Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UPSTATE ORTHOPEDICS, LLP

NPI: 1740228311 · EAST SYRACUSE, NY 13057 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/03/2006

$5.94M
Total Medicaid Paid
78,727
Total Claims
75,859
Beneficiaries
50
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialALBANESE, STEPHEN (ORTHOPEDIC DEPARTMENT CHAIRMAN)
NPI Enumeration Date06/03/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,447 $389K
2019 8,056 $551K
2020 9,290 $663K
2021 13,803 $1.14M
2022 15,370 $1.20M
2023 15,940 $1.20M
2024 10,821 $792K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33,871 32,637 $2.70M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 11,025 11,015 $1.17M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,894 6,670 $786K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,357 1,357 $215K
72082 2,036 1,908 $133K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,617 1,615 $117K
73630 3,085 2,866 $101K
72110 1,504 1,466 $68K
73600 1,877 1,729 $60K
72081 1,326 1,321 $53K
73030 1,537 1,436 $47K
73110 1,233 1,057 $46K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 241 240 $45K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 200 199 $43K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 804 787 $41K
73562 736 698 $33K
73564 663 607 $32K
73590 812 685 $31K
99050 3,274 3,264 $29K
99215 Prolong outpt/office vis 181 172 $27K
72170 585 574 $16K
73610 436 403 $15K
25600 43 43 $14K
99223 Prolong inpt eval add15 m 79 78 $13K
72050 276 265 $13K
73100 359 323 $12K
99221 117 117 $11K
73080 297 238 $9K
73560 221 192 $7K
20610 95 93 $6K
73130 176 162 $6K
73140 161 131 $5K
73551 108 89 $5K
J1030 Injection, methylprednisolone acetate, 40 mg 366 362 $5K
73502 101 99 $4K
99070 514 467 $4K
73070 108 93 $3K
73565 86 86 $3K
99205 Prolong outpt/office vis 13 13 $3K
72141 14 14 $3K
L1902 Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf 26 25 $2K
73090 75 68 $2K
73521 54 54 $2K
72190 41 40 $2K
L1812 Knee orthosis, elastic with joints, prefabricated, off-the-shelf 14 14 $1K
73620 26 24 $775.26
73552 24 24 $771.47
99201 15 15 $667.13
73522 12 12 $640.94
L3040 Foot, arch support, removable, premolded, longitudinal, each 12 12 $555.51