Physician
Buffalo Spine Medicine & Rehab PLLC
Buffalo Spine Medicine & Rehab PLLC was paid $179K by Medicaid between May 2018 and Oct 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoBUFFALO SPINE MEDICINE & REHAB PLLC
WILLIAMSVILLE, NY 14221
WILLIAMSVILLE, NY 14221
33aNPI1326394701assigned 08/03/2012
33bProvider typeSports Medicine (Physical Medicine & Rehabilitation) Physician
28Total paid$179K
24GClaims2,530
24DCodes billed10
24AFirst – last monthMay 2018 – Oct 2024
Compared with peers
Next to other Sports Medicine (Physical Medicine & Rehabilitation) Physician providers in New York
Rank by total paid#5 of 24
Median peer was paid$5K
This provider vs. median37×
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 | 40 | $2K | |
| 2019 | 58 | $3K | |
| 2020 | 58 | $2K | |
| 2021 | 445 | $26K | |
| 2022 | 754 | $64K | |
| 2023 | 782 | $57K | |
| 2024incomplete | 393 | $25K |
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 | 39% | 770 | 747 | $69K |
| 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 | 25% | 381 | 381 | $45K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 735 | 728 | $37K |
| 64483 | 8.3% | 69 | 68 | $15K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 4.0% | 309 | 131 | $7K |
| 97164 | 1.3% | 80 | 36 | $2K | |
| 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% | 24 | 24 | $2K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 79 | 25 | $1K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 26 | 13 | $438.90 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 57 | 56 | $58.95 |
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 officialMCADAM, FREDERICK (MD/AUTHORIZED OFFICIAL)