Agency
Syracuse Model Neighborhood Facility, INC
Syracuse Model Neighborhood Facility, INC was paid $1.69M by Medicaid between Jan 2018 and Apr 2022, across 27 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 38% of everything it billed.
33Billing provider infoSYRACUSE MODEL NEIGHBORHOOD FACILITY, INC
SYRACUSE, NY 13204
SYRACUSE, NY 13204
33aNPI1871710038assigned 04/19/2007
33bProvider typePublic Health or Welfare Agency
28Total paid$1.69M
24GClaims46,218
24DCodes billed27
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers
Next to other Public Health or Welfare Agency providers in New York
Rank by total paid#8 of 41
Median peer was paid$114K
This provider vs. median15×
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 | 11,823 | $352K | |
| 2019 | 9,849 | $328K | |
| 2020 | 10,650 | $449K | |
| 2021 | 11,099 | $450K | |
| 2022 | 2,797 | $114K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 38% | 8,067 | 3,794 | $636K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 4,153 | 2,027 | $347K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 14% | 3,422 | 1,370 | $243K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 7.8% | 4,549 | 4,501 | $132K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 5.9% | 4,549 | 4,499 | $100K |
| 99385 | 3.4% | 1,040 | 339 | $58K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.8% | 1,997 | 1,959 | $30K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.5% | 2,085 | 2,076 | $25K |
| 88142 | 1.4% | 865 | 865 | $23K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 260 | 142 | $22K |
| 86703 | 1.1% | 1,825 | 1,822 | $18K | |
| 81025 | <1% | 5,807 | 5,657 | $16K |
15 more codes
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 25 | $10K |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 318 | $8K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 41 | $7K |
| 99406 | <1% | 147 | $6K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 204 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 431 | $3K |
| 87210 | <1% | 3,484 | $2K | |
| S4993 | Contraceptive pills for birth control | <1% | 169 | $2K |
| 85018 | <1% | 1,505 | $780.43 | |
| 81002 | <1% | 567 | $234.00 | |
| 86780 | <1% | 446 | $205.02 | |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | <1% | 101 | $144.85 |
| 99051 | <1% | 13 | $131.19 | |
| 87088 | <1% | 131 | $18.35 | |
| 86803 | 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 officialSCHROEDER, SAMANTHA (DIRECTOR OF FINANCIAL OPERATIONS)