Trinity Medical Wny PC

Trinity Medical Wny PC was paid $4.45M by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.

33Billing provider infoTRINITY MEDICAL WNY PC
BUFFALO, NY 14203

33aNPI1295043149assigned 09/14/2010

33bProvider typeCardiovascular Disease Physician

28Total paid$4.45M

24GClaims75,459

24DCodes billed64

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in New York

Rank by total paid#15 of 1,564

Median peer was paid$13K

This provider vs. median342×

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	2,821	$182K
2019	5,071	$317K
2020	6,013	$360K
2021	12,334	$728K
2022	17,651	$997K
2023	21,468	$1.28M
2024incomplete	10,101	$581K

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	35%	21,176	20,767	$1.55M
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	21%	9,150	9,111	$949K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	16,587	16,147	$910K
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	6.2%	2,310	2,308	$276K
93000		2.8%	10,100	9,993	$126K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.9%	1,116	1,107	$86K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	1.7%	962	953	$77K
90792	Psychiatric diagnostic evaluation with medical services	1.4%	444	443	$62K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.3%	750	749	$60K
20610		1.3%	1,254	1,217	$59K
93458		<1%	231	229	$42K
99442		<1%	1,214	1,164	$35K

52 more codes

99232	Hospital visit by a doctor, follow-up day	<1%	937	$34K
99223	Prolong inpt eval add15 m	<1%	266	$23K
93015		<1%	386	$22K
93970		<1%	108	$15K
99385		<1%	166	$15K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	186	$10K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	<1%	28	$10K
99222	Initial hospital care, per day, moderate complexity	<1%	104	$8K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	914	$8K
99406		<1%	982	$7K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	<1%	28	$6K
94010		<1%	239	$6K
90715		<1%	124	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	132	$5K
99152		<1%	542	$4K
95251		<1%	143	$3K
90656		<1%	143	$3K
11721		<1%	98	$2K
90961		<1%	12	$2K
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%	787	$2K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	26	$2K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	661	$2K
43235		<1%	39	$2K
73630		<1%	147	$2K
69210		<1%	68	$2K
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	35	$2K
90962		<1%	13	$2K
99443		<1%	27	$1K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	13	$1K
81025		<1%	293	$1K
83036	Hemoglobin; glycosylated (A1C)	<1%	119	$1K
99441		<1%	64	$879.02
90686		<1%	52	$737.95
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	101	$695.22
76819	Fetal biophysical profile; without non-stress testing	<1%	17	$645.96
73110		<1%	15	$469.12
73130		<1%	18	$464.50
90658		<1%	21	$378.08
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	18	$227.05
90688		<1%	12	$212.10
99153	Mod sedat endo service >5yrs	<1%	18	$180.93
3074F		<1%	969	$180.00
93325		<1%	29	$149.70
3079F		<1%	139	$120.00
3078F		<1%	647	$100.00
90472	Immunization administration, each additional vaccine (list separately)	<1%	18	$81.24
81002		<1%	29	$58.78
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	51	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	13	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	53	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	99	$0.00
99080		0%	16	$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 officialKOCH, ERIC (PRESIDENT/OWNER)