Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

General Physician, PC

General Physician, PC was paid $12.56M by Medicaid between Jan 2018 and Dec 2024, across 169 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.

33Billing provider infoGENERAL PHYSICIAN, PC
DUNKIRK, NY 14048
33aNPI1093959322assigned 04/30/2009
33bProvider typeGeneral Practice Physician
28Total paid$12.56M
24GClaims307,455
24DCodes billed169
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Physician providers in New York

Rank by total paid#2 of 178
Median peer was paid$27K
This provider vs. median468×

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

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
201818,024$512K
201931,989$875K
202040,775$1.31M
202161,394$2.41M
202255,736$2.58M
202365,579$3.02M
2024incomplete33,958$1.86M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 62,064 57,890 $3.07M
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 24% 45,132 43,603 $3.05M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 6.4% 9,870 9,839 $805K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 5.0% 5,981 5,674 $629K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4.8% 8,049 8,044 $601K
99309 Subsequent nursing facility care, per day, low to moderate complexity 3.4% 9,044 5,205 $426K
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 3.4% 3,874 3,869 $425K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.1% 3,659 3,656 $270K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2.1% 1,818 1,818 $267K
76819 Fetal biophysical profile; without non-stress testing 2.0% 2,607 1,893 $256K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2.0% 2,531 2,324 $249K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1.9% 3,103 3,102 $244K
157 more codes
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.7% 31,344 $216K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.4% 2,165 $173K
64721 <1% 433 $122K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 1,492 $111K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 4,109 $108K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 1,251 $95K
99215 Doctor's office visit, returning patient (complex) <1% 795 $94K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,413 $83K
76830 Ultrasound, transvaginal <1% 871 $77K
93000 <1% 5,646 $72K
76813 <1% 545 $71K
76818 <1% 538 $66K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 454 $53K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 731 $50K
76801 <1% 343 $46K
90832 Psychotherapy session, about 30 minutes <1% 944 $41K
99310 Prolong nursin fac eval 15m <1% 613 $40K
99306 Prolong nursin fac eval 15m <1% 421 $40K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 332 $39K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 474 $38K
90837 Psychotherapy session, about an hour <1% 435 $37K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,999 $36K
93458 <1% 164 $31K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,993 $29K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 152 $24K
99308 Subsequent nursing facility care, per day, straightforward <1% 648 $22K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 484 $20K
99385 <1% 244 $20K
99232 Hospital visit by a doctor, follow-up day <1% 556 $20K
90756 <1% 820 $19K
93298 <1% 1,102 $19K
99442 <1% 799 $19K
99222 Initial hospital care, per day, moderate complexity <1% 255 $17K
90674 <1% 637 $16K
76000 <1% 348 $16K
93295 <1% 406 $13K
94729 <1% 447 $13K
76942 <1% 550 $12K
20610 <1% 245 $12K
93016 <1% 734 $12K
76820 <1% 320 $12K
90834 Psychotherapy session, about 45 minutes <1% 169 $11K
93018 <1% 788 $10K
94727 <1% 416 $10K
90688 <1% 556 $9K
94060 <1% 190 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 160 $8K
99152 <1% 939 $8K
81025 <1% 3,618 $8K
92552 <1% 240 $7K
99406 <1% 749 $7K
92551 <1% 999 $6K
99239 Hospital discharge day management, more than 30 minutes <1% 108 $6K
76882 <1% 325 $6K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 26 $6K
85027 <1% 1,810 $5K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 77 $5K
36415 Collection of venous blood by venipuncture <1% 4,804 $5K
97803 <1% 145 $5K
90715 <1% 96 $4K
59425 <1% 12 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 188 $4K
90791 Psychiatric diagnostic evaluation <1% 37 $4K
0011A <1% 151 $4K
99418 Prolong nursin fac eval 15m <1% 60 $3K
83036 Hemoglobin; glycosylated (A1C) <1% 366 $3K
99223 Prolong inpt eval add15 m <1% 26 $3K
0012A <1% 93 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 32 $3K
94010 <1% 123 $3K
99441 <1% 187 $3K
93307 <1% 74 $2K
64483 <1% 14 $2K
96127 <1% 640 $2K
99205 Prolong outpt/office vis <1% 12 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 546 $2K
93015 <1% 24 $2K
76821 <1% 20 $2K
90661 <1% 54 $1K
99307 <1% 79 $1K
75574 <1% 16 $1K
93660 <1% 12 $1K
99443 <1% 26 $1K
59025 Fetal non-stress test <1% 23 $1K
93227 <1% 25 $1K
3074F <1% 2,268 $1K
72114 <1% 27 $891.08
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 40 $824.61
93299 <1% 14 $819.49
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 83 $801.75
99305 <1% 14 $793.57
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 52 $791.68
99173 <1% 1,349 $728.98
3079F <1% 600 $640.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 13 $587.41
93296 <1% 89 $585.16
81003 <1% 280 $521.29
93294 <1% 25 $507.35
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% 111 $459.05
3078F <1% 987 $440.00
93297 <1% 20 $393.47
97802 <1% 15 $342.86
J1030 Injection, methylprednisolone acetate, 40 mg <1% 69 $325.92
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 21 $306.23
51798 <1% 24 $223.94
93225 <1% 12 $217.57
86580 <1% 39 $196.36
87210 <1% 56 $181.32
94760 <1% 139 $159.87
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 82 $154.92
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 300 $135.63
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 15 $118.96
81002 <1% 37 $68.40
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 15 $67.07
3008F <1% 43,510 $50.00
3044F <1% 13 $40.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 29 $34.45
36416 <1% 318 $26.65
90686 <1% 716 $20.61
3075F <1% 25 $20.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 174 $17.54
90633 0% 97 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 1,557 $0.00
90670 0% 340 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 0% 1,666 $0.00
99499 0% 166 $0.00
99080 0% 544 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 60 $0.00
1124F 0% 24 $0.00
3077F 0% 15 $0.00
4004F 0% 232 $0.00
1160F 0% 94 $0.00
3016F 0% 85 $0.00
1159F 0% 109 $0.00
0518F 0% 15 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 16 $0.00
90710 0% 13 $0.00
90685 0% 93 $0.00
99072 0% 35 $0.00
87400 0% 35 $0.00
90671 0% 27 $0.00
3028F 0% 14 $0.00
0502F 0% 17 $0.00
90734 0% 12 $0.00
1111F 0% 994 $0.00
1123F 0% 410 $0.00
99024 0% 895 $0.00
36591 0% 19 $0.00
90680 0% 106 $0.00
90647 0% 13 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 42 $0.00
90723 0% 12 $0.00
90656 0% 15 $0.00
90698 0% 13 $0.00
90677 0% 13 $0.00
3080F 0% 25 $0.00
3014F 0% 12 $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 officialMINEO, MICHAEL (DIRECTOR)