Fairgrounds Family Physicians PLLC

Fairgrounds Family Physicians PLLC was paid $3K by Medicaid between Oct 2020 and Nov 2022, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.

33Billing provider infoFAIRGROUNDS FAMILY PHYSICIANS PLLC
MANLIUS, NY 13104

33aNPI1174690440assigned 11/29/2006

33bProvider typeFamily Medicine Physician

28Total paid$3K

24GClaims63

24DCodes billed4

24AFirst – last monthOct 2020 – Nov 2022

Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#1,814 of 2,605

Median peer was paid$10K

This provider vs. median0.3×

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
2020	36	$316.22
2022	27	$2K

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	56%	15	15	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	32%	12	12	$853.59
90460	Immunization administration through 18 years of age via any route, first or only component	12%	20	20	$316.20
90686		<1%	16	16	$0.02

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 officialKAPLAN, PHILIP (MEMBER)