Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Auburn › NPI 1609813971
Dental

East Hill Family Medical, INC.

East Hill Family Medical, INC. was paid $9.42M by Medicaid between Jan 2018 and Dec 2024, across 94 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.

33Billing provider infoEAST HILL FAMILY MEDICAL, INC.
AUBURN, NY 13021
33aNPI1609813971assigned 06/02/2006
28Total paid$9.42M
24GClaims211,288
24DCodes billed94
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#8 of 2,184
Median peer was paid$54K
This provider vs. median176×

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$100K$200K2018201920202021202220232024
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
201825,029$973K
201929,016$1.16M
202031,553$1.32M
202137,547$1.55M
202222,069$1.26M
202330,091$1.56M
2024incomplete35,983$1.60M
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 34% 44,322 30,471 $3.17M
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 17% 22,699 16,563 $1.64M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5.2% 7,008 5,138 $489K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 4.9% 27,559 9,189 $462K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4.1% 5,172 3,614 $385K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.2% 4,287 2,791 $304K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.6% 3,164 2,264 $249K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.6% 3,707 2,119 $245K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2.3% 2,729 2,108 $216K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2.2% 3,184 1,973 $203K
D1110 Prophylaxis - adult 2.1% 3,875 3,526 $202K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2.1% 2,551 2,040 $202K
82 more codes
D1120 Dental cleaning, child 1.5% 3,530 $146K
90837 Psychotherapy session, about an hour 1.5% 1,842 $143K
90460 Immunization administration through 18 years of age via any route, first or only component 1.3% 7,221 $124K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.2% 2,302 $112K
D0140 Limited oral evaluation - problem focused 1.1% 5,133 $102K
D0220 Intraoral - periapical first radiographic image 1.0% 6,654 $94K
90834 Psychotherapy session, about 45 minutes <1% 1,400 $93K
D0274 Bitewings - four radiographic images <1% 2,917 $81K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 870 $78K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 1,946 $62K
G0467 Community health center visit, returning patient <1% 4,461 $60K
99385 <1% 618 $46K
90791 Psychiatric diagnostic evaluation <1% 588 $45K
D0230 Intraoral - periapical each additional radiographic image <1% 4,380 $40K
D1206 Topical application of fluoride varnish <1% 729 $37K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 435 $35K
90832 Psychotherapy session, about 30 minutes <1% 779 $33K
90792 Psychiatric diagnostic evaluation with medical services <1% 441 $32K
D1208 Topical application of fluoride, excluding varnish <1% 2,131 $31K
D9430 <1% 409 $24K
99386 <1% 270 $18K
90686 <1% 2,689 $18K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 3,153 $17K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month <1% 336 $16K
99215 Doctor's office visit, returning patient (complex) <1% 260 $15K
99406 <1% 3,685 $13K
99204 Doctor's office visit, new patient (more involved) <1% 175 $12K
99442 <1% 312 $11K
92552 <1% 3,175 $10K
90472 Immunization administration, each additional vaccine (list separately) <1% 1,028 $9K
D0272 Bitewings - two radiographic images <1% 518 $8K
90715 <1% 199 $7K
D0210 Intraoral - complete series of radiographic images <1% 421 $7K
D4342 <1% 186 $6K
D4341 <1% 87 $6K
99490 Ccm add 20min <1% 89 $5K
D0330 Panoramic radiographic image <1% 156 $5K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 256 $4K
D2331 <1% 81 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 417 $4K
D0190 <1% 52 $4K
D7140 Extraction, erupted tooth or exposed root <1% 85 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,066 $3K
99443 <1% 85 $3K
D0150 Comprehensive oral evaluation - new or established patient <1% 128 $3K
36415 Collection of venous blood by venipuncture <1% 1,361 $3K
99441 <1% 67 $3K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 85 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 861 $2K
D9110 <1% 59 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 486 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 159 $2K
G0466 Community health center visit, new patient <1% 72 $1K
99460 <1% 12 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 1,060 $1K
81002 <1% 930 $607.94
99173 <1% 2,144 $474.91
90651 <1% 273 $440.41
99051 <1% 206 $433.13
90620 <1% 83 $375.84
81025 <1% 331 $259.78
81003 <1% 894 $244.92
80305 <1% 41 $217.46
96127 <1% 846 $214.23
90656 <1% 30 $187.78
D0270 <1% 13 $171.92
83655 <1% 77 $88.01
87807 <1% 39 $66.56
86580 <1% 14 $47.68
93000 <1% 12 $23.12
85018 <1% 80 $15.34
90670 0% 545 $0.00
90648 0% 241 $0.00
90734 0% 238 $0.00
90633 0% 124 $0.00
90685 0% 71 $0.00
90723 0% 86 $0.00
94760 0% 1,420 $0.00
90677 0% 67 $0.00
90698 0% 102 $0.00
90680 0% 181 $0.00
90744 0% 26 $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 officialMILES, APRIL (PRESIDENT/CEO)