Physician
Southtowns Family Practice PC
Southtowns Family Practice PC was paid $148K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoSOUTHTOWNS FAMILY PRACTICE PC
HAMBURG, NY 14075
HAMBURG, NY 14075
33aNPI1588965743assigned 11/04/2010
33bProvider typeFamily Medicine Physician
28Total paid$148K
24GClaims6,108
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#480 of 2,605
Median peer was paid$10K
This provider vs. median15×
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 | 151 | $4K | |
| 2019 | 417 | $9K | |
| 2020 | 175 | $8K | |
| 2021 | 712 | $18K | |
| 2022 | 1,741 | $44K | |
| 2023 | 2,301 | $47K | |
| 2024incomplete | 611 | $19K |
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 | 43% | 1,520 | 1,407 | $64K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 18% | 353 | 353 | $27K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 14% | 259 | 258 | $21K |
| 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 | 7.8% | 184 | 179 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.8% | 448 | 418 | $12K |
| 99497 | 3.3% | 107 | 107 | $5K | |
| 90686 | 1.8% | 175 | 175 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 214 | 213 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 142 | 130 | $1K |
| 0031A | <1% | 28 | 28 | $894.13 | |
| 97802 | <1% | 119 | 119 | $586.60 | |
| 96127 | <1% | 139 | 135 | $474.62 |
11 more codes
| 0064A | <1% | 12 | $459.72 | |
| 90480 | <1% | 13 | $330.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | $143.49 |
| 91303 | <1% | 29 | $0.11 | |
| 99072 | <1% | 14 | $0.03 | |
| 91306 | <1% | 12 | $0.02 | |
| 1123F | 0% | 12 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 995 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,077 | $0.00 |
| 1124F | 0% | 204 | $0.00 | |
| 99080 | 0% | 40 | $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 |
|---|---|---|
| Lakeshore Family Medicine Assoc PC | Derby, NY | $836K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.