The Westchester Medical Practice, PC
The Westchester Medical Practice, PC was paid $3.68M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoTHE WESTCHESTER MEDICAL PRACTICE, PC
YORKTOWN HEIGHTS, NY 10598
YORKTOWN HEIGHTS, NY 10598
33aNPI1225222953assigned 09/06/2007
33bProvider typeSpecialist
28Total paid$3.68M
24GClaims56,764
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#45 of 1,221
Median peer was paid$45K
This provider vs. median81×
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 | 2,864 | $215K | |
| 2019 | 5,880 | $375K | |
| 2020 | 6,157 | $377K | |
| 2021 | 8,584 | $648K | |
| 2022 | 10,992 | $735K | |
| 2023 | 12,409 | $771K | |
| 2024incomplete | 9,878 | $554K |
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 | 40% | 11,699 | 11,069 | $1.48M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 15,865 | 14,724 | $1.45M |
| 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 | 6.6% | 1,287 | 1,268 | $243K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.6% | 3,704 | 3,685 | $96K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.3% | 5,637 | 5,004 | $49K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 340 | 338 | $43K |
| 92025 | 1.1% | 1,044 | 1,043 | $41K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.0% | 2,430 | 2,335 | $38K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 258 | 257 | $33K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 176 | 176 | $22K |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,468 | 8,180 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 308 | 296 | $18K |
42 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 116 | $13K |
| 92083 | <1% | 160 | $11K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 81 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 615 | $10K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 108 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 627 | $8K |
| 93000 | <1% | 423 | $8K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 294 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 51 | $7K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 39 | $6K |
| 99223 | Prolong inpt eval add15 m | <1% | 30 | $6K |
| 92133 | <1% | 118 | $5K | |
| 87081 | <1% | 630 | $4K | |
| 92202 | <1% | 223 | $4K | |
| 20611 | <1% | 30 | $3K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 34 | $3K |
| 92250 | <1% | 65 | $3K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 25 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 17 | $3K |
| 99336 | <1% | 137 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $2K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 12 | $2K |
| 92020 | <1% | 61 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 81 | $1K |
| 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% | 85 | $1K |
| 90686 | <1% | 536 | $1K | |
| 90674 | <1% | 40 | $1K | |
| 81002 | <1% | 297 | $1K | |
| 95816 | <1% | 15 | $937.07 | |
| 99459 | <1% | 28 | $664.33 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 26 | $587.07 |
| 81003 | <1% | 285 | $480.02 | |
| 90461 | <1% | 14 | $377.09 | |
| 51798 | <1% | 24 | $310.43 | |
| 90756 | <1% | 12 | $285.18 | |
| 88738 | <1% | 29 | $117.79 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 14 | $82.56 |
| 90656 | <1% | 71 | $22.35 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 24 | $1.94 |
| 94760 | 0% | 27 | $0.00 | |
| 99000 | 0% | 18 | $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 officialHIGGINS, WILLIAM (MEDICAL DIRECTOR)