Medicaid Provider Spending

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

GLENS FALLS PEDIATRIC CONSULTANTS, PC

NPI: 1598720369 · GLENS FALLS, NY 12801 · Pediatrics Physician · NPI assigned 04/17/2006

$7.95M
Total Medicaid Paid
155,378
Total Claims
147,034
Beneficiaries
58
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBETHEL, COLLEEN (PRACTICE MANAGER)
NPI Enumeration Date04/17/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,989 $449K
2019 15,654 $739K
2020 24,043 $1.14M
2021 27,954 $1.44M
2022 30,867 $1.52M
2023 25,708 $1.43M
2024 21,163 $1.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 49,810 46,207 $3.55M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,887 14,350 $1.53M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7,085 7,081 $653K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,200 6,198 $570K
90460 Immunization administration through 18 years of age via any route, first or only component 21,470 21,422 $525K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,079 3,079 $308K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,489 3,474 $299K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,883 2,832 $130K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 7,402 3,639 $110K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 824 805 $66K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,027 1,987 $60K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 931 913 $46K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,184 2,181 $25K
87081 2,705 2,664 $18K
96127 3,607 3,606 $15K
17110 135 91 $15K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,898 2,857 $11K
99215 Prolong outpt/office vis 26 26 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 345 340 $4K
83655 363 362 $4K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,724 1,724 $3K
85018 969 967 $2K
80061 Lipid panel 125 125 $2K
90461 30 30 $1K
99381 14 14 $1K
87634 16 16 $1K
81002 315 308 $981.93
82947 186 186 $671.60
96110 Developmental screening, with scoring and documentation, per standardized instrument 176 176 $438.68
0071A 16 16 $400.00
0072A 15 15 $375.00
99050 36 36 $319.86
99000 2,250 2,194 $241.80
90473 34 34 $230.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 15 14 $207.32
94760 1,333 1,294 $86.83
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 15 14 $36.42
99174 2,388 2,388 $20.91
A7015 Aerosol mask, used with dme nebulizer 15 14 $15.00
90686 7,362 7,361 $0.00
90656 517 517 $0.00
90647 887 887 $0.00
90723 924 924 $0.00
90677 64 64 $0.00
90651 262 262 $0.00
90660 16 16 $0.00
1036F 36 36 $0.00
90696 39 39 $0.00
91307 28 28 $0.00
90670 1,945 1,945 $0.00
90633 266 266 $0.00
90734 394 394 $0.00
90681 135 135 $0.00
90715 79 79 $0.00
90671 254 254 $0.00
90672 98 98 $0.00
90710 38 38 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 12 12 $0.00