Clinic
Erie County Medical Center Corporation
Erie County Medical Center Corporation was paid $6.27M by Medicaid between Jan 2018 and Nov 2024, across 62 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoERIE COUNTY MEDICAL CENTER CORPORATION
BUFFALO, NY 14215
BUFFALO, NY 14215
33aNPI1528233616assigned 04/29/2008
33bProvider typeClinic/Center
28Total paid$6.27M
24GClaims194,293
24DCodes billed62
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in New York
Rank by total paid#52 of 235
Median peer was paid$630K
This provider vs. median10.0×
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 | 21,050 | $772K | |
| 2019 | 26,830 | $1.10M | |
| 2020 | 27,860 | $954K | |
| 2021 | 31,079 | $916K | |
| 2022 | 34,046 | $865K | |
| 2023 | 38,649 | $1.16M | |
| 2024incomplete | 14,779 | $497K |
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 | 29% | 26,151 | 25,494 | $1.83M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 20,198 | 18,778 | $909K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 7.3% | 5,915 | 5,627 | $456K |
| D7140 | Extraction, erupted tooth or exposed root | 6.8% | 8,179 | 5,397 | $428K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.3% | 13,265 | 6,101 | $397K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 5.9% | 24,360 | 6,270 | $371K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 4.6% | 39,849 | 35,689 | $291K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 4.0% | 4,779 | 4,743 | $254K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.0% | 3,880 | 3,713 | $187K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.4% | 1,589 | 1,571 | $152K |
| 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 | 2.0% | 1,092 | 1,089 | $124K |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 9,101 | 9,027 | $123K |
50 more codes
| D0330 | Panoramic radiographic image | 1.8% | 3,686 | $113K |
| D1110 | Prophylaxis - adult | 1.6% | 2,001 | $100K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.5% | 3,889 | $95K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 655 | $49K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,500 | $47K |
| D0120 | Dental checkup, returning patient | <1% | 1,758 | $45K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,304 | $39K |
| D0274 | Bitewings - four radiographic images | <1% | 1,537 | $35K |
| 99221 | <1% | 945 | $30K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,060 | $27K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 6,693 | $27K |
| 99442 | <1% | 758 | $21K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 183 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 288 | $15K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 171 | $14K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 396 | $8K |
| 99252 | <1% | 286 | $8K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 184 | $7K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 263 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 611 | $5K |
| 91200 | <1% | 480 | $4K | |
| 99406 | <1% | 507 | $4K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 40 | $4K |
| 93018 | <1% | 306 | $4K | |
| 99253 | <1% | 121 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 53 | $3K |
| 95886 | <1% | 42 | $3K | |
| D0270 | <1% | 251 | $3K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 28 | $2K |
| 93000 | <1% | 184 | $2K | |
| 97803 | <1% | 65 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 28 | $2K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 82 | $2K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 14 | $2K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 39 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $932.64 |
| 43235 | <1% | 13 | $904.59 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 52 | $646.64 |
| 95819 | <1% | 15 | $260.35 | |
| 99441 | <1% | 17 | $242.54 | |
| 11721 | <1% | 12 | $237.12 | |
| D9991 | <1% | 32 | $99.00 | |
| 3288F | 0% | 1,209 | $0.00 | |
| 3078F | 0% | 123 | $0.00 | |
| 1160F | 0% | 56 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 12 | $0.00 |
| 3074F | 0% | 192 | $0.00 | |
| 1101F | 0% | 676 | $0.00 | |
| 3008F | 0% | 78 | $0.00 | |
| 3079F | 0% | 27 | $0.00 |
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 officialSWIATKOWSKI, JONATHAN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Erie County Medical Center Corporation | Buffalo, NY | $105.67M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.