Supplier
Western New York Medical Practice P.C
Western New York Medical Practice P.C was paid $1.05M by Medicaid between Sep 2019 and Nov 2024, across 9 billing codes. Its largest line is V2020, Frames, purchases — 39% of everything it billed.
33Billing provider infoWESTERN NEW YORK MEDICAL PRACTICE P.C
PITTSFORD, NY 14534
PITTSFORD, NY 14534
33aNPI1871157503assigned 04/29/2019
33bProvider typeEyewear Supplier
28Total paid$1.05M
24GClaims24,357
24DCodes billed9
24AFirst – last monthSep 2019 – Nov 2024
Compared with peers
Next to other Eyewear Supplier providers in New York
Rank by total paid#12 of 244
Median peer was paid$44K
This provider vs. median24×
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 | |
|---|---|---|---|
| 2019 | 1,494 | $75K | |
| 2020 | 3,559 | $170K | |
| 2021 | 5,062 | $234K | |
| 2022 | 5,010 | $217K | |
| 2023 | 5,268 | $209K | |
| 2024incomplete | 3,964 | $141K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 39% | 9,475 | 9,441 | $404K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 25% | 5,745 | 4,854 | $257K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 12% | 1,759 | 1,493 | $120K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 11% | 2,350 | 2,078 | $112K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 7.5% | 3,549 | 3,540 | $78K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 3.0% | 506 | 455 | $31K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 1.5% | 357 | 332 | $16K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | 1.4% | 287 | 249 | $15K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.2% | 329 | 306 | $12K |
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 officialHOLDER, NICHOLE (DIRECTOR - PAYER ENROLLMENT)
Parent organizationWESTERN NEW YORK MEDICAL PRACTICE P.C
| Provider | Location | Paid |
|---|---|---|
| Western New York Medical Practice, P.C. | Penfield, NY | $81K |
| Western New York Medical Practice, P.C. | Rochester, NY | $49K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.