Medicaid Provider Spending

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

OAK ORCHARD COMMUNITY HEALTH CENTER INC.

NPI: 1598707812 · BROCKPORT, NY 14420 · Community Health Clinic/Center · NPI assigned 06/12/2006

$16.93M
Total Medicaid Paid
436,651
Total Claims
243,232
Beneficiaries
117
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKINTER, KAREN (CEO)
NPI Enumeration Date06/12/2006

Related Entities

Other providers sharing the same authorized official: KINTER, KAREN

ProviderCityStateTotal Paid
REGIONAL HEALTH REACH INC. ROCHESTER NY $391K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 43,673 $1.85M
2019 52,321 $2.08M
2020 55,238 $1.55M
2021 62,223 $1.78M
2022 43,600 $2.14M
2023 97,162 $3.90M
2024 82,434 $3.64M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 136,863 75,705 $5.96M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 73,607 36,578 $3.46M
90834 Psychotherapy, 45 minutes with patient 21,169 9,844 $1.63M
D1110 Prophylaxis - adult 21,065 10,064 $852K
D0120 Periodic oral evaluation - established patient 11,841 7,707 $391K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13,469 4,822 $388K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16,039 4,381 $364K
90460 Immunization administration through 18 years of age via any route, first or only component 12,512 12,184 $266K
90837 Psychotherapy, 53 minutes with patient 2,992 1,386 $264K
D1120 Prophylaxis - child 7,921 3,873 $249K
90832 Psychotherapy, 30 minutes with patient 3,625 1,938 $241K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7,931 2,838 $231K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,604 1,757 $213K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9,250 2,235 $205K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,592 1,546 $174K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,952 1,364 $166K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,370 1,266 $164K
D0330 Panoramic radiographic image 4,318 1,892 $137K
D0150 Comprehensive oral evaluation - new or established patient 3,320 2,173 $112K
90791 Psychiatric diagnostic evaluation 1,246 699 $110K
96127 21,075 16,499 $97K
D0140 Limited oral evaluation - problem focused 2,335 1,551 $84K
D0274 Bitewings - four radiographic images 3,279 1,718 $76K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 4,929 3,144 $75K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,193 673 $68K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1,524 875 $65K
99443 1,340 645 $61K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,316 1,552 $56K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,152 3,274 $55K
92340 Fitting of spectacles, except for aphakia; monofocal 672 599 $55K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 788 745 $50K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,119 5,069 $50K
D7140 Extraction, erupted tooth or exposed root 890 495 $46K
D0220 Intraoral - periapical first radiographic image 1,829 738 $41K
V2020 Frames, purchases 1,582 1,534 $40K
D1206 Topical application of fluoride varnish 1,218 1,195 $34K
90686 3,887 2,943 $33K
99442 1,028 614 $31K
99215 Prolong outpt/office vis 551 249 $25K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 502 210 $25K
D0210 Intraoral - complete series of radiographic images 568 338 $19K
D1208 Topical application of fluoride, excluding varnish 1,169 1,169 $17K
94760 1,116 392 $17K
D0272 Bitewings - two radiographic images 1,031 591 $16K
99441 527 328 $14K
99406 956 364 $14K
90472 Immunization administration, each additional vaccine (list separately) 853 850 $13K
90847 Family psychotherapy with the patient present, 50 minutes 186 80 $13K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 254 150 $13K
D9995 359 180 $11K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 394 258 $10K
36415 Collection of venous blood by venipuncture 1,564 1,381 $10K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 177 118 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 346 124 $8K
92551 878 857 $8K
98968 144 45 $7K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 121 43 $6K
0012A 173 172 $6K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 107 84 $6K
99188 679 549 $6K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 359 155 $5K
99205 Prolong outpt/office vis 70 28 $5K
90682 80 80 $5K
0011A 157 156 $4K
D1351 Sealant - per tooth 112 27 $4K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 61 40 $4K
99384 83 46 $3K
99383 75 44 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 102 39 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 48 24 $2K
T1013 Sign language or oral interpretive services, per 15 minutes 117 107 $2K
D0190 49 25 $2K
0002A 41 40 $2K
D1330 760 685 $2K
T2022 Case management, per month 13 13 $1K
90715 62 62 $1K
99000 333 305 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 119 88 $1K
0071A 27 27 $988.10
0001A 24 24 $928.74
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 47 43 $878.38
90656 422 421 $818.72
V2784 Lens, polycarbonate or equal, any index, per lens 1,340 646 $750.00
99408 215 201 $611.85
82948 54 13 $593.62
99051 42 26 $589.62
96110 Developmental screening, with scoring and documentation, per standardized instrument 155 148 $577.81
83036 Hemoglobin; glycosylated (A1C) 236 233 $562.14
83655 73 69 $550.50
90685 130 104 $488.24
0072A 12 12 $476.43
99173 764 762 $312.51
90734 114 104 $244.38
G8510 Screening for depression is documented as negative, a follow-up plan is not required 24 24 $234.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 16 15 $230.86
90670 256 247 $226.32
90648 225 216 $192.43
86580 15 12 $180.11
90688 75 71 $173.86
90633 164 153 $163.44
82465 28 28 $117.28
90723 103 90 $108.96
85018 63 63 $79.48
80061 Lipid panel 13 13 $70.11
81002 117 113 $59.09
90461 199 199 $58.66
84703 13 13 $16.69
3078F 46 45 $0.00
90710 12 12 $0.00
3074F 131 125 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 93 85 $0.00
90651 165 165 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 12 12 $0.00
90680 49 49 $0.00
D4999 12 12 $0.00
3079F 13 12 $0.00
90619 14 14 $0.00