Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Islandia › NPI 1033453329
Physician

North Shore Lij Ob Gyn PC

North Shore Lij Ob Gyn PC was paid $1.04M by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.

33Billing provider infoNORTH SHORE LIJ OB GYN PC
ISLANDIA, NY 11749
33aNPI1033453329assigned 11/27/2012
33bProvider typeObstetrics Physician
28Total paid$1.04M
24GClaims20,894
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Obstetrics Physician providers in New York

Rank by total paid#3 of 29
Median peer was paid$31K
This provider vs. median34×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official CUSAK, MICHELE controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2018344$4K
20192,568$64K
20204,104$172K
20216,460$244K
20221,882$134K
20233,485$275K
2024incomplete2,051$151K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 75% 7,697 7,222 $783K
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 7.9% 645 623 $82K
76830 Ultrasound, transvaginal 5.3% 435 428 $56K
81025 3.0% 4,091 3,977 $31K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2.8% 295 295 $30K
99072 1.7% 2,449 2,269 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.3% 250 245 $13K
99459 1.1% 504 501 $12K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1.0% 94 94 $11K
36415 Collection of venous blood by venipuncture <1% 2,146 2,064 $4K
81003 <1% 2,074 1,995 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 74 74 $1K
4 more codes
90686 <1% 29 $635.41
82270 <1% 12 $48.94
99000 <1% 55 $14.00
81002 <1% 44 $9.50

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 officialCUSAK, MICHELE (CFO)
Same official

Other billing entities under CUSAK, MICHELE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.