Physician
Rpci Oncology PC
Rpci Oncology PC was paid $515K by Medicaid between Jan 2019 and Nov 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoRPCI ONCOLOGY PC
WILLIAMSVILLE, NY 14221
WILLIAMSVILLE, NY 14221
33aNPI1952703985assigned 09/22/2014
33bProvider typeOtolaryngology Physician
28Total paid$515K
24GClaims18,699
24DCodes billed21
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other Otolaryngology Physician providers in New York
Rank by total paid#40 of 302
Median peer was paid$10K
This provider vs. median51×
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 | 1,849 | $45K | |
| 2020 | 2,621 | $47K | |
| 2021 | 2,889 | $83K | |
| 2022 | 3,501 | $107K | |
| 2023 | 4,264 | $127K | |
| 2024incomplete | 3,575 | $105K |
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 | 45% | 2,766 | 2,601 | $230K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 1,897 | 1,862 | $120K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 13% | 1,492 | 1,470 | $67K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 4.6% | 5,447 | 4,075 | $24K |
| 80053 | Comprehensive metabolic panel | 3.9% | 2,266 | 1,901 | $20K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.6% | 166 | 166 | $13K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 83 | 78 | $10K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 1.3% | 137 | 89 | $7K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 1.3% | 58 | 36 | $7K |
| 96367 | 1.3% | 187 | 117 | $7K | |
| 99205 | Prolong outpt/office vis | <1% | 24 | 24 | $4K |
| 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 | <1% | 14 | 14 | $2K |
9 more codes
| 88304 | <1% | 62 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,743 | $1K |
| 88312 | <1% | 50 | $814.19 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $411.80 |
| 88342 | <1% | 12 | $256.20 | |
| 81003 | <1% | 147 | $242.91 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 18 | $218.88 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 102 | $113.41 |
| 81002 | <1% | 15 | $26.60 |
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 officialWINKLER, SHARON (COMPLIANCE AND PRIVACY OFFICER)