Paradigm Family Health NP PLLC

Paradigm Family Health NP PLLC was paid $98K by Medicaid between Oct 2018 and Jun 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.

33Billing provider infoPARADIGM FAMILY HEALTH NP PLLC
DEPEW, NY 14043

33aNPI1154801033assigned 08/20/2018

33bProvider typePrimary Care Clinic/Center

28Total paid$98K

24GClaims2,653

24DCodes billed9

24AFirst – last monthOct 2018 – Jun 2024

Compared with peers

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

Rank by total paid#142 of 242

Median peer was paid$172K

This provider vs. median0.6×

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	99	$3K
2019	803	$22K
2020	611	$19K
2021	299	$15K
2022	237	$12K
2023	500	$21K
2024incomplete	104	$7K

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	47%	763	752	$46K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	30%	364	358	$29K
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	9.3%	108	108	$9K
99406		5.9%	808	768	$6K
99443		3.5%	50	50	$3K
99442		2.5%	84	82	$2K
80305		<1%	252	240	$870.72
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	144	141	$812.04
96127		<1%	80	80	$125.10

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 officialPEARCE, DOUGLAS (CEO/FAMILY NURSE PRACTITIONER)