Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

West Cayuga Medicine PC

West Cayuga Medicine PC was paid $2.71M by Medicaid between May 2020 and Dec 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoWEST CAYUGA MEDICINE PC
PHILADELPHIA, PA 19140
33aNPI1811449697assigned 10/27/2016
28Total paid$2.71M
24GClaims49,415
24DCodes billed10
24AFirst – last monthMay 2020 – Dec 2024
Compared with peers

Next to other Addiction Medicine (Internal Medicine) Physician providers in Pennsylvania

Rank by total paid#2 of 14
Median peer was paid$239K
This provider vs. median11×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20202,429$132K
202110,445$536K
202212,208$667K
202312,108$681K
2024incomplete12,225$696K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 24,732 20,535 $1.06M
99340 26% 4,984 4,952 $711K
99491 Ccm add 20min 14% 4,451 4,385 $387K
99437 9.5% 4,400 4,335 $256K
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 5.7% 2,765 2,582 $153K
80305 2.7% 7,272 6,028 $73K
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 2.4% 660 642 $65K
99380 <1% 91 91 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 40 40 $2K
99375 <1% 20 20 $1K

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 officialVENGOECHEA, FABIAN (OWNER & CEO)