Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LAKESHORE FAMILY MEDICINE ASSOC PC

NPI: 1295832418 · DERBY, NY 14047 · Family Medicine Physician · NPI assigned 09/20/2006

$836K
Total Medicaid Paid
37,851
Total Claims
34,839
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMACLEAN, CRAIG (PRESIDENT)
NPI Enumeration Date09/20/2006

Related Entities

Other providers sharing the same authorized official: MACLEAN, CRAIG

ProviderCityStateTotal Paid
SOUTHTOWNS FAMILY PRACTICE PC HAMBURG NY $148K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 5,934 $91K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,790 7,107 $495K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,147 4,771 $258K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 479 478 $37K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 250 250 $20K
99406 1,442 1,342 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 454 451 $5K
90674 157 157 $4K
1111F 1,814 1,637 $2K
90686 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) 249 232 $1K
3078F 1,720 1,612 $359.50
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $302.31
3074F 2,315 2,145 $271.00
81003 223 221 $266.02
83036 Hemoglobin; glycosylated (A1C) 25 25 $229.27
99407 13 12 $136.92
96127 386 377 $51.23
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,423 2,175 $0.00
1159F 4,365 3,957 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,487 1,391 $0.00
4040F 69 69 $0.00
4004F 26 26 $0.00
3079F 170 162 $0.00
1036F 1,165 1,084 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 2,165 1,958 $0.00
3008F 3,414 3,097 $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) 12 12 $0.00