Western New York Orthopaedics, PC

Western New York Orthopaedics, PC was paid $97K by Medicaid between Jan 2018 and Sep 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.

33Billing provider infoWESTERN NEW YORK ORTHOPAEDICS, PC
BUFFALO, NY 14209

33aNPI1609960723assigned 10/03/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$97K

24GClaims1,423

24DCodes billed5

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in New York

Rank by total paid#57 of 429

Median peer was paid$4K

This provider vs. median25×

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	256	$14K
2019	357	$29K
2020	290	$23K
2021	156	$10K
2022	108	$6K
2023	179	$10K
2024incomplete	77	$5K

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	44%	756	737	$43K
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	40%	526	516	$39K
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	10%	86	86	$10K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	3.0%	28	28	$3K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.2%	27	27	$2K

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 officialNENNO, DONALD (OWNER)