Niagara Falls Physician Associates P.C.

Niagara Falls Physician Associates P.C. was paid $376K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.

33Billing provider infoNIAGARA FALLS PHYSICIAN ASSOCIATES P.C.
NIAGARA FALLS, NY 14301

33aNPI1568525871assigned 12/18/2006

33bProvider typeGastroenterology Physician

28Total paid$376K

24GClaims4,541

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Gastroenterology Physician providers in New York

Rank by total paid#99 of 656

Median peer was paid$12K

This provider vs. median31×

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	320	$20K
2019	498	$37K
2020	633	$49K
2021	753	$65K
2022	837	$76K
2023	804	$69K
2024incomplete	696	$61K

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	43%	2,375	2,347	$161K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	28%	1,177	1,166	$106K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	21%	766	752	$79K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	7.4%	195	194	$28K
99223	Prolong inpt eval add15 m	1.1%	28	28	$4K

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 officialVITELLO, MICHELLE (RECEPTIONIST)