Buffalo Medical Group, P.C.

Buffalo Medical Group, P.C. was paid $2.31M by Medicaid between Jan 2018 and Dec 2024, across 75 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 19% of everything it billed.

33Billing provider infoBUFFALO MEDICAL GROUP, P.C.
WILLIAMSVILLE, NY 14221

33aNPI1881659506assigned 04/18/2006

33bProvider typeDermatopathology Physician

28Total paid$2.31M

24GClaims42,413

24DCodes billed75

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Dermatopathology Physician providers in New York

Rank by total paid#2 of 16

Median peer was paid$48K

This provider vs. median48×

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	4,359	$213K
2019	4,284	$214K
2020	6,276	$332K
2021	8,743	$493K
2022	7,661	$467K
2023	7,899	$431K
2024incomplete	3,191	$164K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	19%	5,937	5,792	$432K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	6,575	6,367	$315K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	9.1%	3,919	1,800	$209K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	8.2%	1,248	497	$190K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	7.9%	2,299	2,277	$182K
88305	Level IV - Surgical pathology, gross and microscopic examination	4.6%	2,121	2,097	$106K
77067	Screening mammography, bilateral, including computer-aided detection	4.3%	1,011	1,011	$100K
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	3.1%	616	615	$72K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	2.9%	726	717	$66K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	2.6%	668	667	$60K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.0%	729	350	$46K
90961		1.9%	335	335	$43K

63 more codes

99203	Doctor's office visit, new patient (routine)	1.7%	546	$40K
77063	Screening digital breast tomosynthesis, bilateral	1.6%	867	$37K
94060		1.4%	808	$32K
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	1.3%	175	$31K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	1.3%	503	$29K
94729		1.2%	779	$27K
99152		1.1%	2,690	$26K
95117		1.1%	2,685	$26K
94726		<1%	665	$22K
99222	Initial hospital care, per day, moderate complexity	<1%	246	$20K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	660	$20K
92134		<1%	717	$20K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	250	$18K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	<1%	172	$16K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	105	$15K
90935	Hemodialysis procedure with single evaluation by a physician	<1%	294	$14K
71046	Radiologic examination, chest; 2 views	<1%	581	$14K
76830	Ultrasound, transvaginal	<1%	140	$13K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	64	$12K
99215	Doctor's office visit, returning patient (complex)	<1%	63	$7K
96910		<1%	146	$5K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	64	$5K
95115		<1%	584	$4K
80053	Comprehensive metabolic panel	<1%	342	$3K
76642		<1%	41	$3K
92133		<1%	93	$3K
99205	Prolong outpt/office vis	<1%	14	$2K
76536		<1%	26	$2K
83970		<1%	53	$2K
80305		<1%	184	$2K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	165	$1K
90962		<1%	12	$1K
76700	Ultrasound, abdominal, real time with image documentation; complete	<1%	12	$1K
99223	Prolong inpt eval add15 m	<1%	14	$1K
93970		<1%	12	$1K
95024		<1%	15	$1K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	13	$980.13
84156		<1%	250	$890.97
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	121	$870.45
90686		<1%	54	$869.65
93971		<1%	12	$724.66
94010		<1%	24	$594.76
73630		<1%	17	$573.91
0011A		<1%	24	$559.07
82728		<1%	36	$492.63
85027		<1%	116	$474.79
95816		<1%	12	$469.14
0012A		<1%	14	$459.41
84100		<1%	90	$406.73
82570		<1%	85	$406.73
84466		<1%	24	$299.76
99153	Mod sedat endo service >5yrs	<1%	26	$287.87
36415	Collection of venous blood by venipuncture	<1%	233	$266.19
93000		<1%	12	$185.02
90674		<1%	13	$169.88
92567		<1%	13	$146.58
83540		<1%	24	$125.83
81002		<1%	56	$96.21
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	16	$89.29
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	13	$46.01
91301		<1%	21	$0.08
3078F		0%	47	$0.00
3074F		0%	76	$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 officialSCULLY, DANIEL (CEO)