Tonawanda Medical Practice P.C.

Tonawanda Medical Practice P.C. was paid $140K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.

33Billing provider infoTONAWANDA MEDICAL PRACTICE P.C.
WEST AMHERST, NY 14228

33aNPI1134294812assigned 11/21/2006

33bProvider typeRheumatology Physician

28Total paid$140K

24GClaims3,424

24DCodes billed21

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Rheumatology Physician providers in New York

Rank by total paid#32 of 199

Median peer was paid$15K

This provider vs. median9.2×

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	702	$25K
2019	582	$24K
2020	438	$13K
2021	510	$18K
2022	851	$28K
2023	193	$17K
2024incomplete	148	$15K

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	68%	1,285	1,274	$96K
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%	876	842	$35K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	4.2%	67	67	$6K
99441		1.8%	168	164	$2K
99442		<1%	33	33	$785.47
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	12	12	$128.89
G0444	Annual depression screening, 5 to 15 minutes	<1%	16	16	$113.69
96127		<1%	32	32	$86.67
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	12	12	$8.81
G9226	Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed)	0%	145	145	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	69	69	$0.00
1036F		0%	29	29	$0.00

9 more codes

G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	144	$0.00
1111F		0%	38	$0.00
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	0%	34	$0.00
1101F		0%	16	$0.00
99080		0%	29	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	80	$0.00
99072		0%	47	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	276	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	16	$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 officialABIALMOUNA, JIHAD (PHYSISIAN)