Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › LATHAM › COMMUNITY CARE PHYSICIANS, PLLC

COMMUNITY CARE PHYSICIANS, PLLC

NPI: 1922048370 · LATHAM, NY 12110 · Family Medicine Physician · NPI assigned 06/07/2006

$41.91M
Total Medicaid Paid
895,564
Total Claims
859,671
Beneficiaries
233
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTAMAS, DIANE (CREDENTIALING COORDINATOR)
Parent OrganizationCOMMUNITY CARE PHYSICIANS, PLLC
NPI Enumeration Date06/07/2006

Related Entities

Other providers sharing the same authorized official: STAMAS, DIANE

ProviderCityStateTotal Paid
COMMUNITY CARE PHYSICIANS, PC BALLSTON LAKE NY $25K
COMMUNITY CARE PHYSICIANS, PC LATHAM NY $4K
COMMUNITY CARE PHYSICIANS, PC CASTLETON NY $1K
COMMUNITY CARE PHYSICIANS, PC LATHAM NY $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 56,873 $2.21M
2019 99,164 $4.26M
2020 130,710 $5.83M
2021 156,558 $7.78M
2022 157,830 $7.79M
2023 168,076 $8.03M
2024 126,353 $6.00M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 242,250 231,383 $14.38M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 76,201 73,727 $6.74M
90460 Immunization administration through 18 years of age via any route, first or only component 45,537 45,422 $2.20M
96112 18,884 18,712 $2.08M
99215 Prolong outpt/office vis 13,000 12,952 $1.73M
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 14,228 14,023 $1.08M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12,864 12,863 $1.03M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12,503 12,501 $1.00M
99205 Prolong outpt/office vis 5,250 5,250 $943K
90832 Psychotherapy, 30 minutes with patient 12,349 9,755 $720K
90791 Psychiatric diagnostic evaluation 4,589 4,584 $660K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,033 5,031 $660K
77067 Screening mammography, bilateral, including computer-aided detection 6,597 6,594 $622K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 34,645 34,524 $581K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,542 6,409 $497K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,897 5,897 $492K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5,103 5,102 $452K
95816 2,059 2,023 $451K
90461 10,350 10,344 $450K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11,156 10,818 $432K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 13,811 13,607 $337K
96111 2,367 2,346 $332K
99232 Subsequent hospital care, per day, moderate complexity 6,571 2,034 $318K
77063 Screening digital breast tomosynthesis, bilateral 6,159 6,156 $247K
90847 Family psychotherapy with the patient present, 50 minutes 2,790 2,416 $243K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,833 2,933 $221K
90837 Psychotherapy, 53 minutes with patient 1,877 1,561 $192K
99051 32,501 32,008 $168K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15,550 15,368 $148K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,593 3,520 $147K
90472 Immunization administration, each additional vaccine (list separately) 7,723 7,720 $135K
96113 2,512 2,499 $129K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,761 4,420 $108K
76642 1,443 1,306 $98K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,488 1,487 $98K
76536 1,106 1,104 $96K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 859 857 $93K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 927 926 $93K
71046 Radiologic examination, chest; 2 views 3,786 3,774 $80K
G0444 Annual depression screening, 5 to 15 minutes 5,961 5,957 $76K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,061 1,061 $64K
90686 30,083 30,061 $56K
74177 Computed tomography, abdomen and pelvis; with contrast material 314 313 $55K
80061 Lipid panel 5,204 5,188 $50K
90682 760 760 $49K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,430 9,028 $44K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 4,472 4,356 $43K
99442 662 608 $43K
80053 Comprehensive metabolic panel 4,769 4,558 $39K
76830 Ultrasound, transvaginal 356 354 $33K
80050 General health panel 1,057 1,057 $30K
95912 178 161 $30K
92551 5,000 4,993 $28K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 9,540 9,517 $27K
77065 Tomosynthesis, mammo 254 253 $25K
74183 86 86 $25K
77066 Tomosynthesis, mammo 202 202 $25K
95886 186 162 $21K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,236 4,979 $21K
70551 Magnetic resonance imaging, brain; without contrast material 120 120 $21K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 190 190 $20K
G0008 Administration of influenza virus vaccine 627 627 $20K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 93 92 $20K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,755 2,253 $18K
80305 2,595 2,354 $18K
83036 Hemoglobin; glycosylated (A1C) 2,253 2,241 $17K
99309 Subsequent nursing facility care, per day, low to moderate complexity 415 373 $17K
99152 1,472 1,426 $17K
87428 556 552 $17K
76770 204 203 $16K
G0009 Administration of pneumococcal vaccine 493 493 $16K
99441 398 386 $16K
J0585 Injection, onabotulinumtoxina, 1 unit 12 12 $15K
77062 145 145 $13K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 199 197 $13K
84443 Thyroid stimulating hormone (TSH) 1,023 1,020 $12K
