Rheumatology Consultants of Western New York, P.C.
Rheumatology Consultants of Western New York, P.C. was paid $50K by Medicaid between Feb 2018 and Aug 2023, across 3 billing codes. Its largest line is 99205, Prolong outpt/office vis — 46% of everything it billed.
33Billing provider infoRHEUMATOLOGY CONSULTANTS OF WESTERN NEW YORK, P.C.
WEST SENECA, NY 14224
WEST SENECA, NY 14224
33aNPI1568532315assigned 11/09/2006
33bProvider typeSpecialist
28Total paid$50K
24GClaims515
24DCodes billed3
24AFirst – last monthFeb 2018 – Aug 2023
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#592 of 1,221
Median peer was paid$45K
This provider vs. median1.1×
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 | 193 | $22K | |
| 2019 | 104 | $9K | |
| 2020 | 12 | $1K | |
| 2021 | 13 | $1K | |
| 2022 | 99 | $8K | |
| 2023 | 94 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99205 | Prolong outpt/office vis | 46% | 143 | 143 | $23K |
| 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 | 36% | 215 | 213 | $18K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 157 | 157 | $9K |
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 officialKAPROVE, ROBERT (MD)