Neighborhood Health Center of Wny, INC.

Neighborhood Health Center of Wny, INC. was paid $33.70M by Medicaid between Jan 2018 and Dec 2024, across 196 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoNEIGHBORHOOD HEALTH CENTER OF WNY, INC.
BUFFALO, NY 14207

33aNPI1881789014assigned 10/04/2006

33bProvider typeDentist

28Total paid$33.70M

24GClaims1,659,516

24DCodes billed196

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Dentist providers in New York

Rank by total paid#3 of 1,649

Median peer was paid$49K

This provider vs. median682×

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	145,222	$4.41M
2019	199,667	$4.52M
2020	198,861	$4.29M
2021	257,201	$6.12M
2022	208,090	$5.08M
2023	257,818	$3.66M
2024incomplete	392,657	$5.61M

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	32%	408,380	139,733	$10.86M
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	18%	238,255	72,603	$6.21M
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	3.8%	73,824	18,250	$1.27M
97803		2.9%	19,619	12,277	$972K
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	2.7%	100,767	14,683	$921K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	2.6%	36,031	8,767	$880K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	2.4%	10,622	5,610	$794K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.2%	33,451	8,603	$725K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.0%	35,289	8,431	$682K
D1110	Prophylaxis - adult	2.0%	15,554	10,797	$678K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	2.0%	12,119	6,432	$677K
D0150	Comprehensive oral evaluation - new or established patient	1.7%	40,313	7,789	$581K

