Blue Nile Medical PLLC
Blue Nile Medical PLLC was paid $28K by Medicaid between Jun 2018 and Nov 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.
33Billing provider infoBLUE NILE MEDICAL PLLC
BROOKLYN, NY 11236
BROOKLYN, NY 11236
33aNPI1003322108assigned 12/27/2017
33bProvider typeLegal Medicine
28Total paid$28K
24GClaims1,960
24DCodes billed4
24AFirst – last monthJun 2018 – Nov 2024
Compared with peers
Next to other Legal Medicine providers in New York
Rank by total paid#82 of 126
Median peer was paid$98K
This provider vs. median0.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 52 | $296.18 | |
| 2020 | 62 | $2K | |
| 2021 | 226 | $3K | |
| 2022 | 656 | $13K | |
| 2023 | 665 | $8K | |
| 2024incomplete | 299 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 66% | 914 | 888 | $18K |
| 99401 | 18% | 860 | 802 | $5K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 16% | 98 | 96 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 88 | 87 | $48.99 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGEBREZGI, SEBHATU (OWNER)