Physician
Marcellus Family Medicine PLLC
Marcellus Family Medicine PLLC was paid $746K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoMARCELLUS FAMILY MEDICINE PLLC
MARCELLUS, NY 13108
MARCELLUS, NY 13108
33aNPI1245427640assigned 09/29/2007
33bProvider typeFamily Medicine Physician
28Total paid$746K
24GClaims13,997
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#155 of 2,605
Median peer was paid$10K
This provider vs. median74×
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 | 1,193 | $67K | |
| 2019 | 1,496 | $77K | |
| 2020 | 1,655 | $78K | |
| 2021 | 2,284 | $136K | |
| 2022 | 3,200 | $170K | |
| 2023 | 2,580 | $135K | |
| 2024incomplete | 1,589 | $84K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 61% | 6,198 | 5,685 | $457K |
| 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 | 30% | 2,015 | 1,909 | $222K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.4% | 506 | 480 | $25K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 108 | 108 | $10K |
| 81000 | <1% | 1,782 | 1,760 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 70 | 69 | $7K |
| 90688 | <1% | 568 | 568 | $7K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 506 | 505 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 339 | 337 | $2K |
| 92551 | <1% | 655 | 653 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | 13 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,145 | 1,117 | $680.91 |
6 more codes
| 0031A | <1% | 18 | $663.77 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 18 | $375.18 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 13 | $188.13 |
| 90619 | <1% | 12 | $175.33 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | $56.21 |
| 91303 | 0% | 16 | $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 officialMERRITT, ANDREW (OWNER)