Physician
Family Health Medical Services PLLC
Family Health Medical Services PLLC was paid $6.44M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoFAMILY HEALTH MEDICAL SERVICES PLLC
JAMESTOWN, NY 14701
JAMESTOWN, NY 14701
33aNPI1619072204assigned 09/14/2006
33bProvider typeFamily Medicine Physician
28Total paid$6.44M
24GClaims103,448
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#23 of 2,605
Median peer was paid$10K
This provider vs. median638×
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 | 15,506 | $886K | |
| 2019 | 16,005 | $916K | |
| 2020 | 14,059 | $833K | |
| 2021 | 15,283 | $1.10M | |
| 2022 | 16,343 | $1.08M | |
| 2023 | 15,602 | $985K | |
| 2024incomplete | 10,650 | $640K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 57% | 41,080 | 39,626 | $3.69M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 36,631 | 35,256 | $2.36M |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.5% | 979 | 978 | $97K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.5% | 907 | 907 | $96K |
| 80305 | <1% | 7,949 | 7,334 | $61K | |
| 99406 | <1% | 3,902 | 3,842 | $48K | |
| 96160 | <1% | 6,642 | 6,636 | $13K | |
| 90682 | <1% | 232 | 232 | $12K | |
| 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% | 922 | 897 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,419 | 1,415 | $8K |
| 90688 | <1% | 498 | 498 | $8K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 128 | 55 | $6K |
29 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 132 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 44 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 310 | $3K |
| 99490 | Ccm add 20min | <1% | 161 | $3K |
| 99442 | <1% | 70 | $3K | |
| 87428 | <1% | 87 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 24 | $2K |
| 93000 | <1% | 115 | $1K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 281 | $1K |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | <1% | 87 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 74 | $910.94 |
| 0012A | <1% | 26 | $775.17 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 26 | $460.84 |
| 0031A | <1% | 13 | $390.00 | |
| 0011A | <1% | 12 | $360.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 41 | $312.52 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 80 | $271.61 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 84 | $193.44 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 18 | $161.80 |
| H0049 | Alcohol and/or drug screening | <1% | 37 | $91.20 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 12 | $91.16 |
| 99050 | <1% | 13 | $86.08 | |
| 81002 | <1% | 39 | $67.12 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 12 | $9.30 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 166 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 70 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 13 | $0.00 |
| 1036F | 0% | 56 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 56 | $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 officialKINAL, LEAH (CREDENTIALING MANAGER)