CANTON-POTSDAM MEDICAL PRACTICE PLLC
NPI: 1760821417
· CANTON, NY 13617
· Multi-Specialty Clinic/Center
· NPI assigned 06/17/2013
$182K
Total Medicaid Paid
Provider Details
| Authorized Official | PEGGS, ASHLEY (PROVIDER ENROLLMENT MANAGER) |
| NPI Enumeration Date | 06/17/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
56 |
$4K |
| 2019 |
597 |
$47K |
| 2020 |
531 |
$41K |
| 2021 |
284 |
$32K |
| 2022 |
229 |
$19K |
| 2023 |
248 |
$25K |
| 2024 |
124 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,231 |
1,192 |
$131K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
732 |
703 |
$46K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
51 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$787.16 |
| 96127 |
|
14 |
14 |
$62.30 |
| 81002 |
|
29 |
29 |
$52.51 |