Physician
Amherst Pediatric Associates, P.C.
Amherst Pediatric Associates, P.C. was paid $943K by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoAMHERST PEDIATRIC ASSOCIATES, P.C.
WILLIAMSVILLE, NY 14221
WILLIAMSVILLE, NY 14221
33aNPI1831180496assigned 11/02/2005
33bProvider typePediatrics Physician
28Total paid$943K
24GClaims37,719
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#299 of 1,983
Median peer was paid$17K
This provider vs. median56×
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 | 1,781 | $45K | |
| 2019 | 3,410 | $76K | |
| 2020 | 4,700 | $67K | |
| 2021 | 10,044 | $156K | |
| 2022 | 6,215 | $195K | |
| 2023 | 5,877 | $198K | |
| 2024incomplete | 5,692 | $205K |
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 | 46% | 11,838 | 11,439 | $436K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 19% | 7,434 | 7,431 | $181K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.3% | 1,010 | 1,010 | $69K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.9% | 666 | 468 | $56K |
| 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 | 5.5% | 938 | 908 | $52K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.2% | 588 | 587 | $39K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.5% | 965 | 956 | $24K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 281 | 281 | $23K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.4% | 276 | 274 | $13K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 1,164 | 1,160 | $11K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 162 | 160 | $10K |
| 96127 | <1% | 2,071 | 2,069 | $8K |
27 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 131 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 253 | $4K |
| 0072A | <1% | 81 | $3K | |
| 90656 | <1% | 260 | $3K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 30 | $1K |
| 0002A | <1% | 26 | $974.09 | |
| 0001A | <1% | 25 | $944.23 | |
| 0071A | <1% | 25 | $939.16 | |
| 90686 | <1% | 2,452 | $734.33 | |
| 0003A | <1% | 12 | $437.12 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16 | $374.26 |
| 90473 | <1% | 64 | $357.00 | |
| 80061 | Lipid panel | <1% | 40 | $355.79 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 50 | $328.49 |
| 90672 | <1% | 208 | $24.10 | |
| 85018 | <1% | 12 | $10.52 | |
| 99072 | <1% | 5,842 | $3.64 | |
| 99051 | <1% | 87 | $0.39 | |
| 91300 | <1% | 81 | $0.09 | |
| 91307 | <1% | 238 | $0.08 | |
| 99358 | Prolong nursin fac eval 15m | <1% | 13 | $0.02 |
| 90671 | 0% | 12 | $0.00 | |
| 99499 | 0% | 65 | $0.00 | |
| 99080 | 0% | 51 | $0.00 | |
| 90670 | 0% | 25 | $0.00 | |
| 36416 | 0% | 190 | $0.00 | |
| 90698 | 0% | 37 | $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 officialCOZZA, KALISTA (HUMAN RESOURCES MANAGER)