Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › MIDDLETOWN › CRYSTAL RUN HEALTHCARE PHYSICIANS LLP

CRYSTAL RUN HEALTHCARE PHYSICIANS LLP

NPI: 1952376410 · MIDDLETOWN, NY 10941 · Cardiovascular Disease Physician · NPI assigned 02/20/2006

$34.14M
Total Medicaid Paid
537,971
Total Claims
502,508
Beneficiaries
316
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSPENCER, GREGORY (CHIEF MEDICAL OFFICER)
NPI Enumeration Date02/20/2006

Related Entities

Other providers sharing the same authorized official: SPENCER, GREGORY

ProviderCityStateTotal Paid
CRYSTAL RUN HEALTHCARE PHYSICIANS LLP GOSHEN NY $202K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 165,365 $10.91M
2019 93,800 $5.69M
2020 107,294 $6.39M
2021 54,079 $3.67M
2022 43,058 $2.81M
2023 11,756 $673K
2024 62,619 $4.00M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 82,602 77,647 $10.05M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 92,951 86,410 $7.85M
88305 Level IV - Surgical pathology, gross and microscopic examination 10,710 6,598 $1.38M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,790 3,672 $773K
90460 Immunization administration through 18 years of age via any route, first or only component 29,915 29,596 $771K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 6,115 5,253 $710K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,439 5,373 $709K
76819 Fetal biophysical profile; without non-stress testing 6,347 3,844 $595K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 4,550 4,492 $591K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,125 6,116 $576K
77067 Screening mammography, bilateral, including computer-aided detection 2,868 2,864 $445K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,330 3,297 $386K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,135 4,134 $377K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,418 4,259 $376K
S9083 Global fee urgent care centers 2,429 2,301 $361K
76830 Ultrasound, transvaginal 2,717 2,712 $351K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 11,591 11,584 $336K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,394 1,392 $279K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,508 2,506 $260K
76820 5,176 3,119 $240K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,667 1,644 $232K
76801 1,639 1,597 $222K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4,112 4,077 $169K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,101 4,067 $168K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 1,798 1,768 $161K
76813 1,191 1,186 $149K
99215 Prolong outpt/office vis 832 791 $148K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 45 45 $143K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 624 618 $141K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,095 1,082 $136K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,289 1,160 $134K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 445 426 $134K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 912 895 $132K
76536 1,054 1,051 $132K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,205 1,126 $126K
80053 Comprehensive metabolic panel 10,294 9,956 $119K
90834 Psychotherapy, 45 minutes with patient 1,609 1,062 $116K
84443 Thyroid stimulating hormone (TSH) 6,426 6,387 $114K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,228 1,228 $110K
87481 1,432 1,346 $105K
80061 Lipid panel 7,118 7,091 $102K
99232 Subsequent hospital care, per day, moderate complexity 1,134 435 $98K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 11,504 10,645 $97K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 428 374 $97K
36415 Collection of venous blood by venipuncture 36,419 34,257 $96K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 2,598 2,596 $94K
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 1,096 1,083 $85K
99223 Prolong inpt eval add15 m 354 295 $84K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,975 1,946 $78K
71046 Radiologic examination, chest; 2 views 2,211 2,205 $78K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 881 567 $78K
J0585 Injection, onabotulinumtoxina, 1 unit 55 55 $77K
