Agency
Aspire of Western New York INC.
Aspire of Western New York INC. was paid $10.05M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 60% of everything it billed.
33Billing provider infoASPIRE OF WESTERN NEW YORK INC.
CHEEKTOWAGA, NY 14225
CHEEKTOWAGA, NY 14225
33aNPI1346337011assigned 10/06/2006
33bProvider typeEarly Intervention Provider Agency
28Total paid$10.05M
24GClaims143,563
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Early Intervention Provider Agency providers in New York
Rank by total paid#28 of 257
Median peer was paid$416K
This provider vs. median24×
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 | 5,468 | $513K | |
| 2019 | 22,983 | $1.73M | |
| 2020 | 20,859 | $1.61M | |
| 2021 | 24,100 | $1.52M | |
| 2022 | 21,011 | $1.37M | |
| 2023 | 24,184 | $1.59M | |
| 2024incomplete | 24,958 | $1.73M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 60% | 95,297 | 21,146 | $6.01M |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 14% | 12,913 | 3,442 | $1.45M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.2% | 6,598 | 5,681 | $619K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.0% | 5,339 | 5,008 | $608K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 2.9% | 5,493 | 963 | $290K |
| 11719 | 2.2% | 2,300 | 1,823 | $225K | |
| 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 | 2.1% | 3,085 | 2,660 | $213K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 1.5% | 1,853 | 907 | $152K |
| 11720 | 1.5% | 1,889 | 1,697 | $150K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 1,964 | 500 | $78K |
| 92609 | <1% | 888 | 253 | $77K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 385 | 276 | $47K |
16 more codes
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 1,069 | $33K |
| 97116 | <1% | 442 | $23K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 932 | $19K |
| 99442 | <1% | 387 | $11K | |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | <1% | 525 | $9K |
| 99441 | <1% | 226 | $8K | |
| 11721 | <1% | 68 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 446 | $7K |
| 99490 | Ccm add 20min | <1% | 452 | $6K |
| G0008 | Administration of influenza virus vaccine | <1% | 651 | $6K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 153 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 47 | $4K |
| 90658 | <1% | 79 | $2K | |
| 3079F | <1% | 32 | $809.89 | |
| 90688 | <1% | 37 | $595.72 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $527.48 |
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 officialBALL, JENNIFER (CFO)