Fox, Chester

Fox, Chester was paid $348K by Medicaid between Jan 2018 and Sep 2022, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.

33Billing provider infoFOX, CHESTER
BUFFALO, NY 14208

33aNPI1548201551assigned 06/09/2006

33bProvider typeFamily Medicine Physician

28Total paid$348K

24GClaims12,863

24DCodes billed25

24AFirst – last monthJan 2018 – Sep 2022

Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#281 of 2,605

Median peer was paid$10K

This provider vs. median34×

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	3,466	$69K
2019	3,413	$91K
2020	1,750	$64K
2021	2,869	$77K
2022	1,365	$47K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	67%	8,996	8,613	$233K
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	30%	2,308	2,274	$106K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.4%	292	276	$5K
94060		<1%	65	65	$993.83
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	14	13	$857.35
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	77	74	$778.81
93000		<1%	127	127	$599.85
0012A		<1%	12	12	$504.00
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	35	32	$219.66
99441		<1%	19	19	$179.56
4004F		0%	72	71	$0.00
G9900	Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified	0%	50	49	$0.00

13 more codes

G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	243	$0.00
G8484	Influenza immunization was not administered, reason not given	0%	86	$0.00
G9905	Patient not screened for tobacco use	0%	14	$0.00
G8482	Influenza immunization administered or previously received	0%	44	$0.00
3078F		0%	13	$0.00
3074F		0%	73	$0.00
1036F		0%	114	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	120	$0.00
83036	Hemoglobin; glycosylated (A1C)	0%	12	$0.00
91301		0%	14	$0.00
G9902	Patient screened for tobacco use and identified as a tobacco user	0%	33	$0.00
1123F		0%	14	$0.00
G9906	Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)	0%	16	$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.