Providers

ROBERT L WEISMAN, D.O.

NPI 1710914965, individual, Rochester, NY, Psychiatry & Neurology, Forensic Psychiatry

4
Evidence tier
structure or single-organization volume
  • 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.
score 56 of 100, rank 7356, $14.2M at stake

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.

monthwhat was foundhours per day, lower boundhours per day, at pricehours per day, conservativeper working daypatientsbilling organizationscodespaid
Jan 2018More hours than a day holds, even counting one unit per claim line25.357.138.151.3630190791 90832 90834 99212 99213 99214$128K
Feb 2018More hours than a day holds, even counting one unit per claim line26.962.641.758.4614190791 90832 90834 90853 99212 99213 99214$126K
Mar 2018More hours than a day holds at a conservative unit price17.637.525.035.3444190832 90834 90837 90853 99212 99213$81K
Apr 2018More hours than a day holds, even counting one unit per claim line24.558.438.955.6598190791 90832 90834 90837 90853 99212 99213$127K
May 2018More hours than a day holds, even counting one unit per claim line26.660.040.052.2628190791 90832 90834 90837 99212 99213 99214 H2017$136K
Jun 2018More hours than a day holds, even counting one unit per claim line31.566.844.662.0669190791 90832 90834 90837 99212 99213 H2017$146K
Jul 2018More hours than a day holds, even counting one unit per claim line26.058.338.954.8622190791 90832 90834 90837 99212 99213 99214$130K
Aug 2018More hours than a day holds, even counting one unit per claim line30.064.743.258.2670190791 90832 90834 90837 99212 99213 99214$144K
Sep 2018More hours than a day holds, even counting one unit per claim line25.775.150.155.9629190791 90832 90834 90837 99212 99213 99214 T1016$125K
Oct 2018More hours than a day holds, even counting one unit per claim line32.374.149.466.6748190791 90832 90834 90837 90853 99212 99213$163K
Nov 2018More hours than a day holds, even counting one unit per claim line29.182.054.761.1697190791 90832 90834 90837 90853 99212 99213 99214 T1016$149K
Dec 2018More hours than a day holds, even counting one unit per claim line32.073.348.871.2776190791 90832 90834 90837 90853 99212 99213 99214 99215 H2017$167K
Jan 2019More hours than a day holds, even counting one unit per claim line34.070.346.861.8848190791 90832 90834 90837 90853 99212 99213 99214 H2017$176K
Feb 2019More hours than a day holds, even counting one unit per claim line33.268.145.461.5733190791 90832 90834 90837 90853 99212 99213 99214 H2017$152K
Mar 2019More hours than a day holds, even counting one unit per claim line34.069.746.465.3822190791 90832 90834 90837 90853 99212 99213 99214 99215 H2017 T1016$173K
Apr 2019More hours than a day holds, even counting one unit per claim line38.975.650.465.2901190791 90832 90834 90837 90853 99212 99213 99214 99215 H2017 T1016$183K
May 2019More hours than a day holds, even counting one unit per claim line35.171.247.562.1819190791 90832 90834 90837 90853 99212 99213 99214 H2017$177K
Jun 2019More hours than a day holds, even counting one unit per claim line33.367.745.166.0776190791 90832 90834 90837 90853 99212 99213 99214 H2017$161K
Jul 2019More hours than a day holds, even counting one unit per claim line34.673.048.764.7796190791 90832 90834 90837 90853 99212 99213 99214 H2017$180K
Aug 2019More hours than a day holds, even counting one unit per claim line31.165.943.959.9763190791 90832 90834 90837 90853 99212 99213 99214 H2017$165K
Sep 2019More hours than a day holds, even counting one unit per claim line35.070.847.265.5866190791 90832 90834 90837 90853 99212 99213 99214 H2017$171K
Oct 2019More hours than a day holds, even counting one unit per claim line42.379.753.169.81023190791 90832 90834 90837 90853 99212 99213 99214 H2017$194K
Nov 2019More hours than a day holds, even counting one unit per claim line37.269.146.065.8887190791 90832 90834 90837 90853 99212 99213 99214$163K
Dec 2019More hours than a day holds, even counting one unit per claim line36.970.146.764.4922190791 90832 90834 90837 90853 99212 99213 99214 T1016$171K
Jan 2020More hours than a day holds, even counting one unit per claim line42.876.050.768.31052190791 90832 90834 90837 90853 99212 99213 99214$204K
Feb 2020More hours than a day holds, even counting one unit per claim line37.465.343.563.1867190791 90832 90834 90837 90853 99212 99213 99214$164K
Mar 2020More hours than a day holds, even counting one unit per claim line32.057.638.454.1873190791 90832 90834 90837 90853 99212 99213 99214$157K
Apr 2020More hours than a day holds, even counting one unit per claim line32.962.341.656.7791190791 90832 90834 90837 99212 99213 99214$166K
May 2020More hours than a day holds, even counting one unit per claim line30.760.440.359.5814190791 90832 90834 90837 90853 99212 99213 99214 99441 99442 99443$162K
Jun 2020More hours than a day holds, even counting one unit per claim line36.974.149.462.4868190791 90832 90834 90837 90853 99212 99213 99214 99442 H0038$185K
Jul 2020More hours than a day holds, even counting one unit per claim line34.974.149.458.0891190791 90832 90834 90837 90853 99212 99213 99214 H0038$188K
Aug 2020More hours than a day holds, even counting one unit per claim line33.470.246.862.5878190791 90832 90834 90837 90853 99212 99213 99214 H0038$181K
Sep 2020More hours than a day holds, even counting one unit per claim line39.184.656.467.1949190791 90832 90834 90837 90853 99212 99213 99214 H0038 H2017$208K
Oct 2020More hours than a day holds, even counting one unit per claim line38.281.954.668.01006190791 90832 90834 90837 90853 99212 99213 99214 H0038$206K
Nov 2020More hours than a day holds, even counting one unit per claim line34.277.051.362.3912190791 90832 90834 90837 90853 99212 99213 99214 H0038$185K
Dec 2020More hours than a day holds, even counting one unit per claim line38.383.355.567.31005190791 90832 90834 90837 90853 99212 99213 99214 H0038$214K
Jan 2021More hours than a day holds, even counting one unit per claim line35.682.354.972.1941190791 90832 90834 90837 90853 99212 99213 99214 H0038$215K
Feb 2021More hours than a day holds, even counting one unit per claim line38.284.456.369.3908190791 90832 90834 90837 90853 99212 99213 99214 H0038$196K
Mar 2021More hours than a day holds, even counting one unit per claim line41.089.659.770.31015190791 90832 90834 90837 90853 99212 99213 99214 H0038$231K
