24GClaims24,409

24DCodes billed21

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Specialist providers in New York

Rank by total paid#105 of 1,221

Median peer was paid$45K

This provider vs. median37×

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	3,399	$232K
2019	3,443	$225K
2020	3,341	$199K
2021	3,512	$240K
2022	4,155	$293K
2023	4,472	$324K
2024incomplete	2,087	$168K

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	31%	8,199	7,812	$529K
73721	Magnetic resonance imaging, any joint of lower extremity; without contrast material	18%	1,170	1,130	$299K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12%	2,441	2,440	$210K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	12%	5,186	4,991	$201K
20610		7.1%	2,354	2,169	$120K
72148	Magnetic resonance imaging, lumbar spine; without contrast material	5.8%	392	392	$98K
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	5.5%	997	954	$92K
73221		3.3%	216	211	$55K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	1.5%	430	430	$25K
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	1.4%	167	167	$23K
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	1,597	1,550	$11K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	942	930	$4K

9 more codes

95886	<1%	49	$4K
72100	<1%	157	$4K
72141	<1%	13	$3K
99441	<1%	26	$594.62
72040	<1%	14	$317.78
73560	<1%	17	$279.99
73100	<1%	15	$279.93
73030	<1%	13	$249.82
73610	<1%	14	$226.33

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 officialCECIL, M.D., RUSSELL (PRESIDENT)