Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Paul R. Young MD PLLC

Paul R. Young MD PLLC was paid $612K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 31231, — 41% of everything it billed.

33Billing provider infoPAUL R. YOUNG MD PLLC
AMHERST, NY 14226
33aNPI1245675669assigned 04/30/2013
33bProvider typeOtolaryngology Physician
28Total paid$612K
24GClaims7,628
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Otolaryngology Physician providers in New York

Rank by total paid#36 of 302
Median peer was paid$10K
This provider vs. median60×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2018346$28K
2019867$72K
20201,067$82K
20211,628$126K
20221,647$123K
20231,399$115K
2024incomplete674$67K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
31231 41% 1,940 1,919 $253K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 30% 2,419 2,419 $186K
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% 3,140 3,040 $168K
69210 <1% 114 113 $4K
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% 15 15 $1K

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 officialYOUNG, PAUL (OWNER)