Canalside Primary Care PC

Canalside Primary Care PC was paid $94K by Medicaid between Jan 2018 and Aug 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.

33Billing provider infoCANALSIDE PRIMARY CARE PC
NORTH TONAWANDA, NY 14120

33aNPI1174651046assigned 03/01/2007

33bProvider typeFamily Medicine Physician

28Total paid$94K

24GClaims1,752

24DCodes billed11

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#595 of 2,605

Median peer was paid$10K

This provider vs. median9.3×

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

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	72%	867	849	$68K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	348	337	$19K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	3.3%	39	39	$3K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.0%	12	12	$969.53
90756		<1%	32	32	$928.22
90688		<1%	45	45	$818.89
99406		<1%	69	68	$624.78
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	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	<1%	12	12	$89.82
94760		<1%	15	14	$1.31
99080		0%	242	236	$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 officialROSS, LYNNE (OWNER)