Physician
Eastern Niagara Ob/Gyn, PC
Eastern Niagara Ob/Gyn, PC was paid $140K by Medicaid between Jan 2018 and Jun 2019, across 12 billing codes. Its largest line is 99395, Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years — 29% of everything it billed.
33Billing provider infoEASTERN NIAGARA OB/GYN, PC
LOCKPORT, NY 14094
LOCKPORT, NY 14094
33aNPI1669422697assigned 05/11/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$140K
24GClaims3,006
24DCodes billed12
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in New York
Rank by total paid#239 of 762
Median peer was paid$22K
This provider vs. median6.4×
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 | 2,008 | $88K | |
| 2019 | 998 | $51K |
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 | 29% | 467 | 467 | $40K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 678 | 621 | $33K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 14% | 201 | 192 | $20K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 13% | 134 | 134 | $18K |
| 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 | 9.5% | 172 | 172 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.4% | 196 | 191 | $6K |
| 76830 | Ultrasound, transvaginal | 1.6% | 37 | 36 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 135 | 127 | $2K |
| 76801 | 1.1% | 12 | 12 | $2K | |
| 81002 | <1% | 611 | 607 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | 12 | $1K |
| 81025 | <1% | 351 | 344 | $823.99 |
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 officialJAMMAL, ROGER (PRESIDENT)