Physician
Mercy Hospital of Buffalo
Mercy Hospital of Buffalo was paid $449K by Medicaid between Nov 2020 and Dec 2024, across 25 billing codes. Its largest line is 93010, Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only — 29% of everything it billed.
33Billing provider infoMERCY HOSPITAL OF BUFFALO
BUFFALO, NY 14220
BUFFALO, NY 14220
33aNPI1851929954assigned 04/01/2020
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$449K
24GClaims26,289
24DCodes billed25
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in New York
Rank by total paid#7 of 278
Median peer was paid$4K
This provider vs. median105×
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 | |
|---|---|---|---|
| 2020 | 922 | $24K | |
| 2021 | 6,021 | $107K | |
| 2022 | 7,233 | $147K | |
| 2023 | 7,697 | $120K | |
| 2024incomplete | 4,416 | $51K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 29% | 19,216 | 16,801 | $131K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 1,606 | 1,467 | $77K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 8.9% | 1,057 | 992 | $40K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.0% | 506 | 259 | $32K |
| 76819 | Fetal biophysical profile; without non-stress testing | 6.7% | 892 | 649 | $30K |
| 99460 | 6.6% | 467 | 467 | $30K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.4% | 1,030 | 1,009 | $29K |
| 99238 | Hospital discharge day management, 30 minutes or less | 6.2% | 510 | 506 | $28K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 5.6% | 376 | 376 | $25K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 1.3% | 126 | 125 | $6K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 1.2% | 71 | 68 | $5K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.0% | 127 | 65 | $5K |
13 more codes
| 59425 | <1% | 22 | $3K | |
| 59426 | <1% | 23 | $3K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 82 | $2K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 26 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | $1K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 15 | $792.89 |
| 76813 | <1% | 12 | $708.83 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 16 | $455.56 |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 15 | $447.35 |
| 99462 | <1% | 13 | $327.21 | |
| 97597 | <1% | 15 | $223.26 | |
| 94727 | <1% | 12 | $81.61 | |
| 81025 | <1% | 41 | $36.50 |
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 officialMACHOLZ, DAVID (AUTHORIZED OFFICIAL)
Parent organizationMERCY HOSPITAL OF BUFFALO
| Provider | Location | Paid |
|---|---|---|
| Mercy Hospital of Buffalo | Buffalo, NY | $29.86M |
| Mount ST. Mary's Hospital of Niagara Falls | Lewiston, NY | $22.19M |
| Sisters of Charity Hospital of Buffalo New York | Cheektowaga, NY | $13.42M |
| Sisters of Charity Hospital of Buffalo New York | Buffalo, NY | $3.93M |
| Mount ST. Mary's Hospital of Niagara Falls | Lewiston, NY | $2.87M |
| Kenmore Mercy Hospital | Kenmore, NY | $70K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.