Clinic
Mohawk Valley Ec, LLC
Mohawk Valley Ec, LLC was paid $920K by Medicaid between Apr 2019 and Aug 2023, across 6 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 46% of everything it billed.
33Billing provider infoMOHAWK VALLEY EC, LLC
UTICA, NY 13502
UTICA, NY 13502
33aNPI1972894962assigned 04/25/2011
33bProvider typeEndoscopy Clinic/Center
28Total paid$920K
24GClaims2,647
24DCodes billed6
24AFirst – last monthApr 2019 – Aug 2023
Compared with peers
Next to other Endoscopy Clinic/Center providers in New York
Rank by total paid#5 of 12
Median peer was paid$122K
This provider vs. median7.5×
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 | |
|---|---|---|---|
| 2019 | 322 | $72K | |
| 2020 | 558 | $203K | |
| 2021 | 577 | $202K | |
| 2022 | 660 | $244K | |
| 2023 | 530 | $199K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 46% | 1,264 | 1,261 | $423K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 36% | 870 | 867 | $333K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 11% | 238 | 236 | $101K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 6.9% | 155 | 155 | $64K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 60 | 59 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 60 | 59 | $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 officialFIORENTINO, THOMAS (CHIEF FINANCIAL OFFICER)