92551 7,151 7,145 $69K
80050 General health panel 1,493 1,491 $68K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,325 2,288 $66K
90461 2,404 2,390 $63K
83036 Hemoglobin; glycosylated (A1C) 6,208 6,201 $60K
99205 Prolong outpt/office vis 210 205 $58K
88141 1,941 1,940 $56K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 195 194 $54K
99222 Initial hospital care, per day, moderate complexity 304 246 $53K
20610 748 708 $53K
97799 824 361 $53K
99233 Prolong inpt eval add15 m 391 206 $52K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,494 3,424 $51K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 922 904 $50K
87631 314 313 $50K
92134 1,086 1,068 $48K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5,353 5,067 $46K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 385 384 $46K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 160 160 $43K
A4550 Surgical trays 98 97 $43K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 954 954 $42K
99385 249 247 $42K
59510 13 12 $42K
93000 1,983 1,960 $40K
88342 305 277 $40K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,146 1,146 $38K
76641 224 214 $36K
90686 10,197 10,188 $35K
96127 6,190 6,167 $34K
73562 730 694 $33K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 319 149 $32K
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) 1,639 1,595 $31K
74177 Computed tomography, abdomen and pelvis; with contrast material 100 100 $31K
73630 775 729 $30K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,630 2,610 $30K
95117 2,012 886 $28K
99386 139 139 $28K
87070 2,436 2,381 $27K
73221 84 83 $26K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,030 832 $25K
99239 Hospital discharge day management, more than 30 minutes 192 187 $24K
99459 776 765 $23K
82607 1,200 1,194 $22K
99238 Hospital discharge day management, 30 minutes or less 247 245 $21K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 617 612 $21K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 42 42 $21K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 195 179 $21K
20553 307 289 $20K
59025 Fetal non-stress test 285 174 $19K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,555 1,480 $17K
95810 Polysomnography; sleep staging with 4 or more additional parameters 24 24 $17K
0011A 505 505 $17K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 94 94 $17K
45380 Colonoscopy, flexible; with biopsy, single or multiple 39 39 $16K
0012A 432 432 $16K
76700 Ultrasound, abdominal, real time with image documentation; complete 107 107 $15K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 307 270 $15K
73610 392 369 $15K
92133 320 319 $14K
82728 834 822 $14K
87086 Culture, bacterial; quantitative colony count, urine 1,328 1,275 $13K
87634 185 180 $13K
99221 138 132 $13K
72141 54 54 $13K
59514 15 14 $12K
97161 153 152 $12K
81025 1,349 1,309 $11K
92020 339 339 $11K
80048 Basic metabolic panel (calcium, ionized) 1,107 1,089 $11K
82746 602 599 $11K
95953 18 12 $11K
95806 53 52 $10K
73030 287 282 $10K
84439 868 857 $10K
90715 381 381 $10K
93015 102 101 $10K
99070 14 13 $10K
99173 2,254 2,245 $10K
97802 84 84 $9K
96110 Developmental screening, with scoring and documentation, per standardized instrument 861 856 $8K
70551 Magnetic resonance imaging, brain; without contrast material 27 27 $8K
87660 313 311 $8K
87510 313 311 $8K
87480 313 311 $8K
99460 65 65 $8K
73110 185 171 $8K
58300 77 77 $7K
96160 2,987 2,976 $7K
95886 68 52 $7K
81513 55 55 $7K
73130 184 170 $7K
86140 1,073 1,063 $7K
83655 476 475 $7K
83550 653 648 $7K
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 105 36 $7K
92557 153 153 $7K
93224 56 56 $7K
87077 518 503 $6K
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 407 400 $6K
67028 Intravitreal injection of a pharmacologic agent 50 37 $6K
64615 29 29 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 248 234 $6K
86618 280 277 $6K
72110 113 113 $6K
86762 327 327 $6K
90661 1,727 1,727 $6K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 13 13 $5K
99381 43 43 $5K
90651 422 422 $5K
74176 Computed tomography, abdomen and pelvis; without contrast material 27 27 $5K
