Crystal Springs Medical PC

Crystal Springs Medical PC was paid $88K by Medicaid between Jan 2018 and Sep 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.

33Billing provider infoCRYSTAL SPRINGS MEDICAL PC
LOCKPORT, NY 14094

33aNPI1295756286assigned 07/22/2006

33bProvider typeClinic/Center

28Total paid$88K

24GClaims2,248

24DCodes billed9

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Clinic/Center providers in New York

Rank by total paid#163 of 235

Median peer was paid$630K

This provider vs. median0.1×

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
2018	310	$15K
2019	417	$19K
2020	315	$12K
2021	414	$18K
2022	298	$12K
2023	137	$5K
2024incomplete	357	$5K

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	87%	1,621	1,419	$76K
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	11%	149	142	$9K
99442		1.7%	42	37	$2K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	12	12	$659.45
94760		<1%	286	266	$252.89
3008F		0%	64	64	$0.00
3074F		0%	15	15	$0.00
1126F		0%	26	26	$0.00
1159F		0%	33	32	$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 officialBASSIG, EDGAR (PRESIDENT)