Providers
BILL C HINES, MD
NPI 1437140266, individual, Syracuse, NY, General Practice
5
Evidence tier
informational
- Medicaid dollars per patient on code 99213 ($709 per patient-month) sit in the top 5% of every provider billing that code.
score 35 of 100, rank 10168, $748K at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | BILL C HINES, MD |
| Type | Individual |
| Status | Active |
| NPI issued | November 1, 2005, last updated August 2, 2011 |
| Practice location | 819 S SALINA ST, Syracuse, NY 13202-3536, 315-476-7921 |
| Specialties | General Practice (208D00000X, primary, license 174148-1 NY) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| T1040 | Medicaid service code | $31.8M | 92% | $709 | $247 (top 5% from $672) | 96th percentile | |
| 90853 | Group psychotherapyhistory of abuse | $968K | 3% | $518 | $60 (top 5% from $332) | 97th percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $594K | 2% | $153 | $112 (top 5% from $313) | 72nd percentile | |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | $502K | 1% | $438 | $31 (top 5% from $184) | 97th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $167K | 0% | $152 | $44 (top 5% from $110) | 97th percentile | |
| 90834 | Psychotherapy, 45 minutes | $163K | 0% | $217 | $101 (top 5% from $318) | 87th percentile | |
| 90832 | Psychotherapy, 30 minutes | $152K | 0% | $95 | $59 (top 5% from $239) | 78th percentile | |
| H0005 | Medicaid service code | $149K | 0% | $663 | $129 (top 5% from $479) | too few months to rank |
In this area
6 providers in Onondaga County, NY carry an indicator in the public record, with $5.4M at stake between them. The most common is part of a provider network, on 3 of them, followed by more hours than a day holds on 3.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | 4800 BEAR ROAD OPERATING COMPANY LLC Liverpool, NY, ranked 2428 | $0 |
|
| 3 | CPRNC, LLC Syracuse, NY, ranked 5645 | $0 |
|
| 3 | VDRNC LLC Syracuse, NY, ranked 6732 | $0 |
|
| 4 | FRANKIE QUARLES Syracuse, NY, ranked 7654 | $2.3M |
|
| 5 | CHIMA CHIONUMA Liverpool, NY, ranked 9921 | $3.0M |
|
| 5 | ELIZABETH WILLIAMS Syracuse, NY, ranked 11591 | $125K |
Recent enforcement in NY
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedAug 20, 2026
Four Members Of The “War Room” Charged In Connection With $12 Million Medicaid Fraud Scheme
Members of a Bronx-based racketeering organization known as the "War Room" fabricated ride data for methadone clinic transportation using a GPS spoofing application, paid Medicaid patients kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in claims to Medicaid, and laundered the proceeds.
DOJIndictedAug 20, 2026
Four Members of the “War Room” Charged in Connection with $12M Medicaid Fraud Scheme
Four members of a Bronx racketeering organization known as the "War Room" fabricated medical transportation ride data using a ride-tracking app and GPS spoofing, paid Medicaid patients at methadone clinics kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in Medicaid claims, and laundered the proceeds.
DOJCivil settlementAug 17, 2026
Safire nursing homes agree to pay $9 million to resolve fraudulent Medicare and Medicaid billing allegations
The United States alleged that Safire submitted false claims to Medicare and Medicaid for skilled rehabilitative therapy services that were not reasonable or necessary, not supported by medical records, not documented as provided, or not provided at all, including by scheduling therapy based on insurer reimbursement policies, pressuring therapists and residents, and manufacturing or altering therapy referrals and medical records.
DOJSentencedJul 21, 2026
Owner of Long Island Ambulette Services Company Sentenced to Prison for Multimillion Dollar Healthcare Fraud Scheme
Arshad and co-conspirators paid kickbacks to Medicaid beneficiaries to order transportation through his companies and billed Medicaid over $19 million for medical transportation rides that were not provided, including for individuals who were deceased, hospitalized or incarcerated, and inflated reimbursements with false pickup addresses and distant treatment centers.
DOJIndictedJul 2, 2026
Two Defendants Charged with Multi-Million Dollar Health Care Fraud Scheme
The defendants, who owned and operated Tri-Hamlet Taxi Inc., allegedly paid kickbacks to Medicaid beneficiaries and submitted more than $35 million in claims to Medicaid for ambulette trips that were not provided or whose costs were inflated by using false pickup or drop-off addresses.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.