ROBERT L WEISMAN, D.O.
NPI 1710914965, individual, Rochester, NY, Psychiatry & Neurology, Forensic Psychiatry
- Hours beyond a day in 76 months, but with up to 1052 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code G0463 ($259 per patient-month) sit in the top 5% of every provider billing that code.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2018 | More hours than a day holds, even counting one unit per claim line | 25.3 | 57.1 | 38.1 | 51.3 | 630 | 1 | 90791 90832 90834 99212 99213 99214 | $128K |
| Feb 2018 | More hours than a day holds, even counting one unit per claim line | 26.9 | 62.6 | 41.7 | 58.4 | 614 | 1 | 90791 90832 90834 90853 99212 99213 99214 | $126K |
| Mar 2018 | More hours than a day holds at a conservative unit price | 17.6 | 37.5 | 25.0 | 35.3 | 444 | 1 | 90832 90834 90837 90853 99212 99213 | $81K |
| Apr 2018 | More hours than a day holds, even counting one unit per claim line | 24.5 | 58.4 | 38.9 | 55.6 | 598 | 1 | 90791 90832 90834 90837 90853 99212 99213 | $127K |
| May 2018 | More hours than a day holds, even counting one unit per claim line | 26.6 | 60.0 | 40.0 | 52.2 | 628 | 1 | 90791 90832 90834 90837 99212 99213 99214 H2017 | $136K |
| Jun 2018 | More hours than a day holds, even counting one unit per claim line | 31.5 | 66.8 | 44.6 | 62.0 | 669 | 1 | 90791 90832 90834 90837 99212 99213 H2017 | $146K |
| Jul 2018 | More hours than a day holds, even counting one unit per claim line | 26.0 | 58.3 | 38.9 | 54.8 | 622 | 1 | 90791 90832 90834 90837 99212 99213 99214 | $130K |
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 30.0 | 64.7 | 43.2 | 58.2 | 670 | 1 | 90791 90832 90834 90837 99212 99213 99214 | $144K |
| Sep 2018 | More hours than a day holds, even counting one unit per claim line | 25.7 | 75.1 | 50.1 | 55.9 | 629 | 1 | 90791 90832 90834 90837 99212 99213 99214 T1016 | $125K |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 32.3 | 74.1 | 49.4 | 66.6 | 748 | 1 | 90791 90832 90834 90837 90853 99212 99213 | $163K |
| Nov 2018 | More hours than a day holds, even counting one unit per claim line | 29.1 | 82.0 | 54.7 | 61.1 | 697 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 T1016 | $149K |
| Dec 2018 | More hours than a day holds, even counting one unit per claim line | 32.0 | 73.3 | 48.8 | 71.2 | 776 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 99215 H2017 | $167K |
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 34.0 | 70.3 | 46.8 | 61.8 | 848 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H2017 | $176K |
| Feb 2019 | More hours than a day holds, even counting one unit per claim line | 33.2 | 68.1 | 45.4 | 61.5 | 733 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H2017 | $152K |
| Mar 2019 | More hours than a day holds, even counting one unit per claim line | 34.0 | 69.7 | 46.4 | 65.3 | 822 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 99215 H2017 T1016 | $173K |
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 38.9 | 75.6 | 50.4 | 65.2 | 901 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 99215 H2017 T1016 | $183K |
| May 2019 | More hours than a day holds, even counting one unit per claim line | 35.1 | 71.2 | 47.5 | 62.1 | 819 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H2017 | $177K |
| Jun 2019 | More hours than a day holds, even counting one unit per claim line | 33.3 | 67.7 | 45.1 | 66.0 | 776 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H2017 | $161K |
| Jul 2019 | More hours than a day holds, even counting one unit per claim line | 34.6 | 73.0 | 48.7 | 64.7 | 796 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H2017 | $180K |
| Aug 2019 | More hours than a day holds, even counting one unit per claim line | 31.1 | 65.9 | 43.9 | 59.9 | 763 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H2017 | $165K |
| Sep 2019 | More hours than a day holds, even counting one unit per claim line | 35.0 | 70.8 | 47.2 | 65.5 | 866 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H2017 | $171K |
