Physician
Glens Falls Medical PLLC
Glens Falls Medical PLLC was paid $444K by Medicaid between Jan 2018 and Mar 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoGLENS FALLS MEDICAL PLLC
GLENS FALLS, NY 12801
GLENS FALLS, NY 12801
33aNPI1831607951assigned 01/11/2018
33bProvider typeSurgery Physician
28Total paid$444K
24GClaims10,767
24DCodes billed19
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Surgery Physician providers in New York
Rank by total paid#21 of 396
Median peer was paid$4K
This provider vs. median102×
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 | 1,978 | $101K | |
| 2019 | 1,716 | $74K | |
| 2020 | 1,973 | $66K | |
| 2021 | 1,788 | $70K | |
| 2022 | 1,671 | $66K | |
| 2023 | 1,317 | $54K | |
| 2024incomplete | 324 | $12K |
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 | 55% | 3,511 | 3,185 | $246K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 511 | 511 | $46K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 6.3% | 276 | 264 | $28K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.2% | 312 | 312 | $28K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.7% | 211 | 211 | $21K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.5% | 2,425 | 2,384 | $20K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.1% | 188 | 188 | $18K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 185 | 175 | $16K |
| 99443 | 2.5% | 147 | 132 | $11K | |
| 92551 | 1.7% | 1,346 | 1,346 | $8K | |
| 96127 | <1% | 326 | 326 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 74 | 36 | $1K |
7 more codes
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 officialKENNEDY, SEAN (SOLE MEMBER)