Clinic
Sisters of Charity Hospital of Buffalo New York
Sisters of Charity Hospital of Buffalo New York was paid $3.93M by Medicaid between Nov 2020 and Dec 2024, across 65 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoSISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK
BUFFALO, NY 14214
BUFFALO, NY 14214
33aNPI1568090660assigned 04/01/2020
33bProvider typeCardiac Rehabilitation Clinic/Center
28Total paid$3.93M
24GClaims97,778
24DCodes billed65
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Cardiac Rehabilitation Clinic/Center providers in New York
Rank by total paid#5 of 5
Median peer was paid$13.42M
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2020 | 2,438 | $98K | |
| 2021 | 27,776 | $1.13M | |
| 2022 | 30,081 | $1.21M | |
| 2023 | 26,476 | $1.10M | |
| 2024incomplete | 11,007 | $385K |
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 | 33% | 18,178 | 17,795 | $1.29M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 24,966 | 23,882 | $1.14M |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 3.9% | 4,087 | 3,620 | $155K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.4% | 1,751 | 1,749 | $133K |
| 76819 | Fetal biophysical profile; without non-stress testing | 3.2% | 3,733 | 2,348 | $124K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.1% | 18,074 | 16,536 | $122K |
| 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 | 2.8% | 1,070 | 1,068 | $111K |
| 99460 | 2.3% | 1,517 | 1,515 | $89K | |
| 59426 | 2.3% | 1,252 | 853 | $89K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 1,551 | 1,550 | $84K |
| 59425 | 2.0% | 1,468 | 1,192 | $79K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.7% | 1,393 | 1,391 | $68K |
53 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.6% | 1,107 | $63K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 999 | $62K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.3% | 737 | $52K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.1% | 972 | $41K |
| 99462 | 1.0% | 1,418 | $40K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 715 | $38K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 724 | $28K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 320 | $25K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 248 | $17K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 500 | $12K |
| 76813 | <1% | 135 | $7K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 182 | $7K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 116 | $7K |
| 99385 | <1% | 98 | $7K | |
| 99406 | <1% | 690 | $6K | |
| 76801 | <1% | 114 | $5K | |
| 99223 | Prolong inpt eval add15 m | <1% | 41 | $5K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 71 | $4K |
| 99442 | <1% | 100 | $4K | |
| 76820 | <1% | 158 | $3K | |
| 95806 | <1% | 71 | $2K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 277 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 91 | $2K |
| 93018 | <1% | 133 | $2K | |
| 76821 | <1% | 50 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $1K |
| 99220 | <1% | 12 | $1K | |
| 99234 | <1% | 51 | $1K | |
| 99441 | <1% | 71 | $1K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 39 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 157 | $1K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 14 | $434.30 |
| 3074F | <1% | 871 | $320.00 | |
| 3078F | <1% | 698 | $240.00 | |
| 81002 | <1% | 113 | $222.00 | |
| 59430 | <1% | 51 | $205.86 | |
| 99173 | <1% | 491 | $204.68 | |
| 93016 | <1% | 12 | $198.41 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 43 | $195.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 17 | $137.17 |
| 81025 | <1% | 116 | $100.94 | |
| 83655 | <1% | 14 | $32.56 | |
| 3079F | <1% | 69 | $20.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 2,411 | $19.33 |
| 1123F | 0% | 41 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 109 | $0.00 |
| 3075F | 0% | 27 | $0.00 | |
| 3080F | 0% | 37 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 2,068 | $0.00 |
| 99080 | 0% | 697 | $0.00 | |
| 3077F | 0% | 80 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 335 | $0.00 |
| 90658 | 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 officialMACHOLZ, DAVID (AUTHORIZED OFFICIAL)
Parent organizationSISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK
| Provider | Location | Paid |
|---|---|---|
| Mercy Hospital of Buffalo | Buffalo, NY | $29.86M |
| Mount ST. Mary's Hospital of Niagara Falls | Lewiston, NY | $22.19M |
| Sisters of Charity Hospital of Buffalo New York | Cheektowaga, NY | $13.42M |
| Mount ST. Mary's Hospital of Niagara Falls | Lewiston, NY | $2.87M |
| Mercy Hospital of Buffalo | Buffalo, NY | $449K |
| Kenmore Mercy Hospital | Kenmore, NY | $70K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.