| Oct 2019 | More hours than a day holds, even counting one unit per claim line | 42.3 | 79.7 | 53.1 | 69.8 | 1023 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H2017 | $194K |
| Nov 2019 | More hours than a day holds, even counting one unit per claim line | 37.2 | 69.1 | 46.0 | 65.8 | 887 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 | $163K |
| Dec 2019 | More hours than a day holds, even counting one unit per claim line | 36.9 | 70.1 | 46.7 | 64.4 | 922 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 T1016 | $171K |
| Jan 2020 | More hours than a day holds, even counting one unit per claim line | 42.8 | 76.0 | 50.7 | 68.3 | 1052 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 | $204K |
| Feb 2020 | More hours than a day holds, even counting one unit per claim line | 37.4 | 65.3 | 43.5 | 63.1 | 867 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 | $164K |
| Mar 2020 | More hours than a day holds, even counting one unit per claim line | 32.0 | 57.6 | 38.4 | 54.1 | 873 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 | $157K |
| Apr 2020 | More hours than a day holds, even counting one unit per claim line | 32.9 | 62.3 | 41.6 | 56.7 | 791 | 1 | 90791 90832 90834 90837 99212 99213 99214 | $166K |
| May 2020 | More hours than a day holds, even counting one unit per claim line | 30.7 | 60.4 | 40.3 | 59.5 | 814 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 99441 99442 99443 | $162K |
| Jun 2020 | More hours than a day holds, even counting one unit per claim line | 36.9 | 74.1 | 49.4 | 62.4 | 868 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 99442 H0038 | $185K |
| Jul 2020 | More hours than a day holds, even counting one unit per claim line | 34.9 | 74.1 | 49.4 | 58.0 | 891 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H0038 | $188K |
| Aug 2020 | More hours than a day holds, even counting one unit per claim line | 33.4 | 70.2 | 46.8 | 62.5 | 878 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H0038 | $181K |
| Sep 2020 | More hours than a day holds, even counting one unit per claim line | 39.1 | 84.6 | 56.4 | 67.1 | 949 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H0038 H2017 | $208K |
| Oct 2020 | More hours than a day holds, even counting one unit per claim line | 38.2 | 81.9 | 54.6 | 68.0 | 1006 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H0038 | $206K |
| Nov 2020 | More hours than a day holds, even counting one unit per claim line | 34.2 | 77.0 | 51.3 | 62.3 | 912 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H0038 | $185K |
| Dec 2020 | More hours than a day holds, even counting one unit per claim line | 38.3 | 83.3 | 55.5 | 67.3 | 1005 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H0038 | $214K |
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 35.6 | 82.3 | 54.9 | 72.1 | 941 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H0038 | $215K |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 38.2 | 84.4 | 56.3 | 69.3 | 908 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H0038 | $196K |
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 41.0 | 89.6 | 59.7 | 70.3 | 1015 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H0038 | $231K |
| Apr 2021 | More hours than a day holds, even counting one unit per claim line | 39.4 | 80.8 | 53.9 | 68.3 | 946 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H0038 | $206K |
| May 2021 | More hours than a day holds, even counting one unit per claim line | 33.5 | 76.9 | 51.3 | 67.0 | 954 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H0038 | $199K |
| Jun 2021 | More hours than a day holds, even counting one unit per claim line | 25.3 | 80.8 | 53.9 | 65.0 | 935 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H0038 | $204K |
| Jul 2021 | More hours than a day holds at a conservative unit price | 21.1 | 66.1 | 44.1 | 56.4 | 797 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 99215 H0038 H2017 | $175K |
