SETON HEALTH SYSTEM, INC

NPI: 1811982911 · TROY, NY 12180 · Family Medicine Physician · NPI assigned 09/14/2005

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official KNOWLES, COURTNEY controls 20+ related entities in our dataset. Read more

$129K

Total Medicaid Paid

4,425

Total Claims

3,871

Beneficiaries

Codes Billed

2018-01

First Month

2018-12

Last Month

Provider Details

Authorized Official	KNOWLES, COURTNEY (CREDENTIALING MANAGER)
NPI Enumeration Date	09/14/2005

Other providers sharing the same authorized official: KNOWLES, COURTNEY

Provider	City	State	Total Paid
SAMARITAN HOSPITAL OF TROY, NEW YORK	TROY	NY	$9.83M
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY	ALBANY	NY	$7.54M
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY	ALBANY	NY	$3.78M
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY	COHOES	NY	$1.08M
ST. PETER'S HOSPITALOF THE CITY OF ALBANY	ALBANY	NY	$874K
SAMARITAN HOSPITAL OF TROY, NEW YORK	TROY	NY	$707K
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY	ALBANY	NY	$694K
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY	LATHAM	NY	$574K
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY	SCHENECTADY	NY	$525K
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY	ALBANY	NY	$504K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.	SLINGERLANDS	NY	$467K
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY	SARATOGA SPRINGS	NY	$280K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.	TROY	NY	$174K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.	ALBANY	NY	$153K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.	ALBANY	NY	$148K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.	ALBANY	NY	$134K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.	ALBANY	NY	$81K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.	ALBANY	NY	$73K
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY	SLINGERLANDS	NY	$58K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.	RENSSELAER	NY	$57K

Year	Claims	Total Paid
2018	4,425	$129K

Code	Description	Claims	Beneficiaries	Total Paid
77067	Screening mammography, bilateral, including computer-aided detection	369	369	$35K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	799	789	$30K
76830	Ultrasound, transvaginal	159	159	$10K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	151	151	$8K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	131	130	$7K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	96	96	$7K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	191	191	$6K
76641		177	176	$6K
77063	Screening digital breast tomosynthesis, bilateral	361	361	$5K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	59	49	$4K
76801		62	59	$3K
77066	Tomosynthesis, mammo	25	25	$2K
85610		346	169	$1K
93975		19	19	$1K
71046	Radiologic examination, chest; 2 views	164	164	$1K
76705	Ultrasound, abdominal, real time with image documentation; limited	25	25	$1K
77062		12	12	$900.12
94760		591	589	$34.52
S9401	Anticoagulation clinic, inclusive of all services except laboratory tests, per session	342	168	$0.00
36416		346	170	$0.00