Physician
General Physician Sub I PLLC
General Physician Sub I PLLC was paid $249K by Medicaid between Jan 2018 and May 2022, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 85% of everything it billed.
33Billing provider infoGENERAL PHYSICIAN SUB I PLLC
MEDINA, NY 14103
MEDINA, NY 14103
33aNPI1699093898assigned 05/12/2010
33bProvider typeGeneral Practice Physician
28Total paid$249K
24GClaims3,149
24DCodes billed12
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other General Practice Physician providers in New York
Rank by total paid#48 of 178
Median peer was paid$27K
This provider vs. median9.3×
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 | 905 | $66K | |
| 2019 | 668 | $56K | |
| 2020 | 637 | $49K | |
| 2021 | 737 | $59K | |
| 2022 | 202 | $19K |
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 | 85% | 2,326 | 2,164 | $210K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 476 | 430 | $30K |
| 0002A | <1% | 43 | 43 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | 12 | $1K |
| 0001A | <1% | 44 | 44 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 110 | 110 | $907.16 |
| 90756 | <1% | 31 | 31 | $886.89 | |
| 90688 | <1% | 45 | 45 | $823.55 | |
| 99442 | <1% | 15 | 15 | $799.31 | |
| 0011A | <1% | 18 | 17 | $658.27 | |
| 0012A | <1% | 12 | 12 | $450.77 | |
| 93000 | <1% | 17 | 17 | $245.73 |
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 officialHUGHES, DAVID (MD, OWNER)
Parent organizationGENERAL PHYSICIAN, PC
| Provider | Location | Paid |
|---|---|---|
| Lakeshore Community Health Care, INC | Sheboygan, WI | $14.74M |
| Lakeshore Community Health Care, INC | Manitowoc, WI | $9.21M |
| Plantation General Hospital L P | Plantation, FL | $7.72M |
| Cornerstone Prosthetics and Orthotics, INC | Everett, WA | $1.54M |
| Reliable Medical Response, LLC | Brandon, FL | $75K |
| Geriatric Essentials, PC | Dyersburg, TN | $55K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.