NP / PA
NP Family Care of Rochester, PLLC
NP Family Care of Rochester, PLLC was paid $603K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoNP FAMILY CARE OF ROCHESTER, PLLC
ROCHESTER, NY 14618
ROCHESTER, NY 14618
33aNPI1699162800assigned 04/26/2015
33bProvider typeFamily Nurse Practitioner
28Total paid$603K
24GClaims14,463
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Nurse Practitioner providers in New York
Rank by total paid#18 of 1,582
Median peer was paid$2K
This provider vs. median262×
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 | 1,491 | $66K | |
| 2019 | 2,303 | $98K | |
| 2020 | 2,652 | $107K | |
| 2021 | 3,318 | $121K | |
| 2022 | 2,669 | $108K | |
| 2023 | 1,599 | $78K | |
| 2024incomplete | 431 | $24K |
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 | 52% | 4,029 | 3,671 | $316K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 3,436 | 3,065 | $184K |
| 80305 | 6.6% | 3,918 | 3,350 | $40K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.2% | 293 | 284 | $31K |
| 96127 | 1.3% | 1,388 | 1,308 | $8K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 26 | 26 | $3K |
| 99051 | <1% | 371 | 347 | $3K | |
| 99454 | <1% | 76 | 76 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 182 | 180 | $3K |
| 99457 | <1% | 76 | 76 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 181 | 146 | $2K |
| 0012A | <1% | 55 | 55 | $2K |
9 more codes
| 0011A | <1% | 52 | $2K | |
| 90686 | <1% | 89 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 15 | $788.58 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | $556.70 |
| 99453 | <1% | 30 | $314.28 | |
| 90688 | <1% | 17 | $271.59 | |
| 96160 | <1% | 83 | $176.95 | |
| 82962 | <1% | 65 | $174.79 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 68 | $144.90 |
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 officialMARKWICK, LAURA (OWNER)