Five Corners Family Practice PC

Five Corners Family Practice PC was paid $68K by Medicaid between Jan 2018 and Nov 2022, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 95% of everything it billed.

33Billing provider infoFIVE CORNERS FAMILY PRACTICE PC
SCHENECTADY, NY 12306

33aNPI1851353882assigned 04/05/2006

33bProvider typeFamily Medicine Physician

28Total paid$68K

24GClaims1,668

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2022

Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#682 of 2,605

Median peer was paid$10K

This provider vs. median6.7×

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	120	$730.11
2019	231	$4K
2020	271	$13K
2021	494	$25K
2022	552	$24K

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	95%	1,235	1,138	$64K
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	2.9%	89	80	$2K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	12	12	$414.12
90686		<1%	30	30	$304.48
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	<1%	12	12	$275.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	40	40	$218.01
96127		<1%	41	40	$124.30
3016F		0%	56	56	$0.00
3078F		0%	26	25	$0.00
3074F		0%	103	103	$0.00
1036F		0%	24	24	$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 officialMERRITT, PATRICIA (PRESIDENT)