Clinic
Michael D. Calabrese, Physician P. C.
Michael D. Calabrese, Physician P. C. was paid $1.51M by Medicaid between Jan 2018 and Feb 2023, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoMICHAEL D. CALABRESE, PHYSICIAN P. C.
BUFFALO, NY 14222
BUFFALO, NY 14222
33aNPI1164409991assigned 12/22/2005
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$1.51M
24GClaims41,328
24DCodes billed19
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in New York
Rank by total paid#39 of 118
Median peer was paid$372K
This provider vs. median4.1×
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 | 8,722 | $324K | |
| 2019 | 9,765 | $354K | |
| 2020 | 7,359 | $229K | |
| 2021 | 7,288 | $288K | |
| 2022 | 6,896 | $272K | |
| 2023 | 1,298 | $46K |
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 | 48% | 8,934 | 8,850 | $730K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 7,579 | 7,467 | $414K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 18% | 6,772 | 3,080 | $272K |
| 97161 | 1.4% | 570 | 566 | $21K | |
| 82947 | 1.2% | 4,443 | 4,357 | $18K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.1% | 850 | 315 | $17K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 516 | 198 | $10K |
| 97164 | <1% | 422 | 327 | $8K | |
| 80305 | <1% | 1,453 | 1,444 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 135 | 134 | $4K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 39 | 39 | $4K |
| 97124 | <1% | 188 | 55 | $3K |
7 more codes
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 officialCALABRESE, MICHAEL (PRESIDENT)