Canton-Potsdam Medical Practice PLLC

Canton-Potsdam Medical Practice PLLC was paid $182K by Medicaid between May 2018 and Oct 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.

33Billing provider infoCANTON-POTSDAM MEDICAL PRACTICE PLLC
CANTON, NY 13617

33aNPI1760821417assigned 06/17/2013

33bProvider typeMulti-Specialty Clinic/Center

28Total paid$182K

24GClaims2,069

24DCodes billed6

24AFirst – last monthMay 2018 – Oct 2024

Compared with peers

Next to other Multi-Specialty Clinic/Center providers in New York

Rank by total paid#70 of 118

Median peer was paid$372K

This provider vs. median0.5×

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	56	$4K
2019	597	$47K
2020	531	$41K
2021	284	$32K
2022	229	$19K
2023	248	$25K
2024incomplete	124	$14K

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	72%	1,231	1,192	$131K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	25%	732	703	$46K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.4%	51	51	$4K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	12	12	$787.16
96127		<1%	14	14	$62.30
81002		<1%	29	29	$52.51

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 officialPEGGS, ASHLEY (PROVIDER ENROLLMENT MANAGER)