Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pediatric Cardiology Associates of Wny, LLC

Pediatric Cardiology Associates of Wny, LLC was paid $3.88M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 27% of everything it billed.

33Billing provider infoPEDIATRIC CARDIOLOGY ASSOCIATES OF WNY, LLC
BUFFALO, NY 14209
33aNPI1518023613assigned 12/31/2006
28Total paid$3.88M
24GClaims74,387
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Cardiology Physician providers in New York

Rank by total paid#4 of 89
Median peer was paid$3K
This provider vs. median1,257×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20188,636$439K
201913,518$690K
202014,016$734K
202117,713$835K
20228,242$436K
2024incomplete12,262$748K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 27% 7,105 7,042 $1.03M
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 19% 6,576 6,571 $740K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 17% 5,562 5,401 $652K
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 12% 6,080 6,032 $467K
76825 7.5% 1,731 1,730 $292K
93320 5.7% 5,528 5,368 $222K
93325 4.5% 8,566 8,265 $173K
93000 3.9% 10,766 10,726 $150K
76827 2.8% 1,737 1,735 $109K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 4,029 3,858 $25K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 293 293 $19K
94760 <1% 13,518 13,412 $2K
4 more codes
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 35 $690.35
93304 <1% 15 $554.14
93321 <1% 14 $108.08
99072 <1% 2,832 $6.16

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 officialCHAPMAN, DEBORAH (PRACTICE ADMINISTRATOR)