Herkimer County

Herkimer County was paid $2.38M by Medicaid between Jan 2019 and Sep 2024, across 18 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 49% of everything it billed.

33Billing provider infoHERKIMER COUNTY
HERKIMER, NY 13350

33aNPI1720174436assigned 10/04/2006

33bProvider typeAdult Mental Health Clinic/Center

28Total paid$2.38M

24GClaims16,612

24DCodes billed18

24AFirst – last monthJan 2019 – Sep 2024

Compared with peers

Next to other Adult Mental Health Clinic/Center providers in New York

Rank by total paid#17 of 52

Median peer was paid$560K

This provider vs. median4.3×

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
2019	2,773	$388K
2020	3,581	$506K
2021	3,872	$492K
2022	3,720	$592K
2023	2,636	$401K
2024incomplete	30	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	49%	6,547	5,348	$1.16M
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	22%	4,089	3,621	$529K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	13%	2,174	2,118	$300K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	11%	1,823	1,788	$253K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	3.9%	1,154	1,140	$94K
90792	Psychiatric diagnostic evaluation with medical services	1.1%	88	88	$27K
99402		<1%	115	114	$8K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	208	206	$4K
0012A		<1%	84	84	$2K
0011A		<1%	115	115	$1K
0072A		<1%	27	27	$1K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	39	39	$892.50

6 more codes

90686		<1%	30	$860.70
0001A		<1%	16	$640.00
90734		<1%	59	$577.44
0002A		<1%	13	$520.00
90619		<1%	13	$432.00
90472	Immunization administration, each additional vaccine (list separately)	<1%	18	$428.40

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 officialSCUDDER, EDGAR (DIRECTOR OF COMMUNITY SERVICES)