Physician
Tri-County Family Medicine Asso PC
Tri-County Family Medicine Asso PC was paid $10K by Medicaid between Jan 2018 and Jan 2023, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.
33Billing provider infoTRI-COUNTY FAMILY MEDICINE ASSO PC
GOWANDA, NY 14070
GOWANDA, NY 14070
33aNPI1730268541assigned 11/03/2006
33bProvider typeFamily Medicine Physician
28Total paid$10K
24GClaims2,577
24DCodes billed12
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#1,324 of 2,605
Median peer was paid$10K
This provider vs. median1.0×
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 | 201 | $2K | |
| 2019 | 413 | $912.62 | |
| 2020 | 399 | $2K | |
| 2021 | 665 | $1K | |
| 2022 | 779 | $3K | |
| 2023 | 120 | $785.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 78% | 169 | 164 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 9.9% | 93 | 93 | $958.78 |
| 90688 | 7.9% | 62 | 62 | $769.15 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.8% | 12 | 12 | $176.81 |
| 0011A | 1.8% | 12 | 12 | $171.50 | |
| 3074F | <1% | 13 | 12 | $20.00 | |
| 99080 | 0% | 346 | 338 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 175 | 169 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 666 | 634 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 25 | 25 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 876 | 832 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 128 | 122 | $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 officialPRITCHARD, MELISSA (ADMINISTRATIVE SECRETARY)