| Aug 2021 | More hours than a day holds at a conservative unit price | 21.3 | 67.0 | 44.7 | 57.0 | 834 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H0038 H2017 | $178K |
| Sep 2021 | More hours than a day holds at a conservative unit price | 22.3 | 69.1 | 46.0 | 57.4 | 838 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H0038 H2017 | $177K |
| Oct 2021 | More hours than a day holds at a conservative unit price | 22.2 | 64.0 | 42.7 | 58.3 | 827 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H0038 H2017 | $171K |
| Nov 2021 | More hours than a day holds at a conservative unit price | 22.6 | 68.4 | 45.6 | 55.8 | 816 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H0038 H2017 | $170K |
| Dec 2021 | More hours than a day holds at a conservative unit price | 19.7 | 63.1 | 42.1 | 50.2 | 745 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H0038 | $160K |
| Jan 2022 | More hours than a day holds at a conservative unit price | 21.3 | 70.0 | 46.7 | 65.7 | 852 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H0038 | $183K |
| Feb 2022 | More hours than a day holds, even counting one unit per claim line | 25.0 | 77.8 | 51.8 | 68.8 | 818 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H0038 | $181K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 28.7 | 87.7 | 58.5 | 73.3 | 994 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H0038 H2017 | $226K |
| Jun 2022 | More hours than a day holds at a conservative unit price | 24.0 | 72.5 | 48.3 | 60.5 | 844 | 1 | 90791 90832 90834 90837 90847 90853 99212 99213 99214 H0038 | $181K |
| Jul 2022 | More hours than a day holds at a conservative unit price | 15.6 | 72.9 | 48.6 | 67.6 | 600 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H0038 | $188K |
| Aug 2022 | More hours than a day holds at a conservative unit price | 18.2 | 86.9 | 58.0 | 70.2 | 669 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H0038 | $223K |
| Sep 2022 | More hours than a day holds at a conservative unit price | 17.4 | 85.2 | 56.8 | 69.3 | 637 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H0038 | $212K |
| Oct 2022 | More hours than a day holds at a conservative unit price | 17.0 | 85.6 | 57.1 | 78.0 | 645 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 99215 H0038 | $220K |
| Nov 2022 | More hours than a day holds at a conservative unit price | 17.0 | 86.1 | 57.4 | 69.9 | 631 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H0038 | $213K |
| Dec 2022 | More hours than a day holds at a conservative unit price | 15.6 | 77.5 | 51.7 | 67.6 | 612 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H0038 T1016 | $205K |
| Jan 2023 | More hours than a day holds at a conservative unit price | 10.8 | 59.5 | 39.7 | 48.3 | 373 | 1 | 90832 90834 90837 90853 99212 99213 H0038 | $140K |
| Feb 2023 | More hours than a day holds at a conservative unit price | 10.6 | 56.3 | 37.5 | 46.5 | 338 | 1 | 90832 90834 90837 90853 99213 H0038 | $119K |
| Mar 2023 | More hours than a day holds at a conservative unit price | 16.1 | 86.7 | 57.8 | 71.3 | 587 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 H0038 | $216K |
| Apr 2023 | More hours than a day holds at a conservative unit price | 14.2 | 75.4 | 50.2 | 70.4 | 533 | 1 | 90832 90834 90837 90853 99213 99214 H0038 H2017 | $182K |
| May 2023 | More hours than a day holds at a conservative unit price | 15.5 | 81.2 | 54.1 | 63.8 | 553 | 1 | 90791 90832 90834 90837 90853 99213 99214 H0038 H2017 | $202K |
| Jun 2023 | More hours than a day holds at a conservative unit price | 16.5 | 85.3 | 56.9 | 71.7 | 589 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 99215 H0038 | $208K |
| Jul 2023 | More hours than a day holds at a conservative unit price | 13.6 | 68.0 | 45.4 | 63.4 | 525 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 99215 H0038 H2017 | $177K |
| Aug 2023 | More hours than a day holds at a conservative unit price | 14.3 | 78.1 | 52.1 | 66.9 | 527 | 1 | 90832 90834 90837 90853 99212 99213 99214 H0038 | $198K |
