Hamburg Regional Gynecology PC

Hamburg Regional Gynecology PC was paid $109K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 85% of everything it billed.

33Billing provider infoHAMBURG REGIONAL GYNECOLOGY PC
ORCHARD PARK, NY 14127

33aNPI1659337152assigned 04/24/2006

33bProvider typeGynecology Physician

28Total paid$109K

24GClaims1,814

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Gynecology Physician providers in New York

Rank by total paid#25 of 93

Median peer was paid$10K

This provider vs. median10×

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	198	$10K
2019	269	$15K
2020	293	$16K
2021	280	$16K
2022	228	$15K
2023	432	$28K
2024incomplete	114	$9K

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	85%	1,528	1,391	$92K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	7.6%	94	94	$8K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	5.2%	67	67	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.3%	62	61	$3K
81025		<1%	12	12	$78.47
99072		<1%	51	49	$0.07

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 officialZUCCALA, SCOTT (OWNER)