Southern Adirondack Family Health-Np, PLLC

Southern Adirondack Family Health-Np, PLLC was paid $35K by Medicaid between May 2023 and Oct 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.

33Billing provider infoSOUTHERN ADIRONDACK FAMILY HEALTH-NP, PLLC
QUEENSBURY, NY 12804

33aNPI1073227856assigned 01/06/2023

33bProvider typePrimary Care Clinic/Center

28Total paid$35K

24GClaims540

24DCodes billed4

24AFirst – last monthMay 2023 – Oct 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in New York

Rank by total paid#162 of 242

Median peer was paid$172K

This provider vs. median0.2×

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
2023	172	$10K
2024incomplete	368	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	63%	264	245	$22K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	31%	187	171	$11K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	5.3%	51	48	$2K
96127		<1%	38	37	$135.78

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 officialEMERSON, KATHLEEN (FNP)