Capital District Podiatry, PLLC
Capital District Podiatry, PLLC was paid $438K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoCAPITAL DISTRICT PODIATRY, PLLC
TROY, NY 12180
TROY, NY 12180
33aNPI1801980016assigned 10/03/2006
33bProvider typePodiatrist
28Total paid$438K
24GClaims7,879
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Podiatrist providers in New York
Rank by total paid#31 of 605
Median peer was paid$12K
This provider vs. median37×
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 | 660 | $32K | |
| 2019 | 900 | $49K | |
| 2020 | 1,304 | $65K | |
| 2021 | 1,424 | $60K | |
| 2022 | 1,128 | $74K | |
| 2023 | 1,332 | $86K | |
| 2024incomplete | 1,131 | $73K |
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 | 36% | 2,765 | 2,580 | $158K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 29% | 1,553 | 1,553 | $128K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 17% | 2,129 | 1,999 | $75K |
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 15% | 295 | 148 | $65K |
| S0395 | Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic | 1.1% | 170 | 85 | $5K |
| 73630 | <1% | 88 | 79 | $2K | |
| G0127 | Trimming of dystrophic nails, any number | <1% | 113 | 113 | $1K |
| 99406 | <1% | 113 | 113 | $1K | |
| 11730 | <1% | 12 | 12 | $1K | |
| 99407 | <1% | 51 | 51 | $1K | |
| 11720 | <1% | 24 | 24 | $416.58 | |
| 73620 | <1% | 16 | 13 | $290.74 |
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 officialPANDYA, TEJAS (MD/OWNER)