NP / PA
Total Care Adult Health, NP, PLLC
Total Care Adult Health, NP, PLLC was paid $65K by Medicaid between Dec 2021 and Nov 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.
33Billing provider infoTOTAL CARE ADULT HEALTH, NP, PLLC
MERRICK, NY 11566
MERRICK, NY 11566
33aNPI1043817885assigned 10/05/2020
33bProvider typeAdult Health Nurse Practitioner
28Total paid$65K
24GClaims2,908
24DCodes billed8
24AFirst – last monthDec 2021 – Nov 2024
Compared with peers
Next to other Adult Health Nurse Practitioner providers in New York
Rank by total paid#50 of 559
Median peer was paid$4K
This provider vs. median18×
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 | |
|---|---|---|---|
| 2021 | 29 | $137.61 | |
| 2022 | 900 | $21K | |
| 2023 | 1,090 | $26K | |
| 2024incomplete | 889 | $18K |
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 | 76% | 818 | 764 | $50K |
| 93000 | 9.8% | 500 | 499 | $6K | |
| 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 | 4.0% | 32 | 31 | $3K |
| 99385 | 3.8% | 31 | 31 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.0% | 25 | 25 | $2K |
| 96127 | 1.3% | 377 | 376 | $845.76 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 74 | 71 | $755.05 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,051 | 1,007 | $374.94 |
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 officialWALDMAN, AMY (OWNER/AUTHORIZED OFFICIAL)