Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Jefferson Family Medicine

Jefferson Family Medicine was paid $538K by Medicaid between Jan 2018 and Dec 2019, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.

33Billing provider infoJEFFERSON FAMILY MEDICINE
ROCHESTER, NY 14611
33aNPI1578732608assigned 02/22/2008
28Total paid$538K
24GClaims9,340
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers

Next to other Primary Care Clinic/Center providers in New York

Rank by total paid#66 of 242
Median peer was paid$172K
This provider vs. median3.1×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20184,399$257K
20194,941$281K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 62% 3,568 3,257 $334K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30% 2,605 2,381 $163K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2.9% 803 797 $16K
80305 1.6% 794 493 $9K
99406 <1% 379 291 $5K
90688 <1% 245 245 $4K
82947 <1% 599 552 $3K
93000 <1% 103 103 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 13 12 $1K
83036 Hemoglobin; glycosylated (A1C) <1% 82 82 $903.50
90472 Immunization administration, each additional vaccine (list separately) <1% 41 41 $709.65
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 17 15 $314.56
2 more codes
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 24 $274.12
36415 Collection of venous blood by venipuncture <1% 67 $155.40

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 officialBAYER, WILLIAM (PHYSICIAN)