PHG Medical Office, LLP

PHG Medical Office, LLP was paid $193K by Medicaid between Oct 2019 and May 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.

33Billing provider infoPHG MEDICAL OFFICE, LLP
PLATTSBURGH, NY 12901

33aNPI1184178121assigned 08/08/2016

33bProvider typePrimary Care Clinic/Center

28Total paid$193K

24GClaims5,147

24DCodes billed7

24AFirst – last monthOct 2019 – May 2024

Compared with peers

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

Rank by total paid#119 of 242

Median peer was paid$172K

This provider vs. median1.1×

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
2019	55	$553.95
2020	624	$14K
2021	1,440	$54K
2022	1,235	$50K
2023	1,471	$55K
2024incomplete	322	$20K

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	63%	1,283	1,046	$122K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	34%	959	749	$65K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.1%	30	26	$4K
94010		<1%	64	63	$2K
93000		<1%	46	46	$578.27
99407		<1%	32	26	$202.77
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	2,733	1,856	$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 officialWERNER, DONALD (OWNER)