Physician
Upstate Dermatology, PC
Upstate Dermatology, PC was paid $3.96M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 10040, — 31% of everything it billed.
33Billing provider infoUPSTATE DERMATOLOGY, PC
CASTLETON, NY 12033
CASTLETON, NY 12033
33aNPI1609826163assigned 05/12/2006
33bProvider typeDermatology Physician
28Total paid$3.96M
24GClaims40,726
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dermatology Physician providers in New York
Rank by total paid#22 of 349
Median peer was paid$26K
This provider vs. median155×
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 | 5,704 | $551K | |
| 2019 | 6,329 | $631K | |
| 2020 | 5,098 | $487K | |
| 2021 | 7,315 | $735K | |
| 2022 | 6,946 | $659K | |
| 2023 | 5,382 | $501K | |
| 2024incomplete | 3,952 | $391K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 10040 | 31% | 11,011 | 7,967 | $1.22M | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 15,107 | 14,463 | $1.19M |
| 96920 | 13% | 3,376 | 875 | $519K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 10% | 3,900 | 3,897 | $410K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 4.2% | 1,669 | 1,637 | $165K |
| 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 | 3.4% | 1,232 | 1,184 | $135K |
| 96910 | 3.0% | 1,111 | 283 | $120K | |
| 17110 | 2.1% | 801 | 763 | $84K | |
| 11100 | <1% | 291 | 285 | $28K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 116 | 114 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 322 | 313 | $17K |
| 11104 | <1% | 127 | 127 | $15K |
10 more codes
| 88312 | <1% | 81 | $13K | |
| 96931 | <1% | 66 | $11K | |
| 96921 | <1% | 66 | $9K | |
| 11102 | <1% | 54 | $5K | |
| 11101 | <1% | 45 | $2K | |
| 17000 | <1% | 27 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 15 | $1K |
| 99441 | <1% | 16 | $447.04 | |
| G8482 | Influenza immunization administered or previously received | 0% | 333 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 960 | $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 officialGREGORY, ANTHONY (PRESIDENT)