Amherst Southgate, Ent, PLLC

Amherst Southgate, Ent, PLLC was paid $679K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 27% of everything it billed.

33Billing provider infoAMHERST SOUTHGATE, ENT, PLLC
WEST SENECA, NY 14224

33aNPI1831260462assigned 11/13/2006

33bProvider typeOtolaryngology Physician

28Total paid$679K

24GClaims10,497

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Otolaryngology Physician providers in New York

Rank by total paid#35 of 302

Median peer was paid$10K

This provider vs. median67×

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	761	$54K
2019	992	$76K
2020	1,532	$92K
2021	2,265	$122K
2022	2,445	$122K
2023	1,569	$124K
2024incomplete	933	$88K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	27%	2,246	2,238	$184K
31231		25%	1,272	1,259	$173K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	2,129	2,015	$125K
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	11%	652	651	$78K
31575		10%	833	831	$68K
69210		4.2%	879	846	$29K
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	3.1%	270	258	$21K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	44	44	$1K
99406		<1%	24	24	$268.86
99072		<1%	2,148	2,037	$1.42

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 officialDANZIGER, IRIS (PRESIDENT)