Physician
Douglas, Winston
Douglas, Winston was paid $138K by Medicaid between Jan 2018 and Jul 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 84% of everything it billed.
33Billing provider infoDOUGLAS, WINSTON
BUFFALO, NY 14211
BUFFALO, NY 14211
33aNPI1548297328assigned 06/27/2006
33bProvider typeInternal Medicine Physician
28Total paid$138K
24GClaims10,940
24DCodes billed27
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#1,066 of 6,049
Median peer was paid$11K
This provider vs. median12×
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 | 4,411 | $24K | |
| 2019 | 2,606 | $23K | |
| 2020 | 1,347 | $17K | |
| 2021 | 657 | $9K | |
| 2022 | 1,002 | $29K | |
| 2023 | 770 | $28K | |
| 2024incomplete | 147 | $8K |
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 | 84% | 3,448 | 3,306 | $116K |
| 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% | 922 | 901 | $19K |
| 99443 | 1.6% | 192 | 178 | $2K | |
| 93000 | <1% | 144 | 142 | $732.81 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 22 | 20 | $111.95 |
| 1005F | 0% | 1,006 | 957 | $0.00 | |
| 3074F | 0% | 187 | 179 | $0.00 | |
| 82962 | 0% | 12 | 12 | $0.00 | |
| 3079F | 0% | 233 | 228 | $0.00 | |
| 3075F | 0% | 12 | 12 | $0.00 | |
| 1111F | 0% | 893 | 845 | $0.00 | |
| 1000F | 0% | 346 | 335 | $0.00 |
15 more codes
| 3017F | 0% | 336 | $0.00 | |
| 3080F | 0% | 281 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 49 | $0.00 |
| 4000F | 0% | 89 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 493 | $0.00 |
| 1160F | 0% | 1,105 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 480 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 238 | $0.00 |
| 2028F | 0% | 166 | $0.00 | |
| 3077F | 0% | 134 | $0.00 | |
| 3288F | 0% | 14 | $0.00 | |
| 3023F | 0% | 67 | $0.00 | |
| 3078F | 0% | 44 | $0.00 | |
| 4040F | 0% | 14 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 13 | $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.