Physician
Glens Falls Pediatric Consultants, PC
Glens Falls Pediatric Consultants, PC was paid $7.95M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoGLENS FALLS PEDIATRIC CONSULTANTS, PC
GLENS FALLS, NY 12801
GLENS FALLS, NY 12801
33aNPI1598720369assigned 04/17/2006
33bProvider typePediatrics Physician
28Total paid$7.95M
24GClaims155,378
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#32 of 1,983
Median peer was paid$17K
This provider vs. median469×
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 | 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 | |
| 2024incomplete | 21,163 | $1.23M |
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 | 45% | 49,810 | 46,207 | $3.55M |
| 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 | 19% | 14,887 | 14,350 | $1.53M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.2% | 7,085 | 7,081 | $653K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.2% | 6,200 | 6,198 | $570K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.6% | 21,470 | 21,422 | $525K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.9% | 3,079 | 3,079 | $308K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.8% | 3,489 | 3,474 | $299K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.6% | 2,883 | 2,832 | $130K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 7,402 | 3,639 | $110K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 824 | 805 | $66K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 2,027 | 1,987 | $60K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 931 | 913 | $46K |
46 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,184 | $25K |
| 87081 | <1% | 2,705 | $18K | |
| 96127 | <1% | 3,607 | $15K | |
| 17110 | <1% | 135 | $15K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 2,898 | $11K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 26 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 345 | $4K |
| 83655 | <1% | 363 | $4K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,724 | $3K |
| 85018 | <1% | 969 | $2K | |
| 80061 | Lipid panel | <1% | 125 | $2K |
| 90461 | <1% | 30 | $1K | |
| 99381 | <1% | 14 | $1K | |
| 87634 | <1% | 16 | $1K | |
| 81002 | <1% | 315 | $981.93 | |
| 82947 | <1% | 186 | $671.60 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 176 | $438.68 |
| 0071A | <1% | 16 | $400.00 | |
| 0072A | <1% | 15 | $375.00 | |
| 99050 | <1% | 36 | $319.86 | |
| 99000 | <1% | 2,250 | $241.80 | |
| 90473 | <1% | 34 | $230.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 15 | $207.32 |
| 94760 | <1% | 1,333 | $86.83 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 15 | $36.42 |
| 99174 | <1% | 2,388 | $20.91 | |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 15 | $15.00 |
| 90686 | 0% | 7,362 | $0.00 | |
| 90656 | 0% | 517 | $0.00 | |
| 90647 | 0% | 887 | $0.00 | |
| 90723 | 0% | 924 | $0.00 | |
| 90677 | 0% | 64 | $0.00 | |
| 90651 | 0% | 262 | $0.00 | |
| 90660 | 0% | 16 | $0.00 | |
| 1036F | 0% | 36 | $0.00 | |
| 90696 | 0% | 39 | $0.00 | |
| 91307 | 0% | 28 | $0.00 | |
| 90670 | 0% | 1,945 | $0.00 | |
| 90633 | 0% | 266 | $0.00 | |
| 90734 | 0% | 394 | $0.00 | |
| 90681 | 0% | 135 | $0.00 | |
| 90715 | 0% | 79 | $0.00 | |
| 90671 | 0% | 254 | $0.00 | |
| 90672 | 0% | 98 | $0.00 | |
| 90710 | 0% | 38 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 12 | $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.
From NPPES
Who's on the registration
Authorized officialBETHEL, COLLEEN (PRACTICE MANAGER)