NP / PA
Acacia Family Health NP PLLC
Acacia Family Health NP PLLC was paid $837K by Medicaid between Jan 2018 and Nov 2023, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoACACIA FAMILY HEALTH NP PLLC
LOCKPORT, NY 14094
LOCKPORT, NY 14094
33aNPI1124328307assigned 10/22/2010
33bProvider typeFamily Nurse Practitioner
28Total paid$837K
24GClaims14,720
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other Family Nurse Practitioner providers in New York
Rank by total paid#12 of 1,582
Median peer was paid$2K
This provider vs. median364×
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 | 1,746 | $110K | |
| 2019 | 2,590 | $133K | |
| 2020 | 2,767 | $138K | |
| 2021 | 2,619 | $170K | |
| 2022 | 2,847 | $162K | |
| 2023 | 2,151 | $124K |
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 | 43% | 6,497 | 6,000 | $358K |
| 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 | 34% | 3,589 | 3,439 | $282K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 9.0% | 873 | 867 | $75K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 8.0% | 848 | 844 | $67K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 274 | 264 | $19K |
| 99443 | 1.3% | 228 | 199 | $11K | |
| 90756 | <1% | 310 | 309 | $7K | |
| 99442 | <1% | 133 | 118 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 61 | 61 | $4K |
| 99406 | <1% | 263 | 254 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 28 | 28 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 315 | 314 | $2K |
8 more codes
| 93000 | <1% | 100 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 174 | $1K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 24 | $761.32 |
| 99441 | <1% | 35 | $621.28 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 38 | $364.80 |
| 90461 | <1% | 24 | $30.00 | |
| 90686 | <1% | 28 | $20.03 | |
| 99080 | 0% | 878 | $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 officialOSTOLSKI, MICHAEL (PRESIDENT)