Physician
Carondelet Regional Medical, PC
Carondelet Regional Medical, PC was paid $1.05M by Medicaid between Jul 2019 and Dec 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoCARONDELET REGIONAL MEDICAL, PC
BROADALBIN, NY 12025
BROADALBIN, NY 12025
33aNPI1861939944assigned 01/26/2017
33bProvider typeFamily Medicine Physician
28Total paid$1.05M
24GClaims16,329
24DCodes billed14
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#121 of 2,605
Median peer was paid$10K
This provider vs. median104×
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 | |
|---|---|---|---|
| 2019 | 1,191 | $74K | |
| 2020 | 3,249 | $206K | |
| 2021 | 2,674 | $240K | |
| 2022 | 2,654 | $207K | |
| 2023 | 4,196 | $203K | |
| 2024incomplete | 2,365 | $122K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 57% | 5,976 | 5,570 | $602K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 5,777 | 5,334 | $432K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.0% | 142 | 142 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 145 | 145 | $2K |
| 90658 | <1% | 90 | 90 | $1K | |
| 90688 | <1% | 77 | 77 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | 13 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 15 | 15 | $369.01 |
| 90686 | <1% | 13 | 13 | $135.60 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 298 | 294 | $1.35 |
| 3079F | 0% | 26 | 26 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 14 | 13 | $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 officialMARSH, RONALD (PRESIDENT)