Physician
Wadsworth Medical, PC
Wadsworth Medical, PC was paid $544K by Medicaid between Jan 2018 and Dec 2024, across 89 billing codes. Its largest line is G0397, Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes — 22% of everything it billed.
33Billing provider infoWADSWORTH MEDICAL, PC
NEW YORK, NY 10033
NEW YORK, NY 10033
33aNPI1568648665assigned 01/18/2008
33bProvider typePediatrics Physician
28Total paid$544K
24GClaims359,033
24DCodes billed89
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#395 of 1,983
Median peer was paid$17K
This provider vs. median32×
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 | 28,287 | $73K | |
| 2019 | 50,250 | $148K | |
| 2020 | 55,127 | $130K | |
| 2021 | 62,786 | $92K | |
| 2022 | 55,400 | $40K | |
| 2023 | 60,961 | $41K | |
| 2024incomplete | 46,222 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0397 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes | 22% | 5,804 | 5,787 | $118K |
| 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% | 15,888 | 13,938 | $74K |
| 93000 | 8.0% | 6,693 | 6,623 | $44K | |
| 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 | 7.5% | 10,294 | 9,297 | $41K |
| G0444 | Annual depression screening, 5 to 15 minutes | 6.3% | 6,386 | 6,362 | $34K |
| 86580 | 5.8% | 4,181 | 4,165 | $31K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.7% | 3,568 | 3,541 | $31K |
| 99606 | 5.4% | 1,672 | 1,588 | $29K | |
| 82947 | 3.2% | 7,151 | 6,358 | $17K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 8,861 | 7,876 | $17K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 3.0% | 6,390 | 6,365 | $17K |
| 99407 | 3.0% | 841 | 840 | $16K |
77 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.9% | 4,042 | $10K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.5% | 180 | $8K |
| 99403 | 1.4% | 3,761 | $7K | |
| 3074F | 1.1% | 6,105 | $6K | |
| 3078F | <1% | 4,487 | $5K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 5,533 | $5K |
| 92081 | <1% | 1,773 | $4K | |
| 99441 | <1% | 3,040 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 12,089 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 659 | $2K |
| 1159F | <1% | 14,426 | $2K | |
| 1170F | <1% | 4,877 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,183 | $2K |
| 1126F | <1% | 6,249 | $2K | |
| 1160F | <1% | 14,518 | $2K | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 18,539 | $1K |
| 99442 | <1% | 2,057 | $1K | |
| 1125F | <1% | 6,050 | $1K | |
| 3079F | <1% | 2,202 | $1K | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | <1% | 3,671 | $921.50 |
| 0521F | <1% | 11,736 | $879.94 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 293 | $663.08 |
| 99408 | <1% | 838 | $617.34 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 12,978 | $540.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 12,981 | $360.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 5,494 | $292.93 |
| 3075F | <1% | 539 | $290.00 | |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | <1% | 196 | $240.00 |
| H0049 | Alcohol and/or drug screening | <1% | 201 | $240.00 |
| 81002 | <1% | 234 | $95.66 | |
| 99173 | <1% | 1,207 | $95.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | <1% | 5,091 | $90.00 |
| 3048F | <1% | 1,364 | $90.00 | |
| 1158F | <1% | 9,860 | $80.00 | |
| 1157F | <1% | 9,564 | $80.00 | |
| 3080F | <1% | 12 | $50.00 | |
| 92555 | <1% | 14 | $49.36 | |
| 3077F | <1% | 12 | $45.00 | |
| G8710 | Patient prescribed antibiotic | <1% | 3,300 | $40.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | <1% | 1,425 | $40.00 |
| 3044F | <1% | 3,986 | $33.00 | |
| 3049F | <1% | 420 | $20.00 | |
| H0001 | Alcohol and/or drug assessment | <1% | 2,506 | $1.06 |
| 3008F | <1% | 10,800 | $0.30 | |
| 99409 | <1% | 132 | $0.08 | |
| 4010F | <1% | 124 | $0.02 | |
| 3028F | 0% | 1,151 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,442 | $0.00 |
| 3016F | 0% | 4,109 | $0.00 | |
| 3725F | 0% | 4,986 | $0.00 | |
| 4004F | 0% | 558 | $0.00 | |
| 99080 | 0% | 1,131 | $0.00 | |
| 3050F | 0% | 335 | $0.00 | |
| 1033F | 0% | 390 | $0.00 | |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | 0% | 55 | $0.00 |
| 3288F | 0% | 103 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 62 | $0.00 |
| 1100F | 0% | 86 | $0.00 | |
| 99397 | 0% | 13 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 31 | $0.00 |
| G8399 | Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | 0% | 21 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,103 | $0.00 |
| 1036F | 0% | 5,157 | $0.00 | |
| 2000F | 0% | 10,688 | $0.00 | |
| 2010F | 0% | 13,026 | $0.00 | |
| 2001F | 0% | 10,385 | $0.00 | |
| 99000 | 0% | 6,989 | $0.00 | |
| 1000F | 0% | 4,609 | $0.00 | |
| 1220F | 0% | 1,048 | $0.00 | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 231 | $0.00 |
| 3014F | 0% | 186 | $0.00 | |
| 94760 | 0% | 1,522 | $0.00 | |
| G8861 | Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) ordered and documented, review of systems and medication history or pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed | 0% | 13 | $0.00 |
| 1101F | 0% | 85 | $0.00 | |
| 99443 | 0% | 14 | $0.00 | |
| 3017F | 0% | 14 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 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.
From NPPES
Who's on the registration
Authorized officialCOMAS ESPINAL, ALBERTO (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Alberto Comas Espinal MD PC | New York, NY | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.