Lake Erie Medical Services, PC

Lake Erie Medical Services, PC was paid $342K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.

33Billing provider infoLAKE ERIE MEDICAL SERVICES, PC
FREDONIA, NY 14063

33aNPI1437406931assigned 08/14/2012

33bProvider typeAnesthesiology Physician

28Total paid$342K

24GClaims11,083

24DCodes billed21

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Anesthesiology Physician providers in New York

Rank by total paid#59 of 493

Median peer was paid$8K

This provider vs. median44×

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	2,085	$44K
2019	2,474	$59K
2020	2,357	$65K
2021	2,004	$84K
2022	1,152	$40K
2023	655	$24K
2024incomplete	356	$26K

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	57%	3,560	3,289	$195K
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	13%	589	561	$44K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	9.7%	400	400	$33K
59400	Routine obstetric care including antepartum care, vaginal delivery, and postpartum care	6.1%	12	12	$21K
81002		3.3%	5,733	3,572	$11K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.1%	137	137	$11K
99460		1.9%	96	96	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.1%	110	101	$4K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1.0%	31	31	$4K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	27	24	$3K
99462		<1%	85	50	$2K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	12	12	$2K

9 more codes

99238	Hospital discharge day management, 30 minutes or less	<1%	29	$2K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	31	$2K
99239	Hospital discharge day management, more than 30 minutes	<1%	13	$968.90
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	12	$960.59
59025	Fetal non-stress test	<1%	22	$569.02
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	143	$361.45
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	13	$178.88
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%	13	$68.28
36415	Collection of venous blood by venipuncture	<1%	15	$2.10

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 officialHASSENFRATZ, MARLENE (PRESIDENT)