Apr 2021More hours than a day holds, even counting one unit per claim line39.480.853.968.3946190791 90832 90834 90837 90853 99212 99213 99214 H0038$206K
May 2021More hours than a day holds, even counting one unit per claim line33.576.951.367.0954190791 90832 90834 90837 90853 99212 99213 99214 H0038$199K
Jun 2021More hours than a day holds, even counting one unit per claim line25.380.853.965.0935190791 90832 90834 90837 90853 99212 99213 99214 H0038$204K
Jul 2021More hours than a day holds at a conservative unit price21.166.144.156.4797190791 90832 90834 90837 90853 99212 99213 99214 99215 H0038 H2017$175K
Aug 2021More hours than a day holds at a conservative unit price21.367.044.757.0834190791 90832 90834 90837 90853 99212 99213 99214 H0038 H2017$178K
Sep 2021More hours than a day holds at a conservative unit price22.369.146.057.4838190791 90832 90834 90837 90853 99212 99213 99214 H0038 H2017$177K
Oct 2021More hours than a day holds at a conservative unit price22.264.042.758.3827190791 90832 90834 90837 90853 99212 99213 99214 H0038 H2017$171K
Nov 2021More hours than a day holds at a conservative unit price22.668.445.655.8816190791 90832 90834 90837 90853 99212 99213 99214 H0038 H2017$170K
Dec 2021More hours than a day holds at a conservative unit price19.763.142.150.2745190791 90832 90834 90837 90853 99212 99213 99214 H0038$160K
Jan 2022More hours than a day holds at a conservative unit price21.370.046.765.7852190791 90832 90834 90837 90853 99212 99213 99214 H0038$183K
Feb 2022More hours than a day holds, even counting one unit per claim line25.077.851.868.8818190791 90832 90834 90837 90853 99212 99213 99214 H0038$181K
Mar 2022More hours than a day holds, even counting one unit per claim line28.787.758.573.3994190791 90832 90834 90837 90853 99212 99213 99214 H0038 H2017$226K
Jun 2022More hours than a day holds at a conservative unit price24.072.548.360.5844190791 90832 90834 90837 90847 90853 99212 99213 99214 H0038$181K
Jul 2022More hours than a day holds at a conservative unit price15.672.948.667.6600190791 90832 90834 90837 90853 99212 99213 99214 H0038$188K
Aug 2022More hours than a day holds at a conservative unit price18.286.958.070.2669190791 90832 90834 90837 90853 99212 99213 99214 H0038$223K
Sep 2022More hours than a day holds at a conservative unit price17.485.256.869.3637190791 90832 90834 90837 90853 99212 99213 99214 H0038$212K
Oct 2022More hours than a day holds at a conservative unit price17.085.657.178.0645190791 90832 90834 90837 90853 99212 99213 99214 99215 H0038$220K
Nov 2022More hours than a day holds at a conservative unit price17.086.157.469.9631190791 90832 90834 90837 90853 99212 99213 99214 H0038$213K
Dec 2022More hours than a day holds at a conservative unit price15.677.551.767.6612190791 90832 90834 90837 90853 99212 99213 99214 H0038 T1016$205K
Jan 2023More hours than a day holds at a conservative unit price10.859.539.748.3373190832 90834 90837 90853 99212 99213 H0038$140K
Feb 2023More hours than a day holds at a conservative unit price10.656.337.546.5338190832 90834 90837 90853 99213 H0038$119K
Mar 2023More hours than a day holds at a conservative unit price16.186.757.871.3587190791 90832 90834 90837 90853 99212 99213 99214 H0038$216K
Apr 2023More hours than a day holds at a conservative unit price14.275.450.270.4533190832 90834 90837 90853 99213 99214 H0038 H2017$182K
May 2023More hours than a day holds at a conservative unit price15.581.254.163.8553190791 90832 90834 90837 90853 99213 99214 H0038 H2017$202K
Jun 2023More hours than a day holds at a conservative unit price16.585.356.971.7589190791 90832 90834 90837 90853 99212 99213 99214 99215 H0038$208K
Jul 2023More hours than a day holds at a conservative unit price13.668.045.463.4525190791 90832 90834 90837 90853 99212 99213 99214 99215 H0038 H2017$177K
Aug 2023More hours than a day holds at a conservative unit price14.378.152.166.9527190832 90834 90837 90853 99212 99213 99214 H0038$198K
Sep 2023More hours than a day holds at a conservative unit price12.876.951.267.2526190832 90834 90837 90853 99212 99213 99214 99215 H0038$193K
Oct 2023More hours than a day holds at a conservative unit price14.280.453.670.1583190832 90834 90837 90853 99212 99213 99214 99215 H0038$205K
Nov 2023More hours than a day holds at a conservative unit price16.589.859.976.7614190791 90832 90834 90837 90853 99212 99213 99214 99215 H0038$218K
Dec 2023More hours than a day holds at a conservative unit price15.283.355.576.9607190832 90834 90837 90853 99212 99213 99214 99215 H0038$211K
Jan 2024More hours than a day holds at a conservative unit price19.989.659.776.2683190791 90832 90834 90837 90853 99213 99214 99215 H0038$260K
Feb 2024More hours than a day holds at a conservative unit price21.698.265.585.0741190791 90832 90834 90837 90853 99213 99214 99215 H0038$268K
Mar 2024More hours than a day holds at a conservative unit price21.197.865.291.7808190791 90832 90834 90837 90853 99212 99213 99214 99215 99417 H0038$291K
Apr 2024More hours than a day holds at a conservative unit price22.7100.567.087.8775190791 90832 90834 90837 90853 99212 99213 99214 99215 H0038$288K
May 2024More hours than a day holds at a conservative unit price21.198.565.684.7790190832 90834 90837 90853 99212 99213 99214 99215 H0038 H2017$295K
Jun 2024More hours than a day holds at a conservative unit price19.291.661.188.1754190832 90834 90837 90853 99212 99213 99214 99215 H0038$265K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameROBERT L WEISMAN, D.O.
TypeIndividual
StatusActive
NPI issuedJune 26, 2006, last updated June 29, 2023
Practice location601 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.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
90834Psychotherapy, 45 minutes$4.6M21%$248$101 (top 5% from $318)91st percentile
90832Psychotherapy, 30 minutes$4.2M19%$234$59 (top 5% from $239)95th percentile
H0040Assertive community treatment program per diem$3.8M17%$2K$1K (top 5% from $2K)80th percentile
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$2.1M9%$247$44 (top 5% from $110)99th percentile
G0463Medicaid service code$1.8M8%$259$73 (top 5% from $142)100th percentile
90837Psychotherapy, 1 hourhistory of abuse$763K3%$259$191 (top 5% from $442)75th percentile
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$702K3%$239$60 (top 5% from $133)99th percentile
T1040Medicaid service code$506K2%$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.

