Physician
Claxton Medical PC
Claxton Medical PC was paid $2.12M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoCLAXTON MEDICAL PC
OGDENSBURG, NY 13669
OGDENSBURG, NY 13669
33aNPI1114164944assigned 01/15/2009
33bProvider typeInternal Medicine Physician
28Total paid$2.12M
24GClaims33,933
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#125 of 6,049
Median peer was paid$11K
This provider vs. median187×
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 | |
|---|---|---|---|
| 2018 | 4,820 | $288K | |
| 2019 | 6,058 | $363K | |
| 2020 | 5,207 | $329K | |
| 2021 | 4,422 | $343K | |
| 2022 | 4,266 | $255K | |
| 2023 | 5,124 | $308K | |
| 2024incomplete | 4,036 | $230K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 54% | 15,241 | 14,509 | $1.14M |
| 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 | 14% | 2,748 | 2,693 | $291K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.2% | 1,914 | 1,914 | $194K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.5% | 1,285 | 1,173 | $116K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.3% | 1,131 | 1,128 | $113K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.6% | 995 | 994 | $96K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.8% | 2,777 | 2,757 | $37K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 346 | 346 | $36K |
| 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% | 94 | 94 | $16K |
| 99051 | <1% | 1,539 | 1,523 | $13K | |
| 90461 | <1% | 733 | 724 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 188 | 175 | $9K |
31 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,167 | $6K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 509 | $6K |
| 69210 | <1% | 115 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 52 | $5K |
| 99442 | <1% | 92 | $5K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 39 | $4K |
| 99188 | <1% | 267 | $3K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 52 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $2K |
| 90686 | <1% | 892 | $2K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 49 | $1K |
| 99441 | <1% | 39 | $1K | |
| 92551 | <1% | 112 | $749.19 | |
| 93000 | <1% | 51 | $697.77 | |
| 96127 | <1% | 152 | $625.81 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 28 | $407.16 |
| 90658 | <1% | 145 | $197.30 | |
| 99406 | <1% | 16 | $194.66 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 27 | $168.80 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 12 | $65.94 |
| 99173 | <1% | 29 | $4.44 | |
| 90648 | 0% | 292 | $0.00 | |
| 90734 | 0% | 72 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 289 | $0.00 |
| 90670 | 0% | 216 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| 90715 | 0% | 34 | $0.00 | |
| 90723 | 0% | 77 | $0.00 | |
| 90657 | 0% | 16 | $0.00 | |
| 90677 | 0% | 64 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 12 | $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 officialSEIDMAN, MICHAEL (CHIEF MEDICAL OFFICER)