Loading...
NPI 1750626834 · Albany, NY · Multi-Specialty Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
St. Peter's Health Partners Medical Associates, P.C. is a multi-specialty clinic/center provider located in Albany, New York. This profile covers 1 Medicare and 131 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | St. Peter's Health Partners Medical Associates, P.C. |
| Address | 315 S Manning Blvd |
| City | Albany |
| State | NY |
| ZIP | 12208 |
| Taxonomy | Multi-Specialty Clinic/Center |
| NPI Enumerated | November 30, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6.6M |
| Medicare | $480 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G9873 | First medicare diabetes prevention program (mdpp) core session was attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is furnished by an… | 10 | $40 | $480 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
1 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| G9873 | 1 | 10 | 10 | $40 | $480 |
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
131 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 25,190 | $100 | $2.4M |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 11,200 | $70 | $817.4K |
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 8,100 | $70 | $542.6K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 33,990 | $10 | $238K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 1,840 | $130 | $232.3K |
| 70450 | The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities. | 6,810 | $30 | $204.4K |
| 76816 | The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound. | 2,140 | $90 | $190.5K |
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 17,510 | $10 | $157.6K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 1,890 | $80 | $157K |
| 77067 | The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software… | 4,940 | $30 | $153.3K |
Showing 1–10 of 131
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
131 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 90832 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 1,104 | 1,510 | 1,010 | $110 | $1.1M |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 58 | 80 | 150 | $620 | $380.1K |
| 90791 | In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. | 827 | 1,320 | 140 | $260 | $334K |
| 77067 | The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software… | 82 | 490 | 840 | $90 | $323.6K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,323 | 19,110 | 360 | $70 | $321K |
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 35 | 810 | 220 | $150 | $230.6K |
| 76816 | The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound. | 117 | 440 | 530 | $80 | $199.7K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 199 | 16,550 | 220 | $90 | $186.8K |
| 70553 | In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows… | 153 | 240 | 120 | $260 | $185.5K |
| 76641 | In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images. | 107 | 410 | 290 | $80 | $185.3K |
Showing 1–10 of 131
Other providers in the same ZIP code as St. Peter's Health Partners Medical Associates, P.C., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Albany Medical Center Hospital | NY | General Acute Care Hospital | $0 | $79.8M |
| Parsons Child And Family Center | NY | Custodial Care Facility | $0 | $65.7M |
| St. Peter's Hospital Of The City Of Albany | NY | General Acute Care Hospital | $0 | $35.4M |
| David Perlmutter | NY | Ophthalmology Physician | $2.9M | $126.4K |
| Rahul Ravilla | NY | Hematology & Oncology Physician | $1.8M | $320 |
| Stephen Wrzesinski | NY | Medical Oncology Physician | $1.2M | $0 |
| Muhammad Hussain | NY | Hematology & Oncology Physician | $1M | $0 |
| Madhavi Latha Kambam | NY | Hematology & Oncology Physician | $682.5K | $700 |
| Ami Negandhi | NY | Hematology & Oncology Physician | $597.2K | $0 |
| Makenzi Evangelist | NY | Hematology & Oncology Physician | $479.7K | $1.5K |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.