Candida Catucci MD PC
Candida Catucci MD PC was paid $269K by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoCANDIDA CATUCCI MD PC
ELMHURST, NY 11373
ELMHURST, NY 11373
33aNPI1023178621assigned 12/12/2006
33bProvider typeSpecialist
28Total paid$269K
24GClaims65,445
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#328 of 1,221
Median peer was paid$45K
This provider vs. median5.9×
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 | 7,040 | $39K | |
| 2019 | 10,368 | $49K | |
| 2020 | 10,883 | $51K | |
| 2021 | 12,534 | $64K | |
| 2022 | 5,834 | $40K | |
| 2023 | 10,646 | $25K | |
| 2024incomplete | 8,140 | $2K |
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 | 56% | 6,206 | 5,662 | $152K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 21% | 1,221 | 1,214 | $57K |
| 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 | 13% | 682 | 678 | $34K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.5% | 1,501 | 1,388 | $9K |
| 93000 | 1.8% | 341 | 340 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 46 | 46 | $2K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,792 | 2,718 | $2K |
| 3074F | <1% | 2,272 | 2,112 | $1K | |
| 3078F | <1% | 1,997 | 1,870 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 105 | 105 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 32 | 32 | $1K |
| H0001 | Alcohol and/or drug assessment | <1% | 2,718 | 2,630 | $717.00 |
42 more codes
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 469 | $676.01 |
| 90658 | <1% | 56 | $488.28 | |
| 90655 | <1% | 56 | $347.72 | |
| 97802 | <1% | 1,564 | $319.92 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,711 | $298.34 |
| 94760 | <1% | 7,023 | $131.18 | |
| 3044F | <1% | 309 | $40.00 | |
| 3079F | <1% | 148 | $37.50 | |
| 3008F | <1% | 3,173 | $0.01 | |
| 3016F | 0% | 1,866 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,388 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 3,001 | $0.00 |
| 1159F | 0% | 1,304 | $0.00 | |
| G9621 | Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling | 0% | 643 | $0.00 |
| 2028F | 0% | 333 | $0.00 | |
| 99072 | 0% | 1,387 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 665 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 661 | $0.00 |
| 1160F | 0% | 1,306 | $0.00 | |
| 3725F | 0% | 2,005 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,450 | $0.00 |
| 1033F | 0% | 55 | $0.00 | |
| G9383 | Patient received screening for hcv infection within the 12 month reporting period | 0% | 246 | $0.00 |
| 3015F | 0% | 52 | $0.00 | |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | 0% | 75 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 67 | $0.00 |
| 1036F | 0% | 1,884 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 2,200 | $0.00 |
| 2000F | 0% | 1,289 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,468 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,132 | $0.00 |
| 2010F | 0% | 1,286 | $0.00 | |
| 3061F | 0% | 222 | $0.00 | |
| 1000F | 0% | 1,719 | $0.00 | |
| 3011F | 0% | 319 | $0.00 | |
| 2001F | 0% | 1,284 | $0.00 | |
| 4293F | 0% | 301 | $0.00 | |
| 3017F | 0% | 138 | $0.00 | |
| 96127 | 0% | 138 | $0.00 | |
| G0432 | Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening | 0% | 42 | $0.00 |
| 3014F | 0% | 72 | $0.00 | |
| 1170F | 0% | 25 | $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 officialCATUCCI, CANDIDA (MD)