Providers

MYRA L. MATHIS-UWANOGHO, MD

NPI 1962881128, individual, Rochester, NY, Psychiatry & Neurology, Psychiatry

4
Evidence tier
structure or single-organization volume
  • 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.
score 56 of 100, rank 7418, $6.4M 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
Jul 2022More hours than a day holds at a conservative unit price10.445.030.035.8603190832 99212 99213 99214 G0396 G0397 H0004 H0038 T1016$245K
Aug 2022More hours than a day holds at a conservative unit price13.760.740.542.0735190832 90834 99212 99213 99214 99215 G0396 G0397 H0004 H0038 H2017 T1016$316K
Sep 2022More hours than a day holds at a conservative unit price12.254.036.038.0653190832 99212 99213 99214 G0396 G0397 H0004 H0038 H2017 T1016$276K
Nov 2022More hours than a day holds at a conservative unit price12.852.134.738.3662190832 99212 99213 99214 99215 G0396 G0397 H0004 H0038 T1016$274K
Dec 2022More hours than a day holds at a conservative unit price10.245.730.533.9607190832 99213 99214 99215 99401 G0396 G0397 H0038 T1016$244K
Mar 2023More hours than a day holds at a conservative unit price12.348.132.135.6651190832 99213 99214 99215 G0396 G0397 H0004 H0038 H2017 T1016$267K
May 2023More hours than a day holds at a conservative unit price12.253.335.540.2669190832 99212 99213 99214 99215 G0396 G0397 H0004 H0038 T1016$274K
Jun 2023More hours than a day holds at a conservative unit price12.054.236.137.7661190832 99212 99213 99214 99215 G0396 G0397 H0004 H0038 T1016$267K
Jul 2023More hours than a day holds at a conservative unit price10.051.234.235.5607190832 99212 99213 99214 G0396 G0397 H0004 H0038 H2014 T1016$245K
Aug 2023More hours than a day holds at a conservative unit price12.853.735.839.9680190832 99213 99214 99215 G0396 G0397 H0004 H0038 T1016$282K
Sep 2023More hours than a day holds at a conservative unit price10.753.635.737.1609190832 99213 99214 G0396 G0397 H0004 H0038 H2014 T1016$252K
Oct 2023More hours than a day holds at a conservative unit price13.255.136.840.0694190832 99213 99214 99215 G0396 G0397 H0004 H0038 T1016$294K
Nov 2023More hours than a day holds at a conservative unit price12.651.434.338.2652190832 99212 99213 99214 99215 G0396 G0397 H0004 H0038 T1016$274K
Dec 2023More hours than a day holds at a conservative unit price10.748.332.238.5583190832 90837 99213 99214 G0396 G0397 H0038 T1016$238K
Jan 2024More hours than a day holds at a conservative unit price12.853.035.338.9666190832 90837 99213 99214 99215 G0396 G0397 H0004 H0038 T1016$278K
Feb 2024More hours than a day holds at a conservative unit price16.063.542.449.9717190832 90834 90837 99213 99214 99215 G0396 G0397 H0004 H0038 T1016$303K
Mar 2024More hours than a day holds at a conservative unit price15.157.738.548.2738190832 90834 90837 99213 99214 99215 G0396 G0397 H0004 H0038 T1016$302K
Apr 2024More hours than a day holds at a conservative unit price14.958.238.842.6704190832 90834 90837 99213 99214 99215 G0396 G0397 H0004 H0038 T1016$286K
May 2024More hours than a day holds at a conservative unit price13.651.534.339.2670190832 90834 90837 99213 99214 99215 G0396 G0397 H0004 H0038 T1016$271K
Jun 2024More hours than a day holds at a conservative unit price13.152.835.244.5656190832 90834 90837 99212 99213 99214 G0396 G0397 H0004 H0038 T1016$261K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameMYRA L. MATHIS-UWANOGHO, MD (also MYRA MATHIS)
TypeIndividual
StatusActive
NPI issuedMay 21, 2015, last updated July 3, 2023
Practice location300 CRITTENDEN BLVD, Rochester, NY 14642-3108, 585-275-4501
Mailing address300 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.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
H0005Medicaid service code$1.9M23%$964$129 (top 5% from $479)99th percentile
G0396Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes$1.9M22%$397$48 (top 5% from $313)97th percentile
G0397Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes$1.7M20%$461$252 (top 5% from $494)93rd percentile
90832Psychotherapy, 30 minutes$732K9%$368$59 (top 5% from $239)99th percentile
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$669K8%$375$60 (top 5% from $133)100th percentile
T1016Case management each 15 min$406K5%$473$98 (top 5% from $507)95th percentile
H0038Self-help/peer services per 15 min$273K3%$491$147 (top 5% from $2K)81st percentile
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$237K3%$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.

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.
4ROBERT WEISMAN
Rochester, NY, ranked 7356
$14.2M
  • 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.
  • and 1 more
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
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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