Physician
Community Care Physicians, PLLC
Community Care Physicians, PLLC was paid $41.91M by Medicaid between Jan 2018 and Dec 2024, across 233 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoCOMMUNITY CARE PHYSICIANS, PLLC
LATHAM, NY 12110
LATHAM, NY 12110
33aNPI1922048370assigned 06/07/2006
33bProvider typeFamily Medicine Physician
28Total paid$41.91M
24GClaims895,564
24DCodes billed233
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#3 of 2,605
Median peer was paid$10K
This provider vs. median4,150×
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 | 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 | |
| 2024incomplete | 126,353 | $6.00M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 242,250 | 231,383 | $14.38M |
| 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 | 16% | 76,201 | 73,727 | $6.74M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.3% | 45,537 | 45,422 | $2.20M |
| 96112 | 5.0% | 18,884 | 18,712 | $2.08M | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.1% | 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 | 2.6% | 14,228 | 14,023 | $1.08M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.5% | 12,864 | 12,863 | $1.03M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.4% | 12,503 | 12,501 | $1.00M |
| 99205 | Prolong outpt/office vis | 2.3% | 5,250 | 5,250 | $943K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.7% | 12,349 | 9,755 | $720K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.6% | 4,589 | 4,584 | $660K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.6% | 5,033 | 5,031 | $660K |
221 more codes
| 77067 | Screening mammography, bilateral, including computer-aided detection | 1.5% | 6,597 | $622K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 34,645 | $581K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 6,542 | $497K |
| 99203 | Doctor's office visit, new patient (routine) | 1.2% | 5,897 | $492K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 5,103 | $452K |
| 95816 | 1.1% | 2,059 | $451K | |
| 90461 | 1.1% | 10,350 | $450K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 11,156 | $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 | <1% | 13,811 | $337K |
| 96111 | <1% | 2,367 | $332K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 6,571 | $318K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 6,159 | $247K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 2,790 | $243K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 6,833 | $221K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,877 | $192K |
| 99051 | <1% | 32,501 | $168K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 15,550 | $148K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 3,593 | $147K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 7,723 | $135K |
| 96113 | <1% | 2,512 | $129K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 4,761 | $108K |
| 76642 | <1% | 1,443 | $98K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 1,488 | $98K |
| 76536 | <1% | 1,106 | $96K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 859 | $93K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 927 | $93K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 3,786 | $80K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 5,961 | $76K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,061 | $64K |
| 90686 | <1% | 30,083 | $56K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 314 | $55K |
| 80061 | Lipid panel | <1% | 5,204 | $50K |
| 90682 | <1% | 760 | $49K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 9,430 | $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) | <1% | 4,472 | $43K |
| 99442 | <1% | 662 | $43K | |
| 80053 | Comprehensive metabolic panel | <1% | 4,769 | $39K |
| 76830 | Ultrasound, transvaginal | <1% | 356 | $33K |
| 80050 | General health panel | <1% | 1,057 | $30K |
| 95912 | <1% | 178 | $30K | |
| 92551 | <1% | 5,000 | $28K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 9,540 | $27K |
| 77065 | Tomosynthesis, mammo | <1% | 254 | $25K |
| 74183 | <1% | 86 | $25K | |
| 77066 | Tomosynthesis, mammo | <1% | 202 | $25K |
| 95886 | <1% | 186 | $21K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,236 | $21K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 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 | <1% | 190 | $20K |
| G0008 | Administration of influenza virus vaccine | <1% | 627 | $20K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 93 | $20K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,755 | $18K |
| 80305 | <1% | 2,595 | $18K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,253 | $17K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 415 | $17K |
| 99152 | <1% | 1,472 | $17K | |
| 87428 | <1% | 556 | $17K | |
| 76770 | <1% | 204 | $16K | |
| G0009 | Administration of pneumococcal vaccine | <1% | 493 | $16K |
| 99441 | <1% | 398 | $16K | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 12 | $15K |
| 77062 | <1% | 145 | $13K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 199 | $13K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,023 | $12K |
| J1439 | Injection, ferric carboxymaltose, 1 mg | <1% | 16 | $12K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 48 | $11K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 916 | $11K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 399 | $11K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 40 | $11K |
| 36415 | Collection of venous blood by venipuncture | <1% | 47,528 | $9K |
| 81003 | <1% | 5,517 | $8K | |
| 0071A | <1% | 164 | $8K | |
| 99050 | <1% | 820 | $8K | |
| 0072A | <1% | 150 | $7K | |
| 77061 | <1% | 103 | $7K | |
| 96160 | <1% | 5,022 | $7K | |
| 96127 | <1% | 3,008 | $7K | |
| 87081 | <1% | 1,444 | $7K | |
| 95708 | <1% | 35 | $6K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 825 | $6K |
