Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WESTERN NEW YORK MEDICAL PRACTICE, P.C.

NPI: 1326446485 · GENEVA, NY 14456 · General Practice Physician · NPI assigned 12/05/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TINCH, PAULA controls 20+ related entities in our dataset. Read more

$6.32M
Total Medicaid Paid
107,004
Total Claims
103,961
Beneficiaries
50
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTINCH, PAULA (SVP- FINANCE)
NPI Enumeration Date12/05/2014

Related Entities

Other providers sharing the same authorized official: TINCH, PAULA

ProviderCityStateTotal Paid
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $226.97M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $25.15M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $21.62M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $14.54M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $14.22M
WESTERN NEW YORK MEDICAL PRACTICE P.C. ROCHESTER NY $13.41M
ROCHESTER GENERAL HOSPITAL SODUS NY $11.31M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $10.05M
BEHAVIORAL HEALTH NETWORK, INC. ROCHESTER NY $6.84M
CLIFTON SPRINGS SANITARIUM CO CLIFTON SPRINGS NY $1.80M
NEWARK WAYNE COMMUNITY HOSPITAL-LAB NEWARK NY $1.61M
PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC MECHANICSBURG PA $366K
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $281K
NEWARK WAYNE COMMUNITY HOSPITAL NEWARK NY $176K
ROCHESTER GENERAL HOSPITAL WEBSTER NY $135K
PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC CAMP HILL PA $56K
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $54K
PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC HARRISBURG PA $23K
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $9K
WESTERN NEW YORK MEDICAL PRACTICE PC ROCHESTER NY $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,746 $578K
2019 13,787 $787K
2020 16,713 $933K
2021 19,482 $1.16M
2022 20,730 $1.26M
2023 17,223 $1.08M
2024 8,323 $527K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38,734 37,143 $2.47M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,743 14,297 $1.43M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,410 5,410 $479K
90460 Immunization administration through 18 years of age via any route, first or only component 14,433 14,130 $471K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,993 4,990 $458K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,313 3,294 $285K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,521 2,519 $243K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 826 826 $83K
J1050 Injection, medroxyprogesterone acetate, 1 mg 949 947 $74K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,999 3,993 $68K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,079 1,066 $55K
99051 3,084 3,053 $27K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,814 1,635 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 488 481 $17K
96127 2,518 2,486 $14K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,737 1,736 $13K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 111 111 $13K
90472 Immunization administration, each additional vaccine (list separately) 1,082 1,075 $13K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 83 83 $9K
59025 Fetal non-stress test 293 227 $8K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 122 109 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 554 550 $6K
95117 457 183 $5K
0072A 132 132 $5K
99215 Prolong outpt/office vis 42 40 $5K
92551 664 664 $5K
81025 758 748 $4K
0071A 109 108 $4K
90686 647 647 $4K
J3490 Unclassified drugs 66 66 $3K
0002A 68 68 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 184 170 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 52 52 $2K
83655 188 187 $2K
92550 67 67 $2K
99442 44 43 $1K
0001A 22 22 $884.63
99080 13 12 $650.00
92557 14 14 $563.16
85018 212 212 $480.58
92567 28 28 $448.07
87999 14 14 $294.00
99173 143 143 $264.85
90474 25 25 $231.24
81002 53 41 $174.44
96161 65 64 $159.56
99441 13 12 $138.71
87210 12 12 $58.20
90656 14 14 $23.53
90670 12 12 $0.00