Clinic
Oneida Medical Practice, PC
Oneida Medical Practice, PC was paid $3.59M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoONEIDA MEDICAL PRACTICE, PC
ONEIDA, NY 13421
ONEIDA, NY 13421
33aNPI1932398997assigned 10/16/2007
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$3.59M
24GClaims55,041
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in New York
Rank by total paid#25 of 118
Median peer was paid$372K
This provider vs. median9.6×
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 | 588 | $29K | |
| 2019 | 1,302 | $83K | |
| 2020 | 2,320 | $163K | |
| 2021 | 5,637 | $392K | |
| 2022 | 20,009 | $1.24M | |
| 2023 | 15,749 | $1.05M | |
| 2024incomplete | 9,436 | $629K |
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 | 49% | 23,293 | 22,632 | $1.76M |
| 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 | 19% | 6,591 | 6,447 | $694K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 8.0% | 5,825 | 5,680 | $286K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.1% | 2,581 | 2,581 | $253K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 3.4% | 2,061 | 2,012 | $122K |
| 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 | 2.6% | 652 | 650 | $94K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.4% | 3,706 | 3,667 | $84K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.1% | 778 | 774 | $74K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 1,588 | 1,544 | $71K |
| 95117 | <1% | 2,292 | 1,316 | $23K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 124 | 122 | $16K |
| 99051 | <1% | 2,177 | 2,169 | $16K |
23 more codes
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 62 | $13K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 386 | $12K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 83 | $12K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 448 | $9K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 143 | $8K |
| 95115 | <1% | 919 | $8K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 38 | $7K |
| 99441 | <1% | 119 | $6K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 129 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 332 | $2K |
| 94060 | <1% | 210 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 127 | $2K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 12 | $2K |
| 99442 | <1% | 27 | $944.28 | |
| 94726 | <1% | 83 | $510.69 | |
| 94729 | <1% | 83 | $360.06 | |
| 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% | 24 | $289.20 |
| 90686 | <1% | 12 | $205.52 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 25 | $149.56 |
| 81002 | <1% | 25 | $50.83 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 13 | $0.13 |
| 99024 | 0% | 47 | $0.00 | |
| 99000 | 0% | 26 | $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 officialCAPONE, HARRY (PRESIDENTMEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Oneida Medical Practice, PC | Vernon, NY | $1.28M |
| Oneida Medical Services, PLLC | Oneida, NY | $186K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.