Upstate Medical Anesthesiology Group, INC.

Upstate Medical Anesthesiology Group, INC. was paid $2.19M by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 00170, Anesthesia for intraoral procedures, including biopsy — 72% of everything it billed.

33Billing provider infoUPSTATE MEDICAL ANESTHESIOLOGY GROUP, INC.
SYRACUSE, NY 13210

33aNPI1851485759assigned 10/03/2006

33bProvider typeGeneral Acute Care Hospital

28Total paid$2.19M

24GClaims7,835

24DCodes billed15

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Acute Care Hospital providers in New York

Rank by total paid#105 of 231

Median peer was paid$561K

This provider vs. median3.9×

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	548	$85K
2019	834	$151K
2020	1,152	$316K
2021	1,329	$424K
2022	1,129	$350K
2023	1,650	$488K
2024incomplete	1,193	$379K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
00170	Anesthesia for intraoral procedures, including biopsy	72%	3,926	3,919	$1.58M
01922		11%	590	573	$252K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.4%	2,162	2,152	$162K
00920		2.8%	253	253	$61K
01810		1.4%	128	128	$32K
01830		1.3%	107	107	$29K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.1%	242	242	$25K
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	<1%	182	181	$21K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	81	81	$13K
01400		<1%	12	12	$4K
00731		<1%	16	16	$4K
99441		<1%	62	61	$3K

3 more codes

99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	41	$2K
99442		<1%	18	$854.53
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	15	$136.00

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 officialTHOMAS, P (INTERIM CHAIR)