Physician
Irongate Family Practice Associates PLLC
Irongate Family Practice Associates PLLC was paid $1.30M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.
33Billing provider infoIRONGATE FAMILY PRACTICE ASSOCIATES PLLC
GLENS FALLS, NY 12801
GLENS FALLS, NY 12801
33aNPI1851326326assigned 07/12/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.30M
24GClaims21,857
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#103 of 2,605
Median peer was paid$10K
This provider vs. median129×
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 | 1,997 | $111K | |
| 2019 | 2,792 | $174K | |
| 2020 | 3,375 | $193K | |
| 2021 | 2,997 | $195K | |
| 2022 | 4,174 | $259K | |
| 2023 | 4,545 | $252K | |
| 2024incomplete | 1,977 | $119K |
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 | 72% | 12,930 | 11,936 | $943K |
| 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 | 23% | 2,870 | 2,700 | $300K |
| 80053 | Comprehensive metabolic panel | <1% | 989 | 977 | $9K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 938 | 923 | $7K |
| 99441 | <1% | 126 | 118 | $7K | |
| 90688 | <1% | 322 | 322 | $6K | |
| 80061 | Lipid panel | <1% | 457 | 457 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 476 | 471 | $4K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 543 | 543 | $4K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 342 | 341 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 94 | 90 | $3K |
| G0008 | Administration of influenza virus vaccine | <1% | 80 | 80 | $3K |
15 more codes
| 99050 | <1% | 364 | $2K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 126 | $2K |
| 90686 | <1% | 88 | $2K | |
| 99051 | <1% | 199 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 26 | $1K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 52 | $686.40 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 24 | $314.56 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 13 | $164.02 |
| 90656 | <1% | 12 | $116.47 | |
| 96127 | <1% | 15 | $65.25 | |
| 1036F | 0% | 617 | $0.00 | |
| 3074F | 0% | 32 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 12 | $0.00 |
| 99072 | 0% | 93 | $0.00 | |
| 3078F | 0% | 17 | $0.00 |
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 officialEMBLIDGE, CRAIG (PRESIDENT)