South Shore Family Medical Associates, P.C.

South Shore Family Medical Associates, P.C. was paid $1.85M by Medicaid between Jan 2018 and Dec 2024, across 67 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.

33Billing provider infoSOUTH SHORE FAMILY MEDICAL ASSOCIATES, P.C.
INWOOD, NY 11096

33aNPI1720122716assigned 02/16/2007

33bProvider typeFamily Medicine Physician

28Total paid$1.85M

24GClaims349,959

24DCodes billed67

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#75 of 2,605

Median peer was paid$10K

This provider vs. median183×

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	47,118	$362K
2019	56,329	$357K
2020	51,982	$203K
2021	68,652	$270K
2022	52,028	$212K
2023	43,032	$174K
2024incomplete	30,818	$272K

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	31%	15,336	14,438	$569K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	29%	18,973	17,407	$528K
99401		8.7%	11,314	8,710	$160K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	7.1%	3,009	3,006	$131K
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	5.4%	9,670	7,622	$101K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	4.5%	2,077	2,071	$83K
93000		2.4%	3,020	3,008	$44K
G0444	Annual depression screening, 5 to 15 minutes	1.7%	6,457	5,198	$32K
99408		1.6%	1,117	866	$30K
99406		1.3%	2,751	2,343	$25K
36415	Collection of venous blood by venipuncture	1.1%	17,171	16,689	$20K
3074F		<1%	14,836	12,444	$16K

55 more codes

G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	2,059	$15K
3078F		<1%	10,436	$12K
99385		<1%	274	$11K
99441		<1%	373	$11K
3079F		<1%	7,867	$10K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	509	$9K
99215	Doctor's office visit, returning patient (complex)	<1%	128	$7K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	698	$6K
3075F		<1%	3,816	$5K
99203	Doctor's office visit, new patient (routine)	<1%	44	$5K
99051		<1%	1,243	$3K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	14	$3K
99386		<1%	51	$3K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	102	$2K
99204	Doctor's office visit, new patient (more involved)	<1%	13	$2K
94060		<1%	64	$1K
3080F		<1%	963	$1K
3077F		<1%	1,091	$1K
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	619	$656.60
1126F		<1%	13,109	$622.31
1159F		<1%	19,687	$611.13
81002		<1%	492	$594.28
99497		<1%	13	$548.01
1160F		<1%	19,789	$493.72
86480		<1%	28	$410.32
1170F		<1%	14,462	$377.11
3044F		<1%	2,748	$330.13
87070		<1%	34	$181.28
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	12	$128.11
G8473	Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed	<1%	198	$59.50
99072		<1%	11,832	$52.52
1125F		<1%	2,146	$50.02
99000		<1%	14,236	$37.45
81000		<1%	72	$34.00
3051F		<1%	38	$20.00
1494F		<1%	21,717	$6.34
3049F		<1%	822	$5.06
2010F		<1%	21,726	$2.11
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	65	$0.35
3048F		<1%	1,371	$0.11
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	<1%	14	$0.03
4010F		<1%	268	$0.02
1000F		0%	15,454	$0.00
2001F		0%	21,711	$0.00
99058		0%	404	$0.00
G9664	Patients who are currently statin therapy users or received an order (prescription) for statin therapy	0%	307	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	78	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	33	$0.00
3014F		0%	13	$0.00
1090F		0%	15,229	$0.00
3725F		0%	15,312	$0.00
3050F		0%	345	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	33	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	51	$0.00
G9899	Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed	0%	15	$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 officialDETWEILER, ALLAN (PRESIDENT)