Physician
Adam K Penstein MD PLLC
Adam K Penstein MD PLLC was paid $1.93M by Medicaid between May 2019 and Dec 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoADAM K PENSTEIN MD PLLC
NEW YORK, NY 10065
NEW YORK, NY 10065
33aNPI1033402656assigned 05/17/2011
33bProvider typeDermatology Physician
28Total paid$1.93M
24GClaims22,316
24DCodes billed14
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers
Next to other Dermatology Physician providers in New York
Rank by total paid#34 of 349
Median peer was paid$26K
This provider vs. median76×
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 | |
|---|---|---|---|
| 2019 | 227 | $18K | |
| 2020 | 958 | $65K | |
| 2021 | 1,484 | $131K | |
| 2022 | 1,921 | $165K | |
| 2023 | 10,463 | $918K | |
| 2024incomplete | 7,263 | $638K |
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 | 31% | 7,584 | 6,675 | $595K |
| 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 | 21% | 3,556 | 3,290 | $402K |
| 10040 | 13% | 2,722 | 2,120 | $251K | |
| 96910 | 8.7% | 1,487 | 303 | $168K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.4% | 1,576 | 1,574 | $162K |
| 17110 | 6.1% | 1,124 | 823 | $118K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.7% | 716 | 716 | $111K |
| 11901 | 3.2% | 1,215 | 1,008 | $62K | |
| 11900 | 1.5% | 684 | 612 | $29K | |
| 11102 | 1.2% | 250 | 250 | $23K | |
| 17360 | <1% | 99 | 76 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 92 | 88 | $5K |
2 more codes
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 officialPENSTEIN, ADAM (PRESIDENT)