Hudson Headwaters Health Network
Hudson Headwaters Health Network was paid $3.40M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
GLENS FALLS, NY 12801
Next to other Federally Qualified Health Center (FQHC) providers in New York
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 11,131 | $450K | |
| 2019 | 15,181 | $618K | |
| 2020 | 14,030 | $548K | |
| 2021 | 10,235 | $404K | |
| 2022 | 9,496 | $269K | |
| 2023 | 23,108 | $646K | |
| 2024incomplete | 15,508 | $462K |
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 | 63% | 59,871 | 38,843 | $2.14M |
| 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 | 30% | 25,428 | 19,831 | $1.03M |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 4.9% | 10,098 | 3,595 | $165K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 875 | 864 | $22K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 327 | 232 | $16K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 445 | 222 | $5K |
| 99442 | <1% | 121 | 106 | $5K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 64 | 53 | $3K |
| 99443 | <1% | 58 | 49 | $2K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 103 | 49 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | 12 | $775.51 |
| 87428 | <1% | 12 | 12 | $259.92 |
4 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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.