Family Medical Care of Bayshore, PC

Family Medical Care of Bayshore, PC was paid $2.09M by Medicaid between Jan 2018 and Nov 2024, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoFAMILY MEDICAL CARE OF BAYSHORE, PC
BAY SHORE, NY 11706

33aNPI1487807061assigned 10/28/2008

33bProvider typeFamily Medicine Physician

28Total paid$2.09M

24GClaims92,136

24DCodes billed62

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#69 of 2,605

Median peer was paid$10K

This provider vs. median207×

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	6,100	$154K
2019	6,862	$155K
2020	13,819	$386K
2021	16,421	$448K
2022	22,712	$437K
2023	15,359	$323K
2024incomplete	10,863	$185K

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	56%	22,173	19,439	$1.18M
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	18%	4,536	4,386	$386K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	8.6%	2,060	2,056	$179K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	6.2%	1,645	1,643	$130K
93000		1.7%	1,704	1,691	$35K
99385		1.3%	316	316	$27K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	1.3%	4,163	3,863	$27K
96127		1.2%	6,615	6,497	$25K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	226	226	$18K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	433	419	$15K
G0444	Annual depression screening, 5 to 15 minutes	<1%	1,910	1,829	$14K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	151	151	$11K

50 more codes

G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	3,602	$7K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	535	$5K
H0001	Alcohol and/or drug assessment	<1%	1,717	$5K
99401		<1%	499	$5K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	57	$4K
99386		<1%	28	$3K
90686		<1%	237	$3K
90733		<1%	51	$2K
81002		<1%	895	$2K
90688		<1%	79	$1K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	459	$1K
G0136	Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months	<1%	80	$1K
36415	Collection of venous blood by venipuncture	<1%	2,254	$1K
99397		<1%	12	$1K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	84	$889.34
99443		<1%	15	$657.41
99441		<1%	40	$545.88
3074F		<1%	460	$492.50
3078F		<1%	449	$487.50
99442		<1%	13	$450.00
82948		<1%	235	$441.82
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	17,107	$354.40
99407		<1%	15	$339.37
3079F		<1%	204	$237.50
H0049	Alcohol and/or drug screening	<1%	336	$226.50
G8420	Bmi is documented within normal parameters and no follow-up plan is required	<1%	5,370	$157.50
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	27	$114.75
G0008	Administration of influenza virus vaccine	<1%	18	$94.09
3075F		<1%	80	$92.50
99173		<1%	76	$90.00
3077F		<1%	67	$87.50
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	13	$53.99
99000		<1%	5,220	$39.89
82962		<1%	67	$26.48
92015	Determination of refractive state	<1%	69	$17.39
1159F		<1%	706	$5.00
36416		<1%	2,344	$4.50
1160F		<1%	719	$2.65
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	<1%	30	$0.02
3017F		0%	80	$0.00
G8418	Bmi is documented below normal parameters and a follow-up plan is documented	0%	274	$0.00
3014F		0%	74	$0.00
3044F		0%	68	$0.00
0521F		0%	729	$0.00
3725F		0%	531	$0.00
S9470	Nutritional counseling, dietitian visit	0%	21	$0.00
3050F		0%	12	$0.00
90649		0%	85	$0.00
2028F		0%	13	$0.00
G0397	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes	0%	48	$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 officialCANAVIRE-WEBER, CARLA (OWNER)