Regional Rheumatology Associates LLP

Regional Rheumatology Associates LLP was paid $95K by Medicaid between Jan 2018 and Sep 2022, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 99% of everything it billed.

33Billing provider infoREGIONAL RHEUMATOLOGY ASSOCIATES LLP
BINGHAMTON, NY 13905

33aNPI1164479903assigned 05/27/2006

33bProvider typeRheumatology Physician

28Total paid$95K

24GClaims1,470

24DCodes billed4

24AFirst – last monthJan 2018 – Sep 2022

Compared with peers

Next to other Rheumatology Physician providers in New York

Rank by total paid#44 of 199

Median peer was paid$15K

This provider vs. median6.2×

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	383	$24K
2019	230	$13K
2020	256	$16K
2021	345	$24K
2022	256	$17K

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	99%	1,420	1,416	$94K
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	1.4%	14	14	$1K
85651		<1%	12	12	$50.20
36415	Collection of venous blood by venipuncture	<1%	24	24	$17.40

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 officialOVEN, THOMAS (PHYSICIAN)