Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Plattsburgh › NPI 1982703070
Physician

Plattsburgh Medical Care, PLLC

Plattsburgh Medical Care, PLLC was paid $1.81M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.

33Billing provider infoPLATTSBURGH MEDICAL CARE, PLLC
PLATTSBURGH, NY 12901
33aNPI1982703070assigned 09/22/2006
28Total paid$1.81M
24GClaims26,013
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#79 of 2,605
Median peer was paid$10K
This provider vs. median179×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20182,269$147K
20193,088$213K
20203,184$207K
20214,028$297K
20225,558$392K
20235,317$374K
2024incomplete2,569$182K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 57% 16,417 14,550 $1.03M
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 37% 7,501 7,121 $666K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.3% 495 494 $41K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.1% 154 151 $20K
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 1.0% 154 154 $19K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 58 12 $16K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 90 90 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 139 137 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 37 37 $3K
99441 <1% 73 71 $3K
93000 <1% 122 120 $1K
81003 <1% 637 606 $1K
3 more codes
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 110 $431.34
87428 <1% 14 $259.84
95117 <1% 12 $100.14

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 officialSCHROYER, GLENN (OWNER)