Physician
Lakeshore Family Medicine Assoc PC
Lakeshore Family Medicine Assoc PC was paid $836K by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoLAKESHORE FAMILY MEDICINE ASSOC PC
DERBY, NY 14047
DERBY, NY 14047
33aNPI1295832418assigned 09/20/2006
33bProvider typeFamily Medicine Physician
28Total paid$836K
24GClaims37,851
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#144 of 2,605
Median peer was paid$10K
This provider vs. median83×
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 | 1,818 | $102K | |
| 2019 | 2,789 | $95K | |
| 2020 | 5,253 | $99K | |
| 2021 | 5,013 | $140K | |
| 2022 | 7,792 | $154K | |
| 2023 | 9,252 | $156K | |
| 2024incomplete | 5,934 | $91K |
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 | 59% | 7,790 | 7,107 | $495K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 5,147 | 4,771 | $258K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.4% | 479 | 478 | $37K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.4% | 250 | 250 | $20K |
| 99406 | 1.6% | 1,442 | 1,342 | $13K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 454 | 451 | $5K |
| 90674 | <1% | 157 | 157 | $4K | |
| 1111F | <1% | 1,814 | 1,637 | $2K | |
| 90686 | <1% | 79 | 79 | $2K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 249 | 232 | $1K |
| 3078F | <1% | 1,720 | 1,612 | $359.50 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $302.31 |
15 more codes
| 3074F | <1% | 2,315 | $271.00 | |
| 81003 | <1% | 223 | $266.02 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 25 | $229.27 |
| 99407 | <1% | 13 | $136.92 | |
| 96127 | <1% | 386 | $51.23 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,423 | $0.00 |
| 1159F | 0% | 4,365 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,487 | $0.00 |
| 4040F | 0% | 69 | $0.00 | |
| 4004F | 0% | 26 | $0.00 | |
| 3079F | 0% | 170 | $0.00 | |
| 1036F | 0% | 1,165 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 2,165 | $0.00 |
| 3008F | 0% | 3,414 | $0.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 12 | $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 officialMACLEAN, CRAIG (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Southtowns Family Practice PC | Hamburg, NY | $148K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.