Western New York Medical Practice P.C

Western New York Medical Practice P.C was paid $433K by Medicaid between Sep 2019 and Nov 2024, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 55% of everything it billed.

33Billing provider infoWESTERN NEW YORK MEDICAL PRACTICE P.C
PITTSFORD, NY 14534

33aNPI1891359824assigned 04/25/2019

33bProvider typeOphthalmology Physician

28Total paid$433K

24GClaims4,960

24DCodes billed6

24AFirst – last monthSep 2019 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#185 of 1,085

Median peer was paid$34K

This provider vs. median13×

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	748	$39K
2020	958	$74K
2021	1,028	$105K
2022	1,073	$104K
2023	717	$69K
2024incomplete	436	$41K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	55%	2,449	2,447	$240K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	36%	1,390	1,387	$156K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	4.6%	289	282	$20K
92015	Determination of refractive state	2.6%	737	736	$11K
92002		1.0%	67	67	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	28	24	$2K

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 officialMAYO, ROBERT (CHIEF MEDICAL OFFICER/EVP RRH ADMIN)

Parent organizationWESTERN NEW YORK MEDICAL PRACTICE P.C

Same official

Other billing entities under MAYO, ROBERT

Full network →

Provider	Location	Paid
Mayo Physical Therapy LLC	Jena, LA	$559K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.