Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CANALSIDE PRIMARY CARE PC

NPI: 1174651046 · NORTH TONAWANDA, NY 14120 · Family Medicine Physician · NPI assigned 03/01/2007

$94K
Total Medicaid Paid
1,752
Total Claims
1,715
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialROSS, LYNNE (OWNER)
NPI Enumeration Date03/01/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 91 $4K
2019 537 $17K
2020 281 $13K
2021 300 $22K
2022 308 $23K
2023 208 $14K
2024 27 $942.06

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 867 849 $68K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 348 337 $19K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 39 39 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $969.53
90756 32 32 $928.22
90688 45 45 $818.89
99406 69 68 $624.78
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 71 71 $554.54
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 12 12 $89.82
94760 15 14 $1.31
99080 242 236 $0.00