Physician
Southwestern Medical Associates, LLP
Southwestern Medical Associates, LLP was paid $234K by Medicaid between Jan 2018 and May 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoSOUTHWESTERN MEDICAL ASSOCIATES, LLP
ORCHARD PARK, NY 14127
ORCHARD PARK, NY 14127
33aNPI1942267455assigned 04/27/2006
33bProvider typeInternal Medicine Physician
28Total paid$234K
24GClaims8,027
24DCodes billed19
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#779 of 6,049
Median peer was paid$11K
This provider vs. median21×
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 | 792 | $25K | |
| 2019 | 1,276 | $38K | |
| 2020 | 1,228 | $31K | |
| 2021 | 1,497 | $47K | |
| 2022 | 1,372 | $39K | |
| 2023 | 1,476 | $43K | |
| 2024incomplete | 386 | $10K |
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 | 46% | 2,735 | 2,610 | $108K |
| 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% | 749 | 731 | $43K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 1,582 | 1,505 | $31K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.7% | 338 | 338 | $23K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.7% | 199 | 198 | $13K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.5% | 156 | 156 | $11K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 24 | 24 | $1K |
| 90619 | <1% | 13 | 13 | $980.00 | |
| 96127 | <1% | 249 | 246 | $728.04 | |
| 97803 | <1% | 151 | 151 | $663.53 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | 13 | $547.70 |
| 99173 | <1% | 1,110 | 1,110 | $507.34 |
7 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 38 | $334.89 |
| 90674 | <1% | 14 | $301.15 | |
| 97802 | <1% | 32 | $142.51 | |
| 90686 | <1% | 278 | $119.19 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 41 | $64.08 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 13 | $23.13 |
| 99080 | 0% | 292 | $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 officialGOODMAN, GAIL (PRESIDENT)