| 72100 | <1% | 201 | $6K | |
| 90677 | <1% | 519 | $6K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 76 | $6K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 535 | $6K |
| 90688 | <1% | 386 | $6K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 27 | $6K |
| 93923 | <1% | 50 | $5K | |
| 99223 | Prolong inpt eval add15 m | <1% | 33 | $5K |
| 76801 | <1% | 48 | $5K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 52 | $5K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 57 | $5K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 78 | $5K |
| 76881 | <1% | 88 | $5K | |
| 90673 | <1% | 57 | $5K | |
| 99443 | <1% | 55 | $5K | |
| 90480 | <1% | 148 | $5K | |
| 64615 | <1% | 36 | $5K | |
| 83655 | <1% | 419 | $4K | |
| 71271 | <1% | 43 | $4K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 105 | $4K |
| 95806 | <1% | 52 | $4K | |
| 99385 | <1% | 33 | $4K | |
| 85027 | <1% | 819 | $4K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 49 | $4K |
| 77080 | <1% | 145 | $4K | |
| 81002 | <1% | 1,644 | $3K | |
| 76641 | <1% | 41 | $3K | |
| 91322 | <1% | 24 | $3K | |
| 84439 | <1% | 442 | $3K | |
| 99406 | <1% | 269 | $3K | |
| 99201 | <1% | 81 | $3K | |
| 99153 | Mod sedat endo service >5yrs | <1% | 136 | $3K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 1,565 | $3K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 177 | $3K |
| 87070 | <1% | 363 | $3K | |
| 99407 | <1% | 115 | $3K | |
| 95700 | <1% | 13 | $3K | |
| 90715 | <1% | 139 | $2K | |
| 81025 | <1% | 527 | $2K | |
| 71250 | <1% | 24 | $2K | |
| 97161 | <1% | 39 | $2K | |
| 93971 | <1% | 37 | $2K | |
| 90474 | <1% | 152 | $2K | |
| 0012A | <1% | 47 | $2K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 291 | $2K |
| 90656 | <1% | 2,282 | $2K | |
| A9585 | Injection, gadobutrol, 0.1 ml | <1% | 241 | $2K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 12 | $2K |
| 70360 | <1% | 71 | $2K | |
| 73630 | <1% | 74 | $2K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 347 | $2K |
| 93000 | <1% | 120 | $2K | |
| 96161 | <1% | 844 | $2K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 27 | $1K |
| 90651 | <1% | 353 | $1K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 52 | $1K |
| 99307 | <1% | 57 | $1K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 13 | $1K |
| 0011A | <1% | 45 | $1K | |
| 81000 | <1% | 400 | $1K | |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | <1% | 121 | $1K |
| 99306 | Prolong nursin fac eval 15m | <1% | 12 | $1K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 162 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 53 | $930.09 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 1,426 | $870.00 |
| 91320 | <1% | 12 | $804.46 | |
| 82565 | <1% | 182 | $802.69 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 25 | $769.77 |
| 73562 | <1% | 27 | $757.89 | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 16 | $735.58 |
| 97802 | <1% | 12 | $730.36 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 62 | $729.64 |
| 85018 | <1% | 363 | $665.57 | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 12 | $624.68 |
| 0112A | <1% | 12 | $602.23 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 17 | $559.68 |
| 85652 | <1% | 286 | $548.50 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 13 | $482.31 |
| 72110 | <1% | 12 | $438.89 | |
| 90714 | <1% | 13 | $368.52 | |
| 87807 | <1% | 41 | $342.60 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 26 | $310.94 |
| 90697 | <1% | 374 | $279.64 | |
| 99422 | <1% | 12 | $272.79 | |
| G0010 | Administration of hepatitis b vaccine | <1% | 16 | $240.00 |
| 85045 | <1% | 84 | $237.96 | |
| 74018 | <1% | 12 | $230.76 | |
| 90670 | <1% | 2,896 | $230.14 | |
| 77001 | <1% | 12 | $224.84 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $180.13 |
| 97010 | <1% | 2,959 | $166.81 | |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 111 | $159.49 |
| 83615 | <1% | 30 | $142.44 | |
| 97014 | <1% | 480 | $137.46 | |
| 86140 | <1% | 41 | $115.44 | |
| 82043 | <1% | 24 | $110.88 | |
| 51798 | <1% | 24 | $107.00 | |
| 87210 | <1% | 28 | $103.86 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 12 | $89.49 |
| 87340 | <1% | 12 | $86.76 | |
| 94760 | <1% | 14,865 | $77.49 | |
| 82570 | <1% | 24 | $53.82 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 26 | $49.53 |
| 83550 | <1% | 38 | $49.39 | |
| 86780 | <1% | 12 | $45.00 | |
| 83540 | <1% | 39 | $36.55 | |
| 99173 | <1% | 2,549 | $35.60 | |
| 82728 | <1% | 12 | $34.77 | |
| 36416 | <1% | 3,997 | $26.37 | |
| 99174 | <1% | 61 | $3.77 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 14 | $1.68 |
| 90633 | 0% | 633 | $0.00 | |
| 90685 | 0% | 206 | $0.00 | |
| 90648 | 0% | 707 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| 3078F | 0% | 3,869 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 158 | $0.00 |
| 90734 | 0% | 163 | $0.00 | |
| 90671 | 0% | 265 | $0.00 | |
| 4004F | 0% | 127 | $0.00 | |
| 3288F | 0% | 68 | $0.00 | |
| A4550 | Surgical trays | 0% | 13 | $0.00 |
| 99177 | 0% | 12 | $0.00 | |
| 1160F | 0% | 39 | $0.00 | |
| 90710 | 0% | 25 | $0.00 | |
| 1036F | 0% | 7,867 | $0.00 | |
| 3074F | 0% | 5,017 | $0.00 | |
| 3075F | 0% | 42 | $0.00 | |
| 90619 | 0% | 249 | $0.00 | |
| 90680 | 0% | 1,052 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| 90744 | 0% | 120 | $0.00 | |
| 90674 | 0% | 55 | $0.00 | |
| 3044F | 0% | 127 | $0.00 | |
| 90698 | 0% | 1,287 | $0.00 | |
| 90723 | 0% | 187 | $0.00 | |
| M1069 | Patient screened for future fall risk | 0% | 26 | $0.00 |
| 3079F | 0% | 190 | $0.00 | |
| 3008F | 0% | 50 | $0.00 | |
| 90620 | 0% | 25 | $0.00 | |
| 90696 | 0% | 12 | $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 officialSTAMAS, DIANE (CREDENTIALING COORDINATOR)
Parent organizationCOMMUNITY CARE PHYSICIANS, PLLC
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.