Physician
Legacy Gynecology PLLC
Legacy Gynecology PLLC was paid $9K by Medicaid between Mar 2021 and Dec 2024, across 8 billing codes. Its largest line is 99395, Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years — 48% of everything it billed.
33Billing provider infoLEGACY GYNECOLOGY PLLC
AMHERST, NY 14221
AMHERST, NY 14221
33aNPI1598370975assigned 09/11/2020
33bProvider typeGynecology Physician
28Total paid$9K
24GClaims1,468
24DCodes billed8
24AFirst – last monthMar 2021 – Dec 2024
Compared with peers
Next to other Gynecology Physician providers in New York
Rank by total paid#49 of 93
Median peer was paid$10K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2021 | 194 | $0.00 | |
| 2022 | 341 | $20.00 | |
| 2023 | 740 | $8K | |
| 2024incomplete | 193 | $988.34 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 48% | 63 | 63 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 56 | 56 | $4K |
| 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 | 12% | 12 | 12 | $1K |
| 81002 | <1% | 37 | 37 | $69.37 | |
| 3079F | <1% | 305 | 289 | $20.00 | |
| 3008F | 0% | 536 | 507 | $0.00 | |
| 3074F | 0% | 446 | 428 | $0.00 | |
| 3078F | 0% | 13 | 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 officialSMYERS, KRISTEN (MD/OWNER)