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

Wny Medical PC

Wny Medical PC was paid $6.83M by Medicaid between Jan 2018 and Dec 2024, across 122 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.

33Billing provider infoWNY MEDICAL PC
AMHERST, NY 14226
33aNPI1154421246assigned 09/25/2006
33bProvider typeClinical Social Worker
28Total paid$6.83M
24GClaims265,672
24DCodes billed122
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Social Worker providers in New York

Rank by total paid#11 of 882
Median peer was paid$53K
This provider vs. median129×

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$100K$200K2018201920202021202220232024
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
201818,278$461K
201928,217$589K
202033,101$826K
202143,933$1.10M
202253,585$1.29M
202351,505$1.36M
2024incomplete37,053$1.21M
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 22% 32,155 30,035 $1.50M
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 19% 21,248 20,025 $1.33M
99443 12% 16,623 14,598 $839K
99309 Subsequent nursing facility care, per day, low to moderate complexity 7.4% 12,210 4,244 $506K
99490 Ccm add 20min 5.4% 11,986 11,966 $368K
99442 5.0% 11,780 10,812 $341K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.0% 3,823 3,823 $270K
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 3.0% 2,018 2,016 $203K
99497 2.7% 3,367 3,314 $181K
17110 2.6% 2,685 2,601 $176K
99308 Subsequent nursing facility care, per day, straightforward 2.3% 4,293 1,531 $155K
99441 2.0% 6,624 6,241 $138K
110 more codes
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2.0% 1,781 $134K
99491 Ccm add 20min 1.9% 2,287 $127K
99215 Doctor's office visit, returning patient (complex) 1.4% 1,157 $96K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 822 $62K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,333 $50K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit <1% 402 $45K
99406 <1% 3,793 $36K
80305 <1% 3,814 $22K
G0444 Annual depression screening, 5 to 15 minutes <1% 4,670 $22K
11900 <1% 631 $21K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 204 $19K
11102 <1% 320 $18K
90792 Psychiatric diagnostic evaluation with medical services <1% 113 $14K
99484 <1% 509 $12K
99306 Prolong nursin fac eval 15m <1% 143 $11K
92250 <1% 285 $11K
99439 <1% 544 $10K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 351 $9K
99401 <1% 446 $8K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 297 $7K
17000 <1% 228 $7K
90832 Psychotherapy session, about 30 minutes <1% 193 $6K
80053 Comprehensive metabolic panel <1% 546 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 438 $4K
96127 <1% 1,830 $4K
99310 Prolong nursin fac eval 15m <1% 67 $4K
80061 Lipid panel <1% 447 $4K
98926 <1% 118 $3K
11104 <1% 43 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 568 $3K
94760 <1% 3,405 $3K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 163 $2K
87625 <1% 98 $2K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 1,581 $2K
81025 <1% 956 $2K
99454 <1% 77 $2K
99307 <1% 83 $2K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 262 $2K
99205 Prolong outpt/office vis <1% 12 $2K
99437 <1% 39 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 167 $1K
90686 <1% 84 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 154 $1K
90674 <1% 62 $1K
3078F <1% 6,824 $1K
3074F <1% 7,232 $1K
94010 <1% 49 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,050 $1K
99449 <1% 50 $960.26
93000 <1% 83 $931.48
99407 <1% 77 $894.22
3079F <1% 2,877 $722.84
88141 <1% 97 $722.10
99457 <1% 59 $710.72
84443 Thyroid stimulating hormone (TSH) <1% 61 $702.34
99316 <1% 13 $692.15
82947 <1% 153 $666.60
99447 <1% 17 $539.92
36415 Collection of venous blood by venipuncture <1% 681 $499.68
84439 <1% 62 $492.02
81000 <1% 71 $186.41
99173 <1% 277 $175.78
99453 <1% 14 $166.22
82607 <1% 14 $159.08
82746 <1% 14 $156.36
1111F <1% 1,029 $150.00
0513F <1% 12 $133.66
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 12 $125.60
3075F <1% 1,201 $125.00
3061F <1% 230 $120.00
3044F <1% 2,462 $20.00
2001F <1% 736 $20.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented <1% 18,613 $14.88
1160F <1% 6,665 $7.10
99072 <1% 1,545 $3.62
1159F <1% 3,590 $2.10
3077F <1% 1,506 $0.34
99499 <1% 349 $0.13
99000 <1% 841 $0.10
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 22,211 $0.00
1090F 0% 2,103 $0.00
3028F 0% 506 $0.00
99080 0% 1,742 $0.00
4004F 0% 868 $0.00
1033F 0% 133 $0.00
3015F 0% 30 $0.00
3725F 0% 457 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 272 $0.00
1003F 0% 118 $0.00
1032F 0% 32 $0.00
3046F 0% 27 $0.00
99408 0% 12 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 10,122 $0.00
1036F 0% 424 $0.00
3011F 0% 217 $0.00
3080F 0% 586 $0.00
3037F 0% 505 $0.00
1157F 0% 846 $0.00
1000F 0% 181 $0.00
3351F 0% 249 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 0% 75 $0.00
3014F 0% 93 $0.00
3278F 0% 95 $0.00
1101F 0% 106 $0.00
3017F 0% 133 $0.00
3754F 0% 126 $0.00
3008F 0% 436 $0.00
3048F 0% 13 $0.00
3279F 0% 37 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 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 officialSADIQ, CHANDA (OFFICE MANAGER)