Behar, Philomena

Behar, Philomena was paid $498K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.

33Billing provider infoBEHAR, PHILOMENA
BUFFALO, NY 14222

33aNPI1013913425assigned 06/22/2005

33bProvider typePediatric Otolaryngology Physician

28Total paid$498K

24GClaims6,761

24DCodes billed18

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatric Otolaryngology Physician providers in New York

Rank by total paid#2 of 21

Median peer was paid$18K

This provider vs. median28×

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	194	$7K
2019	199	$9K
2020	405	$25K
2021	1,004	$63K
2022	604	$43K
2023	1,531	$150K
2024incomplete	2,824	$200K

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	25%	2,021	1,896	$125K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	21%	378	378	$103K
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	13%	712	695	$65K
42820	Tonsillectomy and adenoidectomy; younger than age 12	9.7%	138	138	$48K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	9.7%	329	329	$48K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	8.9%	452	451	$44K
92567		3.9%	1,393	1,378	$19K
42830		1.7%	43	43	$9K
92552		1.6%	289	288	$8K
92579		1.2%	193	192	$6K
69610		1.1%	14	14	$6K
69210		1.0%	150	144	$5K

6 more codes

92556		<1%	107	$4K
31575		<1%	24	$3K
92504		<1%	364	$2K
92555		<1%	69	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	30	$1K
94760		<1%	55	$17.70

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.