Physician
Midtown Medical Solutions PC
Midtown Medical Solutions PC was paid $2.96M by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is 95004, Percutaneous tests with allergenic extracts, immediate type reaction — 24% of everything it billed.
33Billing provider infoMIDTOWN MEDICAL SOLUTIONS PC
NEW YORK, NY 10017
NEW YORK, NY 10017
33aNPI1013334234assigned 03/26/2014
33bProvider typePain Medicine Physician
28Total paid$2.96M
24GClaims26,698
24DCodes billed26
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pain Medicine Physician providers in New York
Rank by total paid#2 of 47
Median peer was paid$12K
This provider vs. median248×
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 | 1,319 | $53K | |
| 2019 | 1,035 | $50K | |
| 2020 | 996 | $44K | |
| 2021 | 2,049 | $139K | |
| 2022 | 854 | $78K | |
| 2023 | 10,194 | $1.31M | |
| 2024incomplete | 10,251 | $1.29M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 24% | 3,748 | 3,738 | $707K |
| 95886 | 8.1% | 1,282 | 1,105 | $241K | |
| 95923 | 6.6% | 2,008 | 2,006 | $197K | |
| 93890 | 6.0% | 767 | 767 | $177K | |
| 93886 | 5.8% | 769 | 769 | $173K | |
| 92546 | 5.0% | 1,414 | 1,412 | $149K | |
| 95921 | 4.6% | 1,986 | 1,985 | $136K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.4% | 2,487 | 2,335 | $131K |
| 93922 | 4.4% | 2,002 | 2,000 | $130K | |
| 95912 | 4.2% | 667 | 654 | $124K | |
| 92540 | 4.1% | 1,414 | 1,412 | $122K | |
| 95911 | 3.9% | 815 | 811 | $115K |
14 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 3.5% | 1,510 | $104K |
| 93892 | 3.5% | 768 | $104K | |
| 95926 | 2.5% | 575 | $74K | |
| 95925 | 2.4% | 498 | $71K | |
| 95816 | 1.9% | 186 | $57K | |
| 92537 | 1.5% | 1,414 | $45K | |
| 95924 | 1.5% | 371 | $44K | |
| 93923 | 1.3% | 370 | $39K | |
| 80306 | <1% | 601 | $7K | |
| 80305 | <1% | 796 | $7K | |
| 99443 | <1% | 80 | $5K | |
| 92548 | <1% | 106 | $4K | |
| 99442 | <1% | 50 | $2K | |
| 95943 | 0% | 14 | $0.00 |
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 officialVENTRUDO, JOHN (MEDICAL DOCTOR)