83540 653 648 $5K
86803 310 310 $5K
92235 36 36 $5K
85027 602 597 $5K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 28 28 $4K
86787 284 284 $4K
58301 35 35 $4K
87420 322 311 $4K
82043 609 605 $4K
96375 Therapeutic injection; each additional sequential IV push 125 91 $4K
90670 1,551 1,550 $4K
84702 222 169 $4K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 20 12 $4K
81003 1,575 1,539 $4K
92567 218 217 $4K
82570 613 609 $4K
93351 12 12 $4K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 48 48 $4K
85652 1,114 1,105 $4K
73502 81 80 $4K
72100 91 91 $4K
87150 83 83 $4K
85018 1,276 1,270 $4K
99462 69 53 $3K
70450 Computed tomography, head or brain; without contrast material 24 24 $3K
87186 307 296 $3K
88142 136 136 $3K
0064A 118 118 $3K
83001 141 141 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 64 64 $3K
J2785 Injection, regadenoson, 0.1 mg 13 13 $3K
94729 42 42 $3K
17110 27 27 $3K
93970 12 12 $3K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 94 53 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 320 317 $3K
84460 427 423 $3K
99188 183 183 $3K
A9585 Injection, gadobutrol, 0.1 ml 85 72 $3K
31231 12 12 $3K
84153 108 108 $2K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 133 129 $2K
84450 408 405 $2K
84146 97 97 $2K
82670 63 63 $2K
0031A 57 57 $2K
94726 27 27 $2K
72040 57 56 $2K
85610 399 318 $2K
86580 206 190 $2K
73140 55 51 $2K
99406 112 111 $2K
86376 101 101 $2K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 19 19 $2K
90707 759 756 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 18 18 $2K
83002 78 77 $2K
77065 Tomosynthesis, mammo 12 12 $2K
20611 13 12 $2K
84481 78 78 $2K
86703 96 96 $2K
94010 34 33 $2K
93298 15 15 $2K
83735 190 173 $1K
82550 178 175 $1K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 333 233 $1K
99242 12 12 $1K
82247 249 232 $1K
99441 18 18 $1K
87071 120 119 $1K
82950 223 223 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 232 222 $1K
83690 150 150 $1K
99217 13 13 $1K
84075 210 207 $1K
92083 15 15 $1K
81001 299 290 $1K
82150 141 141 $1K
85730 146 144 $1K
94060 13 13 $1K
77080 26 26 $1K
84466 78 78 $1K
90734 337 337 $1K
98925 28 27 $1K
J1040 Injection, methylprednisolone acetate, 80 mg 71 66 $989.60
69210 12 12 $967.35
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 43 39 $966.97
86431 138 138 $966.00
86765 61 61 $964.95
86735 59 59 $926.25
0071A 41 41 $800.00
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 16 15 $766.91
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 27 27 $650.16
99442 12 12 $643.76
86800 29 29 $624.90
73080 17 12 $580.21
84550 103 100 $574.74
81002 151 145 $515.04
90716 321 321 $497.32
82951 28 28 $444.92
90472 Immunization administration, each additional vaccine (list separately) 40 40 $430.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 26 26 $405.60
0002A 12 12 $390.85
86780 29 29 $383.96
86160 13 13 $370.25
0072A 18 18 $360.00
90697 71 71 $306.20
83615 41 41 $305.45
90677 170 170 $266.70
0001A 23 23 $264.31
87340 25 25 $258.25
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 134 127 $256.68
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 182 178 $252.45
99000 1,504 1,466 $210.00
80047 13 12 $178.49
96040 12 12 $158.73
36416 1,467 1,414 $141.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 91 71 $137.13
87205 26 26 $135.15
3078F 3,544 3,445 $120.00
3074F 5,021 4,884 $100.00
82962 31 29 $94.87
82565 14 14 $88.62
85045 13 13 $64.09
84520 13 13 $63.44
85007 26 26 $59.36
82040 14 12 $29.70
90633 503 503 $24.00
90744 322 322 $23.38
84155 14 12 $18.35
J2405 Injection, ondansetron hydrochloride, per 1 mg 12 12 $7.02
94761 18 16 $6.58
97010 223 105 $4.50
91306 115 115 $0.20
91301 897 880 $0.12
90648 64 64 $0.00
90700 87 87 $0.00
90685 437 437 $0.00
3077F 217 209 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 32 32 $0.00
91300 33 27 $0.00
3051F 12 12 $0.00
3079F 850 832 $0.00
90698 734 734 $0.00
91303 46 46 $0.00
90680 551 551 $0.00
90656 51 51 $0.00
90696 99 99 $0.00
3044F 394 394 $0.00
3080F 92 91 $0.00
90619 130 130 $0.00
91307 71 59 $0.00
3075F 299 295 $0.00
2023F 17 17 $0.00