Robert L. Cristofaro, MD and John M Nelson, MD,PC
Robert L. Cristofaro, MD and John M Nelson, MD,PC was paid $298K by Medicaid between Jan 2018 and May 2021, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoROBERT L. CRISTOFARO, MD AND JOHN M NELSON, MD,PC
PURCHASE, NY 10577
PURCHASE, NY 10577
33aNPI1043498447assigned 02/07/2008
33bProvider typeSpecialist
28Total paid$298K
24GClaims3,778
24DCodes billed11
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#311 of 1,221
Median peer was paid$45K
This provider vs. median6.6×
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 | 1,244 | $107K | |
| 2019 | 1,207 | $87K | |
| 2020 | 798 | $59K | |
| 2021 | 529 | $44K |
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 | 37% | 1,627 | 1,516 | $109K |
| 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 | 32% | 992 | 922 | $95K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 24% | 751 | 721 | $70K |
| 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 | 4.1% | 92 | 87 | $12K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.7% | 131 | 123 | $8K |
| 73560 | <1% | 72 | 63 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16 | 14 | $597.51 |
| 73610 | <1% | 36 | 30 | $490.55 | |
| 73070 | <1% | 29 | 25 | $464.56 | |
| 73630 | <1% | 19 | 12 | $250.77 | |
| 73110 | <1% | 13 | 12 | $200.40 |
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 officialCRISTOFARO, ROBERT (PRESIDENT)