SYRACUSE MODEL NEIGHBORHOOD FACILITY, INC
NPI: 1871710038
· SYRACUSE, NY 13204
· 251K00000X
$1.69M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,823 |
$352K |
| 2019 |
9,849 |
$328K |
| 2020 |
10,650 |
$449K |
| 2021 |
11,099 |
$450K |
| 2022 |
2,797 |
$114K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
|
8,067 |
3,794 |
$636K |
| 99213 |
|
4,153 |
2,027 |
$347K |
| 99395 |
|
3,422 |
1,370 |
$243K |
| 87591 |
|
4,549 |
4,501 |
$132K |
| 87491 |
|
4,549 |
4,499 |
$100K |
| 99385 |
|
1,040 |
339 |
$58K |
| J1050 |
Medroxyprogesterone acetate |
1,997 |
1,959 |
$30K |
| 96372 |
|
2,085 |
2,076 |
$25K |
| 88142 |
|
865 |
865 |
$23K |
| 99203 |
|
260 |
142 |
$22K |
| 86703 |
|
1,825 |
1,822 |
$18K |
| 81025 |
|
5,807 |
5,657 |
$16K |
| J7307 |
Etonogestrel implant system |
25 |
25 |
$10K |
| 87624 |
|
318 |
318 |
$8K |
| 99202 |
|
41 |
41 |
$7K |
| 99406 |
|
147 |
147 |
$6K |
| 99211 |
|
204 |
171 |
$3K |
| 36415 |
|
431 |
424 |
$3K |
| 87210 |
|
3,484 |
3,404 |
$2K |
| S4993 |
Contraceptive pills for bc |
169 |
159 |
$2K |
| 85018 |
|
1,505 |
1,499 |
$780.43 |
| 81002 |
|
567 |
564 |
$234.00 |
| 86780 |
|
446 |
444 |
$205.02 |
| J8499 |
Oral prescrip drug non chemo |
101 |
95 |
$144.85 |
| 99051 |
|
13 |
13 |
$131.19 |
| 87088 |
|
131 |
130 |
$18.35 |
| 86803 |
|
17 |
17 |
$0.00 |