Physician
Sure Medical PC
Sure Medical PC was paid $1.53M by Medicaid between Jan 2018 and Nov 2024, across 80 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoSURE MEDICAL PC
ELMHURST, NY 11373
ELMHURST, NY 11373
33aNPI1033415294assigned 02/07/2011
33bProvider typeInternal Medicine Physician
28Total paid$1.53M
24GClaims88,623
24DCodes billed80
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#185 of 6,049
Median peer was paid$11K
This provider vs. median135×
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 | 2,265 | $38K | |
| 2019 | 1,435 | $22K | |
| 2020 | 8,693 | $149K | |
| 2021 | 15,760 | $305K | |
| 2022 | 22,978 | $374K | |
| 2023 | 23,005 | $369K | |
| 2024incomplete | 14,487 | $271K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 39% | 12,108 | 9,209 | $591K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 5,884 | 4,561 | $416K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.6% | 2,542 | 2,468 | $86K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 4.3% | 2,508 | 2,237 | $65K |
| 99442 | 3.9% | 1,471 | 1,327 | $60K | |
| 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 | 2.6% | 353 | 352 | $39K |
| 93000 | 2.4% | 3,365 | 3,309 | $37K | |
| 99441 | 1.8% | 1,047 | 931 | $27K | |
| 81002 | 1.3% | 13,057 | 9,872 | $21K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 1,813 | 1,280 | $18K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.1% | 773 | 697 | $17K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.1% | 2,917 | 2,472 | $17K |
68 more codes
| 81025 | 1.1% | 3,959 | $16K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 163 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 333 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 861 | $10K |
| 90688 | <1% | 573 | $8K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 261 | $7K |
| 99205 | Prolong outpt/office vis | <1% | 69 | $7K |
| 99385 | <1% | 70 | $6K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 525 | $5K |
| 82948 | <1% | 2,561 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 151 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 190 | $4K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 48 | $4K |
| 82962 | <1% | 2,677 | $4K | |
| 71045 | Radiologic examination, chest; single view | <1% | 185 | $3K |
| 90686 | <1% | 135 | $2K | |
| 95923 | <1% | 28 | $2K | |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 88 | $2K |
| 82607 | <1% | 251 | $2K | |
| 95921 | <1% | 28 | $2K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,039 | $1K |
| 93922 | <1% | 55 | $1K | |
| 90658 | <1% | 50 | $953.56 | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 12 | $919.21 |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,274 | $772.42 |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 72 | $699.31 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 76 | $621.85 |
| 0013A | <1% | 15 | $547.56 | |
| 0012A | <1% | 14 | $466.83 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 79 | $403.08 |
| 3074F | <1% | 1,494 | $285.76 | |
| 3078F | <1% | 1,287 | $268.15 | |
| 82728 | <1% | 69 | $236.00 | |
| 82746 | <1% | 76 | $212.50 | |
| 80053 | Comprehensive metabolic panel | <1% | 91 | $209.78 |
| 96127 | <1% | 36 | $169.08 | |
| 99401 | <1% | 16 | $155.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 71 | $144.00 |
| 84439 | <1% | 71 | $144.00 | |
| 80061 | Lipid panel | <1% | 81 | $121.12 |
| 83721 | <1% | 91 | $111.24 | |
| 84480 | <1% | 71 | $91.20 | |
| 87070 | <1% | 14 | $61.08 | |
| 3075F | <1% | 318 | $60.15 | |
| 3079F | <1% | 595 | $55.31 | |
| 83550 | <1% | 38 | $43.23 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 47 | $41.84 |
| 83540 | <1% | 38 | $41.27 | |
| 3077F | <1% | 158 | $32.67 | |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 68 | $24.50 |
| J2916 | Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg | <1% | 39 | $23.79 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 55 | $13.75 |
| 94760 | <1% | 301 | $2.78 | |
| 3080F | <1% | 65 | $0.13 | |
| 3008F | <1% | 5,645 | $0.09 | |
| 1159F | <1% | 3,160 | $0.05 | |
| 1160F | <1% | 3,205 | $0.04 | |
| 1030F | <1% | 1,196 | $0.02 | |
| 4035F | <1% | 1,176 | $0.02 | |
| 36000 | 0% | 40 | $0.00 | |
| 3017F | 0% | 26 | $0.00 | |
| 3014F | 0% | 14 | $0.00 | |
| 3725F | 0% | 42 | $0.00 | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 83 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 104 | $0.00 |
| 4013F | 0% | 19 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 14 | $0.00 |
| 3051F | 0% | 29 | $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 officialSURE, HERTZEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Sure Care Medical P C | Elmhurst, NY | $153K |
| HKS Medical Services PC | Elmhurst, NY | $26K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.