Dominguez, Mary
Dominguez, Mary was paid $65K by Medicaid between Jan 2019 and Nov 2024, across 12 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 41% of everything it billed.
33Billing provider infoDOMINGUEZ, MARY
NEW YORK, NY 10038
NEW YORK, NY 10038
33aNPI1043568835assigned 08/27/2012
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$65K
24GClaims2,604
24DCodes billed12
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in New York
Rank by total paid#159 of 2,013
Median peer was paid$4K
This provider vs. median17×
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 | 222 | $5K | |
| 2020 | 461 | $8K | |
| 2021 | 309 | $7K | |
| 2022 | 438 | $14K | |
| 2023 | 548 | $15K | |
| 2024incomplete | 626 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 41% | 688 | 686 | $26K |
| 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% | 698 | 693 | $21K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.6% | 417 | 242 | $6K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.9% | 243 | 98 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 189 | 187 | $3K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 3.1% | 205 | 133 | $2K |
| 90961 | 1.3% | 25 | 25 | $843.60 | |
| 90947 | <1% | 12 | 12 | $410.79 | |
| 3079F | 0% | 34 | 34 | $0.00 | |
| 3074F | 0% | 49 | 49 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 28 | 28 | $0.00 |
| 3078F | 0% | 16 | 16 | $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.