Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › ALBANY › ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.

ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.

NPI: 1750626834 · ALBANY, NY 12208 · Nutrition Education Nutritionist · NPI assigned 11/30/2012

$6.57M
Total Medicaid Paid
184,215
Total Claims
174,387
Beneficiaries
131
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTERK, GARY (CREDENTIALING MANAGER)
Parent OrganizationST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.
NPI Enumeration Date11/30/2012

Related Entities

Other providers sharing the same authorized official: TERK, GARY

ProviderCityStateTotal Paid
SAMARITAN HOSPITAL OF TROY, NEW YORK TROY NY $132.15M
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY ALBANY NY $35.39M
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER SCHENECTADY NY $3.89M
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. TROY NY $70K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. SARATOGA SPRINGS NY $46K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. ALBANY NY $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,362 $310K
2019 11,816 $483K
2020 14,461 $577K
2021 29,157 $1.02M
2022 33,435 $1.12M
2023 49,070 $1.65M
2024 38,914 $1.40M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25,189 24,232 $2.44M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,197 10,613 $818K
74177 Computed tomography, abdomen and pelvis; with contrast material 8,099 8,029 $545K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,844 1,839 $233K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 33,994 30,406 $222K
70450 Computed tomography, head or brain; without contrast material 6,813 6,698 $205K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,141 2,021 $190K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,891 1,854 $157K
71046 Radiologic examination, chest; 2 views 17,512 17,361 $154K
77067 Screening mammography, bilateral, including computer-aided detection 4,944 4,941 $151K
77063 Screening digital breast tomosynthesis, bilateral 4,865 4,862 $116K
71045 Radiologic examination, chest; single view 17,405 15,733 $115K
76818 1,070 708 $101K
90460 Immunization administration through 18 years of age via any route, first or only component 2,246 2,156 $93K
71275 Computed tomographic angiography, chest, with contrast material 1,368 1,363 $86K
99215 Prolong outpt/office vis 734 714 $81K
93000 5,953 5,852 $68K
93975 1,314 1,301 $58K
99232 Subsequent hospital care, per day, moderate complexity 1,180 480 $49K
76641 1,373 1,244 $48K
99223 Prolong inpt eval add15 m 474 393 $47K
J0585 Injection, onabotulinumtoxina, 1 unit 40 40 $45K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 568 525 $45K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 282 282 $39K
97803 1,662 1,637 $34K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 321 299 $29K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 623 604 $26K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 256 256 $24K
74176 Computed tomography, abdomen and pelvis; without contrast material 357 352 $21K
83036 Hemoglobin; glycosylated (A1C) 2,804 2,792 $21K
76830 Ultrasound, transvaginal 646 640 $20K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 150 150 $19K
76813 198 196 $18K
99233 Prolong inpt eval add15 m 348 161 $17K
76705 Ultrasound, abdominal, real time with image documentation; limited 802 796 $16K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 146 146 $14K
72125 Computed tomography, cervical spine; without contrast material 372 367 $12K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 108 108 $11K
99205 Prolong outpt/office vis 67 67 $11K
90791 Psychiatric diagnostic evaluation 65 65 $10K
70498 161 161 $10K
90832 Psychotherapy, 30 minutes with patient 164 160 $9K
93015 153 151 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 603 597 $8K
70496 144 143 $8K
99222 Initial hospital care, per day, moderate complexity 84 76 $7K
82962 2,619 2,606 $6K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 14 14 $6K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 64 64 $6K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 52 51 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 386 384 $5K
76801 90 86 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 253 151 $5K
64615 40 40 $4K
99442 80 65 $4K
81003 2,321 2,246 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 40 40 $4K
95251 146 138 $3K
90461 94 94 $3K
90686 658 657 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 24 24 $3K
J2785 Injection, regadenoson, 0.1 mg 12 12 $3K
99221 48 47 $2K
81002 964 942 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 72 70 $2K
71260 Computed tomography, thorax, diagnostic; with contrast material 55 55 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 123 118 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 66 62 $2K
93296 92 92 $2K
99385 21 21 $2K
99407 132 122 $2K
71271 41 41 $2K
99406 97 91 $2K
80305 115 114 $1K
94664 162 161 $1K
93923 15 14 $1K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 39 39 $1K
70486 39 39 $1K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 14 14 $1K
93971 70 69 $1K
93970 37 36 $1K
99443 13 13 $1K
36415 Collection of venous blood by venipuncture 1,475 1,431 $992.68
71250 27 27 $970.70
97802 12 12 $904.28
92551 202 202 $890.99
59025 Fetal non-stress test 28 25 $853.34
93295 28 28 $842.23
0011A 20 20 $773.03
76820 18 13 $711.18
70551 Magnetic resonance imaging, brain; without contrast material 14 14 $685.42
99441 25 24 $668.64
77065 Tomosynthesis, mammo 24 24 $659.80
0012A 19 19 $592.32
96127 134 129 $563.12
94010 24 24 $540.08
81025 74 72 $535.38
90472 Immunization administration, each additional vaccine (list separately) 27 26 $521.56
94729 12 12 $404.12
94726 12 12 $380.09
73610 52 52 $337.32
99231 Subsequent hospital care, per day, straightforward or low complexity 13 12 $277.28
94060 12 12 $271.42
76536 13 13 $244.28
93016 15 15 $231.39
73630 36 36 $230.83
51798 26 26 $225.32
73130 29 26 $198.49
93018 15 15 $152.77
99152 15 15 $104.45
73564 12 12 $79.56
90656 331 331 $67.05
77080 13 13 $44.46
99173 265 265 $39.52
85018 13 13 $29.63
3078F 2,885 2,776 $0.00
3077F 125 121 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 71 64 $0.00
90648 81 81 $0.00
90633 17 17 $0.00
3074F 3,679 3,531 $0.00
3075F 407 404 $0.00
36416 515 509 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 80 69 $0.00
3008F 367 355 $0.00
90677 44 44 $0.00
3079F 795 773 $0.00
90723 64 64 $0.00
91301 16 16 $0.00
3044F 168 163 $0.00
3080F 28 27 $0.00