184 more codes

99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.6%	29,706	$545K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	1.6%	25,541	$530K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.5%	47,713	$513K
90832	Psychotherapy session, about 30 minutes	1.4%	9,309	$468K
97802		1.2%	7,490	$393K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.1%	17,943	$378K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	1.1%	15,949	$373K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1.1%	5,900	$371K
90791	Psychiatric diagnostic evaluation	1.1%	5,049	$363K
J1050	Injection, medroxyprogesterone acetate, 1 mg	<1%	4,933	$299K
90472	Immunization administration, each additional vaccine (list separately)	<1%	18,504	$280K
99203	Doctor's office visit, new patient (routine)	<1%	5,686	$258K
D9110		<1%	6,235	$209K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	15,146	$208K
D0274	Bitewings - four radiographic images	<1%	9,015	$202K
D0330	Panoramic radiographic image	<1%	6,379	$188K
T1013	Sign language or oral interpretive services, per 15 minutes	<1%	12,376	$170K
D1120	Dental cleaning, child	<1%	4,210	$149K
96127		<1%	39,877	$119K
90688		<1%	6,946	$119K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	2,301	$110K
D0220	Intraoral - periapical first radiographic image	<1%	5,611	$109K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	4,661	$100K
99406		<1%	13,084	$90K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	6,123	$84K
11721		<1%	3,427	$84K
G0467	Community health center visit, returning patient	<1%	11,968	$74K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	2,721	$70K
99385		<1%	2,285	$67K
99188		<1%	4,441	$66K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	1,868	$60K
96160		<1%	33,191	$57K
92551		<1%	19,113	$52K
99443		<1%	806	$48K
D0603		<1%	6,580	$48K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	<1%	660	$47K
D1206	Topical application of fluoride varnish	<1%	1,694	$47K
0012A		<1%	1,371	$45K
91320		<1%	451	$44K
99383		<1%	1,651	$42K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	464	$39K
99441		<1%	1,080	$39K
0002A		<1%	1,066	$38K
0011A		<1%	1,381	$37K
99215	Doctor's office visit, returning patient (complex)	<1%	1,955	$37K
0001A		<1%	903	$32K
99384		<1%	1,145	$28K
83655		<1%	3,180	$25K
11056		<1%	595	$24K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	478	$23K
76819	Fetal biophysical profile; without non-stress testing	<1%	220	$22K
81025		<1%	6,078	$22K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	2,399	$22K
99204	Doctor's office visit, new patient (more involved)	<1%	368	$22K
0502F		<1%	903	$21K
99386		<1%	463	$21K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	<1%	437	$20K
D0140	Limited oral evaluation - problem focused	<1%	817	$20K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	3,098	$19K
0064A		<1%	527	$19K
90480		<1%	691	$18K
99381		<1%	389	$15K
90715		<1%	876	$15K
D1208	Topical application of fluoride, excluding varnish	<1%	1,128	$15K
94664		<1%	1,658	$15K
90677		<1%	790	$15K
0031A		<1%	510	$14K
99001		<1%	9,797	$14K
99442		<1%	325	$14K
D7140	Extraction, erupted tooth or exposed root	<1%	270	$13K
0072A		<1%	333	$12K
0071A		<1%	336	$12K
D0210	Intraoral - complete series of radiographic images	<1%	584	$12K
D4341		<1%	278	$12K
83036	Hemoglobin; glycosylated (A1C)	<1%	1,784	$10K
G0127	Trimming of dystrophic nails, any number	<1%	3,012	$10K
99173		<1%	18,589	$10K
D1330		<1%	7,162	$9K
0124A		<1%	258	$9K
90658		<1%	574	$9K
0004A		<1%	245	$9K
90686		<1%	11,203	$8K
G9007	Coordinated care fee, scheduled team conference	<1%	108	$8K
76801		<1%	112	$8K
83037		<1%	2,812	$8K
D0601		<1%	1,689	$8K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	<1%	116	$7K
76820		<1%	174	$7K
99382		<1%	131	$7K
D1351	Sealant - per tooth	<1%	245	$7K
0054A		<1%	180	$6K
96161		<1%	4,564	$6K
90670		<1%	2,429	$5K
99401		<1%	408	$5K
90792	Psychiatric diagnostic evaluation with medical services	<1%	38	$4K
81002		<1%	1,187	$4K
D1310		<1%	2,832	$4K
J3490	Unclassified drugs	<1%	93	$4K
87210		<1%	1,072	$3K
2010F		<1%	2,873	$3K
86580		<1%	921	$3K
0052A		<1%	89	$3K
3074F		<1%	10,603	$3K
90651		<1%	1,911	$3K
S9470	Nutritional counseling, dietitian visit	<1%	977	$3K
98968		<1%	67	$3K
3078F		<1%	8,475	$2K
90707		<1%	909	$2K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	80	$2K
85018		<1%	3,120	$2K
90621		<1%	342	$2K
1159F		<1%	10,942	$2K
90732		<1%	17	$2K
D1320		<1%	190	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	514	$2K
99024		<1%	3,297	$2K
90716		<1%	1,080	$2K
3079F		<1%	2,076	$2K
D0272	Bitewings - two radiographic images	<1%	117	$2K
92250		<1%	56	$2K
90473		<1%	161	$2K
11055		<1%	62	$1K
90734		<1%	708	$1K
90723		<1%	1,624	$1K
90648		<1%	2,875	$1K
95251		<1%	64	$1K
82948		<1%	547	$1K
91306		<1%	507	$1K
91301		<1%	2,389	$1K
3008F		<1%	13,177	$1K
90633		<1%	1,465	$986.72
1036F		<1%	9,355	$964.04
90656		<1%	923	$936.59
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	19	$916.84
91300		<1%	2,194	$851.95
94760		<1%	961	$828.83
91307		<1%	877	$640.37
92015	Determination of refractive state	<1%	170	$634.12
11730		<1%	12	$544.17
11057		<1%	13	$502.39
20553		<1%	12	$437.46
0051A		<1%	12	$395.48
20552		<1%	13	$366.03
93000		<1%	32	$363.53
4019F		<1%	75	$296.84
90474		<1%	57	$261.52
3075F		<1%	316	$240.00
99000		<1%	1,166	$220.80
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	113	$219.53
91303		<1%	300	$212.35
86703		<1%	24	$211.70
G0444	Annual depression screening, 5 to 15 minutes	<1%	82	$202.84
90619		<1%	523	$175.33
87220		<1%	109	$165.85
36415	Collection of venous blood by venipuncture	<1%	336	$154.68
36416		<1%	861	$146.14
91312		<1%	164	$145.37
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%	230	$135.82
87806		<1%	17	$130.69
82120		<1%	50	$104.07
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	6,905	$65.45
90713		<1%	48	$46.90
S9451	Exercise classes, non-physician provider, per session	<1%	523	$36.75
94150		<1%	16	$31.68
90685		<1%	144	$20.34
3044F		<1%	60	$20.00
2028F		<1%	170	$1.00
1160F		<1%	6,730	$0.26
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	<1%	40	$0.03
3725F		<1%	2,797	$0.02
3077F		<1%	416	$0.01
90680		0%	376	$0.00
91305		0%	537	$0.00
1126F		0%	163	$0.00
3080F		0%	191	$0.00
91319		0%	24	$0.00
1125F		0%	110	$0.00
90696		0%	64	$0.00
90744		0%	12	$0.00
91308		0%	12	$0.00
90681		0%	160	$0.00
90700		0%	65	$0.00
90461		0%	13	$0.00
99499		0%	12	$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 officialGOLEBIEWSKI, EDWARD (VICE PRESIDENT OF FINANCE)