Physician
Upstate Community Medical, PC
Upstate Community Medical, PC was paid $695K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoUPSTATE COMMUNITY MEDICAL, PC
SYRACUSE, NY 13215
SYRACUSE, NY 13215
33aNPI1689620163assigned 05/26/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$695K
24GClaims9,764
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in New York
Rank by total paid#23 of 429
Median peer was paid$4K
This provider vs. median181×
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 | 725 | $45K | |
| 2019 | 794 | $57K | |
| 2020 | 1,538 | $115K | |
| 2021 | 3,020 | $215K | |
| 2022 | 1,479 | $106K | |
| 2023 | 1,566 | $108K | |
| 2024incomplete | 642 | $49K |
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 | 22% | 2,196 | 2,099 | $150K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 17% | 1,453 | 534 | $121K |
| 99221 | 17% | 1,551 | 1,514 | $117K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 17% | 2,100 | 928 | $116K |
| 99223 | Prolong inpt eval add15 m | 7.1% | 380 | 377 | $49K |
| 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 | 6.8% | 441 | 429 | $47K |
| 99239 | Hospital discharge day management, more than 30 minutes | 5.0% | 412 | 409 | $35K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.4% | 273 | 273 | $24K |
| 59025 | Fetal non-stress test | 1.3% | 229 | 142 | $9K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.1% | 87 | 87 | $8K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 64 | 64 | $6K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 199 | 92 | $6K |
8 more codes
| 99220 | <1% | 13 | $2K | |
| 90674 | <1% | 45 | $1K | |
| 99219 | <1% | 12 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 83 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 82 | $756.00 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | $753.04 |
| 81025 | <1% | 120 | $460.61 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 12 | $417.50 |
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 officialTUCKER, AMY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Interior Care Coordination LLC | Salcha, AK | $739K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.