John Mulawka DO PC
John Mulawka DO PC was paid $8.33M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoJOHN MULAWKA DO PC
SILVER CREEK, NY 14136
SILVER CREEK, NY 14136
33aNPI1063690543assigned 02/06/2008
33bProvider typeSpecialist
28Total paid$8.33M
24GClaims215,078
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#15 of 1,221
Median peer was paid$45K
This provider vs. median184×
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 | 21,881 | $798K | |
| 2019 | 28,197 | $979K | |
| 2020 | 30,584 | $977K | |
| 2021 | 37,059 | $1.25M | |
| 2022 | 32,734 | $1.33M | |
| 2023 | 34,371 | $1.52M | |
| 2024incomplete | 30,252 | $1.47M |
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 | 39% | 56,420 | 52,429 | $3.26M |
| 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 | 11% | 10,134 | 9,739 | $875K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10.0% | 10,662 | 10,647 | $831K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.6% | 10,230 | 10,226 | $799K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.7% | 25,065 | 24,833 | $555K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.3% | 7,486 | 7,427 | $526K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.4% | 5,325 | 5,321 | $449K |
| 87428 | 3.6% | 5,902 | 5,803 | $296K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.3% | 5,166 | 5,153 | $190K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 13,813 | 13,541 | $144K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 5,764 | 3,662 | $97K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,492 | 1,473 | $57K |
47 more codes
| 97802 | <1% | 11,486 | $37K | |
| 99401 | <1% | 4,126 | $36K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,211 | $30K |
| 99402 | <1% | 2,050 | $25K | |
| G9007 | Coordinated care fee, scheduled team conference | <1% | 234 | $20K |
| 96127 | <1% | 5,307 | $20K | |
| 83655 | <1% | 1,529 | $16K | |
| 87807 | <1% | 1,319 | $15K | |
| 99381 | <1% | 203 | $15K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 590 | $9K |
| 99383 | <1% | 108 | $9K | |
| 96160 | <1% | 4,445 | $6K | |
| 85018 | <1% | 1,713 | $3K | |
| 99442 | <1% | 78 | $2K | |
| 99382 | <1% | 28 | $2K | |
| 81002 | <1% | 774 | $2K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 183 | $1K |
| 92567 | <1% | 114 | $1K | |
| 17110 | <1% | 14 | $1K | |
| 99443 | <1% | 18 | $887.84 | |
| 99051 | <1% | 117 | $638.75 | |
| 99050 | <1% | 63 | $377.54 | |
| 90686 | <1% | 5,382 | $314.39 | |
| 86308 | <1% | 60 | $234.88 | |
| 90677 | <1% | 585 | $194.94 | |
| 90656 | <1% | 561 | $133.28 | |
| 90633 | <1% | 858 | $75.96 | |
| 94760 | <1% | 12 | $7.57 | |
| 90651 | <1% | 427 | $5.01 | |
| 36416 | <1% | 501 | $2.24 | |
| 90648 | <1% | 3,359 | $0.13 | |
| 90723 | <1% | 2,305 | $0.10 | |
| 90670 | <1% | 2,975 | $0.08 | |
| 90715 | <1% | 95 | $0.01 | |
| 90620 | <1% | 31 | $0.01 | |
| 99080 | 0% | 661 | $0.00 | |
| 99499 | 0% | 252 | $0.00 | |
| 90734 | 0% | 401 | $0.00 | |
| 90685 | 0% | 31 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| 90655 | 0% | 34 | $0.00 | |
| 90710 | 0% | 13 | $0.00 | |
| 90672 | 0% | 26 | $0.00 | |
| 90680 | 0% | 1,201 | $0.00 | |
| 90716 | 0% | 37 | $0.00 | |
| 90697 | 0% | 52 | $0.00 | |
| 90696 | 0% | 37 | $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 officialMULAWKA, JOHN (OWNER/OPERATOR)