Denise C. Wolken, MD PLLC

Denise C. Wolken, MD PLLC was paid $56K by Medicaid between Oct 2019 and Nov 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.

33Billing provider infoDENISE C. WOLKEN, MD PLLC
FAYETTEVILLE, NY 13066

33aNPI1225541022assigned 11/15/2017

33bProvider typePediatrics Physician

28Total paid$56K

24GClaims1,034

24DCodes billed11

24AFirst – last monthOct 2019 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#785 of 1,983

Median peer was paid$17K

This provider vs. median3.3×

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
2019	59	$2K
2020	158	$5K
2021	213	$10K
2022	218	$15K
2023	225	$14K
2024incomplete	161	$10K

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	51%	344	314	$29K
90460	Immunization administration through 18 years of age via any route, first or only component	27%	441	435	$15K
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	16%	82	75	$9K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.2%	13	12	$1K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	1.5%	16	15	$820.96
0072A		1.1%	15	15	$600.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	24	24	$340.62
99173		<1%	12	12	$4.44
90686		0%	57	57	$0.00
90656		0%	13	13	$0.00
91307		0%	17	14	$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 officialWOLKEN, DENISE (MANAGER)