tierproviderat stakewhy
3AGA OPERATING LLC
Rochester, NY, ranked 3921
$0
  • Part of provider network D1-00091, ranked 91 nationally.
3LFG OPERATING LLC
Spencerport, NY, ranked 5247
$0
  • Part of provider network D1-00091, ranked 91 nationally.
3170 WEST AVENUE OPERATING COMPANY, LLC
Brockport, NY, ranked 6965
$0
  • Part of provider network D1-00132, ranked 132 nationally.
4LAURA CARDELLA
Rochester, NY, ranked 7377
$9.3M
  • Hours beyond a day in 24 months, but with up to 781 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4MYRA MATHIS-UWANOGHO
Rochester, NY, ranked 7418
$6.4M
  • Hours beyond a day in 20 months, but with up to 738 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4GLORIA BACIEWICZ
Rochester, NY, ranked 7551
$3.1M
  • Hours beyond a day in 1 month, but with up to 832 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4VIJETA KUSHWAHA
Rochester, NY, ranked 8039
$181K
  • Hours beyond a day in 1 month under one organization, which can be supervisory billing.
  • Records needed.
  • and 1 more
5JOHN LYNCH
Rochester, NY, ranked 10698
$4.7M
All 9 in NY

Recent enforcement in NY

All releases

Department 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

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