Penfield Obstetrics and Gynecology LLP

Penfield Obstetrics and Gynecology LLP was paid $210K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 76830, Ultrasound, transvaginal — 52% of everything it billed.

33Billing provider infoPENFIELD OBSTETRICS AND GYNECOLOGY LLP
PENFIELD, NY 14526

33aNPI1134233307assigned 08/18/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$210K

24GClaims2,870

24DCodes billed8

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in New York

Rank by total paid#209 of 762

Median peer was paid$22K

This provider vs. median9.7×

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	231	$19K
2019	312	$25K
2020	492	$38K
2021	668	$52K
2022	637	$48K
2023	345	$21K
2024incomplete	185	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
76830	Ultrasound, transvaginal	52%	1,157	1,136	$110K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	36%	1,288	1,203	$76K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	7.1%	247	244	$15K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	2.3%	41	34	$5K
99459		<1%	97	96	$2K
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	<1%	13	13	$1K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	14	14	$846.09
76857		<1%	13	13	$250.38

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 officialGUISTO, CARLA (ACCOUNTING MANANGER)