Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.

NPI: 1881179646 · TROY, NY 12180 · Family Medicine Physician · NPI assigned 09/27/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official KNOWLES, COURTNEY controls 20+ related entities in our dataset. Read more

$89K
Total Medicaid Paid
2,729
Total Claims
2,588
Beneficiaries
19
Codes Billed
2019-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKNOWLES, COURTNEY (PAYER CREDENTIALING MANAGER)
Parent OrganizationST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.
NPI Enumeration Date09/27/2018

Related Entities

Other providers sharing the same authorized official: KNOWLES, COURTNEY

ProviderCityStateTotal Paid
SAMARITAN HOSPITAL OF TROY, NEW YORK TROY NY $9.83M
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY ALBANY NY $7.54M
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY ALBANY NY $3.78M
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY COHOES NY $1.08M
ST. PETER'S HOSPITALOF THE CITY OF ALBANY ALBANY NY $874K
SAMARITAN HOSPITAL OF TROY, NEW YORK TROY NY $707K
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY ALBANY NY $694K
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY LATHAM NY $574K
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY SCHENECTADY NY $525K
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY ALBANY NY $504K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. SLINGERLANDS NY $467K
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY SARATOGA SPRINGS NY $280K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. TROY NY $174K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. ALBANY NY $153K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. ALBANY NY $148K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. ALBANY NY $134K
SETON HEALTH SYSTEM, INC TROY NY $129K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. ALBANY NY $81K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. ALBANY NY $73K
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY SLINGERLANDS NY $58K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 25 $701.89
2020 16 $598.68
2021 313 $25K
2022 695 $16K
2023 965 $25K
2024 715 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 388 368 $29K
74177 Computed tomography, abdomen and pelvis; with contrast material 206 206 $17K
59410 14 13 $11K
59426 12 12 $9K
71045 Radiologic examination, chest; single view 731 663 $6K
71046 Radiologic examination, chest; 2 views 453 446 $4K
76818 48 38 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 57 52 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 69 67 $2K
70450 Computed tomography, head or brain; without contrast material 56 56 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 15 15 $1K
76830 Ultrasound, transvaginal 28 28 $890.66
59025 Fetal non-stress test 19 15 $539.23
99218 13 13 $433.00
81025 59 59 $349.65
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 14 12 $85.54
3078F 222 214 $0.00
97803 12 12 $0.00
3074F 313 299 $0.00