Physician
Eastern Niagara Medical Group
Eastern Niagara Medical Group was paid $85K by Medicaid between Feb 2018 and Jun 2019, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoEASTERN NIAGARA MEDICAL GROUP
LOCKPORT, NY 14094
LOCKPORT, NY 14094
33aNPI1346796398assigned 08/30/2016
33bProvider typeInternal Medicine Physician
28Total paid$85K
24GClaims1,484
24DCodes billed6
24AFirst – last monthFeb 2018 – Jun 2019
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#1,375 of 6,049
Median peer was paid$11K
This provider vs. median7.5×
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 | 665 | $40K | |
| 2019 | 819 | $44K |
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 | 55% | 559 | 548 | $47K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 631 | 605 | $36K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.7% | 14 | 14 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 27 | 27 | $142.78 |
| 96127 | <1% | 20 | 20 | $61.13 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 233 | 228 | $13.10 |
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 officialICKOWSKI, MICHAEL (CFO)
Parent organizationEASTERN NIAGARA HOSPITAL, INC
| Provider | Location | Paid |
|---|---|---|
| Indiana Regional Medical Center | Indiana, PA | $10.63M |
| Eastern Niagara Hospital, INC | Lockport, NY | $5.05M |
| Indiana Regional Medical Center | Indiana, PA | $84K |
| Eastern Niagara Hospital INC | Lockport, NY | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.