MYRA L. MATHIS-UWANOGHO, MD
NPI 1962881128, individual, Rochester, NY, Psychiatry & Neurology, Psychiatry
- 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.
- Medicaid dollars per patient on code 99214 ($964 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jul 2022 | More hours than a day holds at a conservative unit price | 10.4 | 45.0 | 30.0 | 35.8 | 603 | 1 | 90832 99212 99213 99214 G0396 G0397 H0004 H0038 T1016 | $245K |
| Aug 2022 | More hours than a day holds at a conservative unit price | 13.7 | 60.7 | 40.5 | 42.0 | 735 | 1 | 90832 90834 99212 99213 99214 99215 G0396 G0397 H0004 H0038 H2017 T1016 | $316K |
| Sep 2022 | More hours than a day holds at a conservative unit price | 12.2 | 54.0 | 36.0 | 38.0 | 653 | 1 | 90832 99212 99213 99214 G0396 G0397 H0004 H0038 H2017 T1016 | $276K |
| Nov 2022 | More hours than a day holds at a conservative unit price | 12.8 | 52.1 | 34.7 | 38.3 | 662 | 1 | 90832 99212 99213 99214 99215 G0396 G0397 H0004 H0038 T1016 | $274K |
| Dec 2022 | More hours than a day holds at a conservative unit price | 10.2 | 45.7 | 30.5 | 33.9 | 607 | 1 | 90832 99213 99214 99215 99401 G0396 G0397 H0038 T1016 | $244K |
| Mar 2023 | More hours than a day holds at a conservative unit price | 12.3 | 48.1 | 32.1 | 35.6 | 651 | 1 | 90832 99213 99214 99215 G0396 G0397 H0004 H0038 H2017 T1016 | $267K |
| May 2023 | More hours than a day holds at a conservative unit price | 12.2 | 53.3 | 35.5 | 40.2 | 669 | 1 | 90832 99212 99213 99214 99215 G0396 G0397 H0004 H0038 T1016 | $274K |
| Jun 2023 | More hours than a day holds at a conservative unit price | 12.0 | 54.2 | 36.1 | 37.7 | 661 | 1 | 90832 99212 99213 99214 99215 G0396 G0397 H0004 H0038 T1016 | $267K |
| Jul 2023 | More hours than a day holds at a conservative unit price | 10.0 | 51.2 | 34.2 | 35.5 | 607 | 1 | 90832 99212 99213 99214 G0396 G0397 H0004 H0038 H2014 T1016 | $245K |
| Aug 2023 | More hours than a day holds at a conservative unit price | 12.8 | 53.7 | 35.8 | 39.9 | 680 | 1 | 90832 99213 99214 99215 G0396 G0397 H0004 H0038 T1016 | $282K |
| Sep 2023 | More hours than a day holds at a conservative unit price | 10.7 | 53.6 | 35.7 | 37.1 | 609 | 1 | 90832 99213 99214 G0396 G0397 H0004 H0038 H2014 T1016 | $252K |
| Oct 2023 | More hours than a day holds at a conservative unit price | 13.2 | 55.1 | 36.8 | 40.0 | 694 | 1 | 90832 99213 99214 99215 G0396 G0397 H0004 H0038 T1016 | $294K |
| Nov 2023 | More hours than a day holds at a conservative unit price | 12.6 | 51.4 | 34.3 | 38.2 | 652 | 1 | 90832 99212 99213 99214 99215 G0396 G0397 H0004 H0038 T1016 | $274K |
| Dec 2023 | More hours than a day holds at a conservative unit price | 10.7 | 48.3 | 32.2 | 38.5 | 583 | 1 | 90832 90837 99213 99214 G0396 G0397 H0038 T1016 | $238K |
| Jan 2024 | More hours than a day holds at a conservative unit price | 12.8 | 53.0 | 35.3 | 38.9 | 666 | 1 | 90832 90837 99213 99214 99215 G0396 G0397 H0004 H0038 T1016 | $278K |
| Feb 2024 | More hours than a day holds at a conservative unit price | 16.0 | 63.5 | 42.4 | 49.9 | 717 | 1 | 90832 90834 90837 99213 99214 99215 G0396 G0397 H0004 H0038 T1016 | $303K |
| Mar 2024 | More hours than a day holds at a conservative unit price | 15.1 | 57.7 | 38.5 | 48.2 | 738 | 1 | 90832 90834 90837 99213 99214 99215 G0396 G0397 H0004 H0038 T1016 | $302K |
| Apr 2024 | More hours than a day holds at a conservative unit price | 14.9 | 58.2 | 38.8 | 42.6 | 704 | 1 | 90832 90834 90837 99213 99214 99215 G0396 G0397 H0004 H0038 T1016 | $286K |
| May 2024 | More hours than a day holds at a conservative unit price | 13.6 | 51.5 | 34.3 | 39.2 | 670 | 1 | 90832 90834 90837 99213 99214 99215 G0396 G0397 H0004 H0038 T1016 | $271K |
| Jun 2024 | More hours than a day holds at a conservative unit price | 13.1 | 52.8 | 35.2 | 44.5 | 656 | 1 | 90832 90834 90837 99212 99213 99214 G0396 G0397 H0004 H0038 T1016 | $261K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MYRA L. MATHIS-UWANOGHO, MD (also MYRA MATHIS) |
| Type | Individual |
| Status | Active |
| NPI issued | May 21, 2015, last updated July 3, 2023 |
| Practice location | 300 CRITTENDEN BLVD, Rochester, NY 14642-3108, 585-275-4501 |
| Mailing address | 300 CRITTENDEN BLVD BOX PSYCH, Rochester, NY 14642-0001 |
| Specialties | Psychiatry & Neurology, Forensic Psychiatry (2084F0202X, license 304885 NY) Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 304885 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 | |
|---|---|---|---|---|---|---|---|
| H0005 | Medicaid service code | $1.9M | 23% | $964 | $129 (top 5% from $479) | 99th percentile | |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | $1.9M | 22% | $397 | $48 (top 5% from $313) | 97th percentile | |
| G0397 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes | $1.7M | 20% | $461 | $252 (top 5% from $494) | 93rd percentile | |
| 90832 | Psychotherapy, 30 minutes | $732K | 9% | $368 | $59 (top 5% from $239) | 99th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $669K | 8% | $375 | $60 (top 5% from $133) | 100th percentile | |
| T1016 | Case management each 15 min | $406K | 5% | $473 | $98 (top 5% from $507) | 95th percentile | |
| H0038 | Self-help/peer services per 15 min | $273K | 3% | $491 | $147 (top 5% from $2K) | 81st percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $237K | 3% | $355 | $44 (top 5% from $110) | 100th percentile |
In this area
9 providers in Monroe County, NY carry an indicator in the public record, with $31.9M 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 | ROBERT WEISMAN Rochester, NY, ranked 7356 | $14.2M |
|
| 4 | LAURA CARDELLA Rochester, NY, ranked 7377 | $9.3M |
|
| 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.