Ventresca, Edward

Ventresca, Edward was paid $26K by Medicaid between May 2018 and Oct 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.

33Billing provider infoVENTRESCA, EDWARD
NIAGARA FALLS, NY 14304

33aNPI1154395648assigned 02/14/2006

33bProvider typePulmonary Disease Physician

28Total paid$26K

24GClaims1,600

24DCodes billed5

24AFirst – last monthMay 2018 – Oct 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in New York

Rank by total paid#138 of 413

Median peer was paid$8K

This provider vs. median3.3×

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	45	$220.08
2019	245	$3K
2020	68	$2K
2021	218	$3K
2022	269	$4K
2023	399	$7K
2024incomplete	356	$7K

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	78%	1,096	1,093	$21K
94060		9.6%	183	181	$3K
94729		6.2%	133	133	$2K
94726		5.8%	144	144	$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%	44	44	$14.32

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.