Champlain Pain Relief and Neurology, PLLC

Champlain Pain Relief and Neurology, PLLC was paid $47K by Medicaid between Jan 2018 and Nov 2019, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.

33Billing provider infoCHAMPLAIN PAIN RELIEF AND NEUROLOGY, PLLC
PLATTSBURGH, NY 12901

33aNPI1285763912assigned 03/06/2007

33bProvider typeNeurology Physician

28Total paid$47K

24GClaims661

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2019

Compared with peers

Next to other Neurology Physician providers in New York

Rank by total paid#171 of 623

Median peer was paid$9K

This provider vs. median5.0×

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	251	$20K
2019	410	$26K

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%	249	155	$26K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	31%	101	57	$14K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.5%	49	30	$3K
99403		3.0%	30	24	$1K
80305		2.5%	232	139	$1K

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 officialGAUGHAN, ELLEN (OWNER)