Clinic
Pediatric and Adolescent Urgent Care of Western New York
Pediatric and Adolescent Urgent Care of Western New York was paid $5.69M by Medicaid between Jan 2018 and Oct 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoPEDIATRIC AND ADOLESCENT URGENT CARE OF WESTERN NEW YORK
WILLIAMSVILLE, NY 14221
WILLIAMSVILLE, NY 14221
33aNPI1922300516assigned 12/02/2010
33bProvider typeUrgent Care Clinic/Center
28Total paid$5.69M
24GClaims54,811
24DCodes billed18
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in New York
Rank by total paid#22 of 138
Median peer was paid$576K
This provider vs. median9.9×
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 | 512 | $26K | |
| 2019 | 1,541 | $129K | |
| 2020 | 3,491 | $401K | |
| 2021 | 12,149 | $1.23M | |
| 2022 | 13,187 | $1.28M | |
| 2023 | 12,635 | $1.43M | |
| 2024incomplete | 11,296 | $1.20M |
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 | 57% | 30,744 | 29,370 | $3.23M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 19% | 10,257 | 10,064 | $1.09M |
| 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 | 15% | 6,109 | 5,873 | $873K |
| 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 | 5.4% | 2,055 | 2,034 | $309K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.7% | 1,954 | 1,920 | $99K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 981 | 973 | $24K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,336 | 1,227 | $24K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 173 | 173 | $18K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 176 | 166 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 136 | 135 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 185 | 184 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 465 | 459 | $1K |
6 more codes
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 officialGRISANTI, PETER (CFO)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Urgent Care of Rochester | Fairport, NY | $503K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.