Physician
Winston G Douglas MD PC
Winston G Douglas MD PC was paid $646K by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.
33Billing provider infoWINSTON G DOUGLAS MD PC
BUFFALO, NY 14225
BUFFALO, NY 14225
33aNPI1043528409assigned 09/20/2010
33bProvider typeFamily Medicine Physician
28Total paid$646K
24GClaims36,426
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#175 of 2,605
Median peer was paid$10K
This provider vs. median64×
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 | 9,531 | $73K | |
| 2019 | 7,300 | $80K | |
| 2020 | 4,892 | $91K | |
| 2021 | 3,216 | $101K | |
| 2022 | 4,441 | $106K | |
| 2023 | 4,805 | $119K | |
| 2024incomplete | 2,241 | $77K |
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% | 6,686 | 6,375 | $468K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 2,979 | 2,830 | $135K |
| 99443 | 3.1% | 650 | 612 | $20K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.5% | 225 | 225 | $16K |
| 93000 | <1% | 340 | 339 | $4K | |
| 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 | <1% | 12 | 12 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $394.18 |
| 82962 | <1% | 271 | 262 | $323.03 | |
| 3079F | <1% | 2,035 | 1,969 | $300.00 | |
| 3074F | <1% | 1,290 | 1,252 | $120.00 | |
| 3075F | <1% | 861 | 840 | $100.00 | |
| 3078F | <1% | 669 | 647 | $60.00 |
21 more codes
| 81002 | <1% | 26 | $49.92 | |
| 1160F | 0% | 4,535 | $0.00 | |
| 3077F | 0% | 1,411 | $0.00 | |
| 3023F | 0% | 356 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 742 | $0.00 |
| 99080 | 0% | 289 | $0.00 | |
| G9900 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified | 0% | 205 | $0.00 |
| 99499 | 0% | 138 | $0.00 | |
| 2014F | 0% | 106 | $0.00 | |
| 2028F | 0% | 1,080 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 89 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 67 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 668 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 396 | $0.00 |
| 4000F | 0% | 732 | $0.00 | |
| 1000F | 0% | 2,423 | $0.00 | |
| 3080F | 0% | 997 | $0.00 | |
| 1005F | 0% | 4,302 | $0.00 | |
| 1111F | 0% | 1,153 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 151 | $0.00 |
| 3017F | 0% | 530 | $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 officialDOUGLAS, WINSTON (OWNER)