Medicaid Provider Spending

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

ST. PETER'S HOSPITAL OF THE CITY OF ALBANY

NPI: 1982141537 · ALBANY, NY 12208 · Psychologist · NPI assigned 01/20/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official KNOWLES, COURTNEY controls 20+ related entities in our dataset. Read more

$3.78M
Total Medicaid Paid
96,802
Total Claims
90,734
Beneficiaries
103
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKNOWLES, COURTNEY (CREDENTIALING MANAGER)
Parent OrganizationST. PETER'S HOSPITAL OF THE CITY OF ALBANY
NPI Enumeration Date01/20/2017

Related Entities

Other providers sharing the same authorized official: KNOWLES, COURTNEY

ProviderCityStateTotal Paid
SAMARITAN HOSPITAL OF TROY, NEW YORK TROY NY $9.83M
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY ALBANY NY $7.54M
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY COHOES NY $1.08M
ST. PETER'S HOSPITALOF THE CITY OF ALBANY ALBANY NY $874K
SAMARITAN HOSPITAL OF TROY, NEW YORK TROY NY $707K
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY ALBANY NY $694K
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY LATHAM NY $574K
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY SCHENECTADY NY $525K
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY ALBANY NY $504K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. SLINGERLANDS NY $467K
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY SARATOGA SPRINGS NY $280K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. TROY NY $174K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. ALBANY NY $153K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. ALBANY NY $148K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. ALBANY NY $134K
SETON HEALTH SYSTEM, INC TROY NY $129K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. ALBANY NY $81K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. ALBANY NY $73K
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY SLINGERLANDS NY $58K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. RENSSELAER NY $57K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,876 $206K
2019 11,213 $517K
2020 15,035 $796K
2021 18,871 $887K
2022 30,083 $1.08M
2023 8,550 $235K
2024 5,174 $59K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,683 13,935 $994K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,390 10,929 $559K
90460 Immunization administration through 18 years of age via any route, first or only component 10,389 9,605 $474K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,780 3,772 $253K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,540 3,319 $224K
90461 3,197 3,170 $200K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,648 2,335 $176K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,352 2,351 $159K
99223 Prolong inpt eval add15 m 1,074 1,025 $117K
99233 Prolong inpt eval add15 m 1,751 606 $87K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 809 809 $63K
76818 653 392 $46K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 420 383 $45K
99222 Initial hospital care, per day, moderate complexity 564 549 $44K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 360 357 $39K
99238 Hospital discharge day management, 30 minutes or less 840 817 $34K
99215 Prolong outpt/office vis 183 169 $21K
99239 Hospital discharge day management, more than 30 minutes 370 349 $19K
76813 259 255 $19K
99232 Subsequent hospital care, per day, moderate complexity 453 302 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 557 517 $16K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 719 712 $15K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 241 218 $13K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 144 143 $12K
96127 3,025 2,827 $11K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 133 133 $11K
99460 140 140 $9K
99406 1,041 978 $8K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 296 281 $8K
99385 112 110 $7K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 97 97 $7K
90686 2,751 2,750 $7K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,103 1,095 $6K
99442 115 103 $5K
80053 Comprehensive metabolic panel 2,171 1,965 $4K
84443 Thyroid stimulating hormone (TSH) 1,149 1,127 $3K
76801 45 45 $3K
90853 Group psychotherapy (other than of a multiple-family group) 170 87 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,295 2,020 $3K
59025 Fetal non-stress test 98 87 $3K
36415 Collection of venous blood by venipuncture 3,453 3,087 $2K
83036 Hemoglobin; glycosylated (A1C) 1,355 1,345 $2K
80061 Lipid panel 1,068 1,059 $2K
82962 1,033 962 $2K
99221 48 47 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 45 37 $2K
83655 237 237 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 116 93 $2K
81003 1,139 1,124 $2K
90674 43 43 $1K
90832 Psychotherapy, 30 minutes with patient 35 30 $1K
0071A 24 24 $1K
0002A 20 20 $1K
76820 35 31 $1K
0001A 19 19 $1K
81002 459 451 $992.30
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $909.91
82607 354 350 $871.35
99386 12 12 $802.47
76830 Ultrasound, transvaginal 13 13 $791.05
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 148 139 $688.28
0004A 12 12 $630.18
90834 Psychotherapy, 45 minutes with patient 14 14 $626.34
0124A 13 13 $594.10
90715 25 24 $486.38
83970 63 63 $483.04
99462 16 16 $453.87
80048 Basic metabolic panel (calcium, ionized) 314 272 $446.56
90472 Immunization administration, each additional vaccine (list separately) 14 14 $393.80
85018 218 218 $366.20
81000 87 85 $239.93
83735 195 181 $195.02
81025 25 25 $155.30
82746 42 42 $131.04
85027 84 81 $105.29
87086 Culture, bacterial; quantitative colony count, urine 46 40 $67.71
82728 29 28 $67.24
84439 39 39 $48.01
83550 24 24 $39.20
99173 92 92 $29.67
83540 25 25 $29.56
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 66 41 $28.59
90670 884 883 $0.01
3074F 1,511 1,446 $0.00
3008F 3,311 3,286 $0.00
90698 724 724 $0.00
3079F 623 604 $0.00
90680 197 197 $0.00
90723 24 24 $0.00
99000 331 327 $0.00
90744 66 66 $0.00
36416 16 16 $0.00
3044F 16 14 $0.00
3075F 28 28 $0.00
90651 36 36 $0.00
90696 13 13 $0.00
3078F 1,569 1,509 $0.00
90648 39 39 $0.00
90633 90 90 $0.00
3077F 12 12 $0.00
90710 28 28 $0.00
90734 24 24 $0.00
91300 32 20 $0.00