| Sep 2023 | More hours than a day holds at a conservative unit price | 12.8 | 76.9 | 51.2 | 67.2 | 526 | 1 | 90832 90834 90837 90853 99212 99213 99214 99215 H0038 | $193K |
| Oct 2023 | More hours than a day holds at a conservative unit price | 14.2 | 80.4 | 53.6 | 70.1 | 583 | 1 | 90832 90834 90837 90853 99212 99213 99214 99215 H0038 | $205K |
| Nov 2023 | More hours than a day holds at a conservative unit price | 16.5 | 89.8 | 59.9 | 76.7 | 614 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 99215 H0038 | $218K |
| Dec 2023 | More hours than a day holds at a conservative unit price | 15.2 | 83.3 | 55.5 | 76.9 | 607 | 1 | 90832 90834 90837 90853 99212 99213 99214 99215 H0038 | $211K |
| Jan 2024 | More hours than a day holds at a conservative unit price | 19.9 | 89.6 | 59.7 | 76.2 | 683 | 1 | 90791 90832 90834 90837 90853 99213 99214 99215 H0038 | $260K |
| Feb 2024 | More hours than a day holds at a conservative unit price | 21.6 | 98.2 | 65.5 | 85.0 | 741 | 1 | 90791 90832 90834 90837 90853 99213 99214 99215 H0038 | $268K |
| Mar 2024 | More hours than a day holds at a conservative unit price | 21.1 | 97.8 | 65.2 | 91.7 | 808 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 99215 99417 H0038 | $291K |
| Apr 2024 | More hours than a day holds at a conservative unit price | 22.7 | 100.5 | 67.0 | 87.8 | 775 | 1 | 90791 90832 90834 90837 90853 99212 99213 99214 99215 H0038 | $288K |
| May 2024 | More hours than a day holds at a conservative unit price | 21.1 | 98.5 | 65.6 | 84.7 | 790 | 1 | 90832 90834 90837 90853 99212 99213 99214 99215 H0038 H2017 | $295K |
| Jun 2024 | More hours than a day holds at a conservative unit price | 19.2 | 91.6 | 61.1 | 88.1 | 754 | 1 | 90832 90834 90837 90853 99212 99213 99214 99215 H0038 | $265K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ROBERT L WEISMAN, D.O. |
| Type | Individual |
| Status | Active |
| NPI issued | June 26, 2006, last updated June 29, 2023 |
| Practice location | 601 ELMWOOD AVE, Rochester, NY 14642-0001, 585-275-6733 |
| Specialties | Psychiatry & Neurology, Forensic Psychiatry (2084F0202X, primary, license 195602 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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | $4.6M | 21% | $248 | $101 (top 5% from $318) | 91st percentile | |
| 90832 | Psychotherapy, 30 minutes | $4.2M | 19% | $234 | $59 (top 5% from $239) | 95th percentile | |
| H0040 | Assertive community treatment program per diem | $3.8M | 17% | $2K | $1K (top 5% from $2K) | 80th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $2.1M | 9% | $247 | $44 (top 5% from $110) | 99th percentile | |
| G0463 | Medicaid service code | $1.8M | 8% | $259 | $73 (top 5% from $142) | 100th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $763K | 3% | $259 | $191 (top 5% from $442) | 75th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $702K | 3% | $239 | $60 (top 5% from $133) | 99th percentile | |
| T1040 | Medicaid service code | $506K | 2% | $355 | $247 (top 5% from $672) | 74th percentile |
In this area
9 providers in Monroe County, NY carry an indicator in the public record, with $24.0M at stake between them. The most common is more hours than a day holds, on 5 of them, followed by part of a provider network on 3.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | AGA OPERATING LLC Rochester, NY, ranked 3921 | $0 |
|
| 3 | LFG OPERATING LLC Spencerport, NY, ranked 5247 | $0 |
|
| 3 | 170 WEST AVENUE OPERATING COMPANY, LLC Brockport, NY, ranked 6965 | $0 |
|
| 4 | LAURA CARDELLA Rochester, NY, ranked 7377 | $9.3M |
|
| 4 | MYRA MATHIS-UWANOGHO Rochester, NY, ranked 7418 | $6.4M |
|
| 4 | GLORIA BACIEWICZ Rochester, NY, ranked 7551 | $3.1M |
|
| 4 | VIJETA KUSHWAHA Rochester, NY, ranked 8039 | $181K |
|
| 5 | JOHN LYNCH Rochester, NY, ranked 10698 | $4.7M |
Recent enforcement in NY
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.