David Carmili Physician PC
David Carmili Physician PC was paid $183K by Medicaid between Jan 2018 and Dec 2023, across 8 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 59% of everything it billed.
33Billing provider infoDAVID CARMILI PHYSICIAN PC
RIDGEWOOD, NY 11385
RIDGEWOOD, NY 11385
33aNPI1013075779assigned 12/05/2006
33bProvider typeLegal Medicine
28Total paid$183K
24GClaims8,846
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Legal Medicine providers in New York
Rank by total paid#51 of 126
Median peer was paid$98K
This provider vs. median1.9×
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 | 296 | $19K | |
| 2019 | 20 | $2K | |
| 2021 | 802 | $14K | |
| 2022 | 5,907 | $109K | |
| 2023 | 1,821 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 59% | 3,972 | 1,617 | $108K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 25% | 3,823 | 1,614 | $45K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 345 | 268 | $22K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.2% | 203 | 146 | $6K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 252 | 225 | $591.28 |
| 99441 | <1% | 127 | 95 | $468.77 | |
| 99442 | <1% | 92 | 40 | $417.54 | |
| 86328 | <1% | 32 | 28 | $89.10 |
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 officialCARMILI, DAVID (DIRECTOR OFFICER)