Physician
Wny Pediatric Gastroenterology, PLLC
Wny Pediatric Gastroenterology, PLLC was paid $3.15M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoWNY PEDIATRIC GASTROENTEROLOGY, PLLC
BATAVIA, NY 14020
BATAVIA, NY 14020
33aNPI1548684251assigned 02/17/2014
33bProvider typePediatric Gastroenterology Physician
28Total paid$3.15M
24GClaims32,712
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Gastroenterology Physician providers in New York
Rank by total paid#1 of 22
Median peer was paid$4K
This provider vs. median710×
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 | 2,091 | $202K | |
| 2019 | 3,366 | $335K | |
| 2020 | 5,010 | $350K | |
| 2021 | 5,426 | $467K | |
| 2022 | 5,777 | $554K | |
| 2023 | 5,948 | $652K | |
| 2024incomplete | 5,094 | $586K |
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 | 48% | 14,653 | 14,320 | $1.50M |
| 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 | 21% | 4,273 | 4,267 | $645K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 7,157 | 7,119 | $515K |
| 99205 | Prolong outpt/office vis | 13% | 2,401 | 2,400 | $404K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 314 | 294 | $38K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 264 | 259 | $31K |
| 82272 | <1% | 1,643 | 1,583 | $5K | |
| 96415 | <1% | 91 | 90 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 874 | 859 | $1K |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 310 | 302 | $191.32 |
| 99072 | <1% | 677 | 647 | $0.84 | |
| 99080 | 0% | 43 | 43 | $0.00 |
1 more codes
| 99499 | 0% | 12 | $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 officialHASHMI, HUMAIRA (PRESIDENT)