J1439 Injection, ferric carboxymaltose, 1 mg 16 12 $12K
90792 Psychiatric diagnostic evaluation with medical services 48 48 $11K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 916 915 $11K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 399 396 $11K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 40 38 $11K
36415 Collection of venous blood by venipuncture 47,528 45,870 $9K
81003 5,517 5,427 $8K
0071A 164 164 $8K
99050 820 807 $8K
0072A 150 150 $7K
77061 103 103 $7K
96160 5,022 5,022 $7K
96127 3,008 2,867 $7K
87081 1,444 1,431 $7K
95708 35 13 $6K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 825 817 $6K
72100 201 201 $6K
90677 519 519 $6K
99222 Initial hospital care, per day, moderate complexity 76 73 $6K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 535 535 $6K
90688 386 386 $6K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 27 27 $6K
93923 50 50 $5K
99223 Prolong inpt eval add15 m 33 31 $5K
76801 48 48 $5K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 52 48 $5K
90846 Family psychotherapy without the patient present, 50 minutes 57 54 $5K
99233 Prolong inpt eval add15 m 78 37 $5K
76881 88 51 $5K
90673 57 57 $5K
99443 55 53 $5K
90480 148 148 $5K
64615 36 36 $5K
83655 419 419 $4K
71271 43 43 $4K
97530 Therapeutic activities, direct patient contact, each 15 minutes 105 51 $4K
95806 52 52 $4K
99385 33 33 $4K
85027 819 814 $4K
90834 Psychotherapy, 45 minutes with patient 49 41 $4K
77080 145 144 $4K
81002 1,644 1,612 $3K
76641 41 25 $3K
91322 24 24 $3K
84439 442 440 $3K
99406 269 247 $3K
99201 81 81 $3K
99153 Mod sedat endo service >5yrs 136 131 $3K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,565 674 $3K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 177 176 $3K
87070 363 351 $3K
99407 115 101 $3K
95700 13 13 $3K
90715 139 139 $2K
81025 527 520 $2K
71250 24 24 $2K
97161 39 39 $2K
93971 37 37 $2K
90474 152 152 $2K
0012A 47 47 $2K
87086 Culture, bacterial; quantitative colony count, urine 291 278 $2K
90656 2,282 2,282 $2K
A9585 Injection, gadobutrol, 0.1 ml 241 239 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 12 12 $2K
70360 71 71 $2K
73630 74 66 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 347 344 $2K
93000 120 119 $2K
96161 844 843 $2K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 27 27 $1K
90651 353 353 $1K
70450 Computed tomography, head or brain; without contrast material 52 52 $1K
99307 57 40 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete 13 13 $1K
0011A 45 45 $1K
81000 400 382 $1K
A9575 Injection, gadoterate meglumine, 0.1 ml 121 118 $1K
99306 Prolong nursin fac eval 15m 12 12 $1K
80048 Basic metabolic panel (calcium, ionized) 162 160 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 53 53 $930.09
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 1,426 1,396 $870.00
91320 12 12 $804.46
82565 182 181 $802.69
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 25 25 $769.77
73562 27 26 $757.89
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 16 12 $735.58
97802 12 12 $730.36
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 62 62 $729.64
85018 363 361 $665.57
74176 Computed tomography, abdomen and pelvis; without contrast material 12 12 $624.68
0112A 12 12 $602.23
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 17 17 $559.68
85652 286 282 $548.50
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 13 13 $482.31
72110 12 12 $438.89
90714 13 13 $368.52
87807 41 41 $342.60
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 26 26 $310.94
90697 374 374 $279.64
99422 12 12 $272.79
G0010 Administration of hepatitis b vaccine 16 16 $240.00
85045 84 83 $237.96
74018 12 12 $230.76
90670 2,896 2,895 $230.14
77001 12 12 $224.84
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 13 $180.13
97010 2,959 1,293 $166.81
J7050 Infusion, normal saline solution, 250 cc 111 92 $159.49
83615 30 28 $142.44
97014 480 198 $137.46
86140 41 41 $115.44
82043 24 24 $110.88
51798 24 24 $107.00
87210 28 26 $103.86
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 12 12 $89.49
87340 12 12 $86.76
94760 14,865 14,467 $77.49
82570 24 24 $53.82
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 26 26 $49.53
83550 38 38 $49.39
86780 12 12 $45.00
83540 39 39 $36.55
99173 2,549 2,543 $35.60
82728 12 12 $34.77
36416 3,997 3,955 $26.37
99174 61 61 $3.77
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 14 14 $1.68
90633 633 633 $0.00
90685 206 205 $0.00
90648 707 706 $0.00
90707 13 13 $0.00
3078F 3,869 3,777 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 158 154 $0.00
90734 163 163 $0.00
90671 265 265 $0.00
4004F 127 118 $0.00
3288F 68 68 $0.00
A4550 Surgical trays 13 13 $0.00
99177 12 12 $0.00
1160F 39 37 $0.00
90710 25 25 $0.00
1036F 7,867 7,633 $0.00
3074F 5,017 4,883 $0.00
3075F 42 42 $0.00
90619 249 249 $0.00
90680 1,052 1,051 $0.00
90716 13 13 $0.00
90744 120 120 $0.00
90674 55 55 $0.00
3044F 127 120 $0.00
90698 1,287 1,287 $0.00
90723 187 187 $0.00
M1069 Patient screened for future fall risk 26 26 $0.00
3079F 190 189 $0.00
3008F 50 50 $0.00
90620 25 25 $0.00
90696 12 12 $0.00