North Country Adult Medicine PLLC

North Country Adult Medicine PLLC was paid $147K by Medicaid between Mar 2021 and Nov 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.

33Billing provider infoNORTH COUNTRY ADULT MEDICINE PLLC
MASSENA, NY 13662

33aNPI1710052451assigned 11/21/2006

33bProvider typeInternal Medicine Physician

28Total paid$147K

24GClaims3,117

24DCodes billed15

24AFirst – last monthMar 2021 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#1,035 of 6,049

Median peer was paid$11K

This provider vs. median13×

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
2021	50	$4K
2022	996	$41K
2023	1,182	$64K
2024incomplete	889	$38K

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	74%	1,241	1,181	$108K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	19%	433	403	$28K
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)	2.2%	333	309	$3K
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	1.7%	24	24	$3K
96127		1.5%	662	417	$2K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	12	12	$976.85
90686		<1%	28	28	$571.47
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	49	47	$362.37
0011A		<1%	12	12	$330.78
81003		<1%	77	77	$136.43
83036	Hemoglobin; glycosylated (A1C)	<1%	14	14	$107.80
80061	Lipid panel	<1%	13	13	$76.28

3 more codes

96160		<1%	125	$64.84
82947		<1%	12	$39.32
36415	Collection of venous blood by venipuncture	<1%	82	$35.37

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 officialTHOMSON, ELLEN (BILLING SPECIALIST)