Medicaid Provider Spending

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

ONEIDA MEDICAL PRACTICE, PC

NPI: 1932398997 · ONEIDA, NY 13421 · Multi-Specialty Clinic/Center · NPI assigned 10/16/2007

$3.59M
Total Medicaid Paid
55,041
Total Claims
52,533
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCAPONE, HARRY (PRESIDENTMEDICAL DIRECTOR)
NPI Enumeration Date10/16/2007

Related Entities

Other providers sharing the same authorized official: CAPONE, HARRY

ProviderCityStateTotal Paid
ONEIDA MEDICAL PRACTICE, PC VERNON NY $1.28M
ONEIDA MEDICAL SERVICES, PLLC ONEIDA NY $186K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 9,436 $629K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23,293 22,632 $1.76M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,591 6,447 $694K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5,825 5,680 $286K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,581 2,581 $253K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,061 2,012 $122K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 652 650 $94K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,706 3,667 $84K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 778 774 $74K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,588 1,544 $71K
95117 2,292 1,316 $23K
45380 Colonoscopy, flexible; with biopsy, single or multiple 124 122 $16K
99051 2,177 2,169 $16K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 62 62 $13K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 386 383 $12K
99215 Prolong outpt/office vis 83 81 $12K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 448 444 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 143 143 $8K
95115 919 570 $8K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 38 38 $7K
99441 119 119 $6K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 129 72 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 332 327 $2K
94060 210 210 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 127 126 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 12 12 $2K
99442 27 25 $944.28
94726 83 82 $510.69
94729 83 82 $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) 24 24 $289.20
90686 12 12 $205.52
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 25 25 $149.56
81002 25 25 $50.83
G8510 Screening for depression is documented as negative, a follow-up plan is not required 13 13 $0.13
99024 47 38 $0.00
99000 26 26 $0.00