Physician
Primary Care of Western New York LLP
Primary Care of Western New York LLP was paid $521K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 80% of everything it billed.
33Billing provider infoPRIMARY CARE OF WESTERN NEW YORK LLP
WILLIAMSVILLE, NY 14221
WILLIAMSVILLE, NY 14221
33aNPI1205845971assigned 08/05/2006
33bProvider typeFamily Medicine Physician
28Total paid$521K
24GClaims25,675
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#214 of 2,605
Median peer was paid$10K
This provider vs. median52×
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 | 1,184 | $38K | |
| 2019 | 1,666 | $41K | |
| 2020 | 3,980 | $66K | |
| 2021 | 5,774 | $108K | |
| 2022 | 5,878 | $133K | |
| 2023 | 6,040 | $112K | |
| 2024incomplete | 1,153 | $23K |
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 | 80% | 10,010 | 9,555 | $417K |
| 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 | 11% | 900 | 885 | $55K |
| 96127 | 4.2% | 7,148 | 7,062 | $22K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.9% | 143 | 143 | $10K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.3% | 90 | 90 | $7K |
| 90686 | <1% | 192 | 192 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 361 | 360 | $3K |
| 99385 | <1% | 41 | 40 | $3K | |
| 99406 | <1% | 51 | 51 | $309.98 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $263.76 |
| 3074F | <1% | 66 | 64 | $170.80 | |
| 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% | 43 | 41 | $55.67 |
9 more codes
| 94760 | <1% | 167 | $36.49 | |
| 3078F | <1% | 12 | $28.40 | |
| 3008F | 0% | 273 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 276 | $0.00 |
| 3079F | 0% | 12 | $0.00 | |
| 99080 | 0% | 5,594 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 258 | $0.00 |
| 1090F | 0% | 13 | $0.00 | |
| 99072 | 0% | 13 | $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 officialVASTOLA, CARY (MANAGING PARTNER)