Physician
Cedarhurst Medical Associates P.C.
Cedarhurst Medical Associates P.C. was paid $447K by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoCEDARHURST MEDICAL ASSOCIATES P.C.
FAR ROCKAWAY, NY 11691
FAR ROCKAWAY, NY 11691
33aNPI1053532234assigned 05/02/2007
33bProvider typeInternal Medicine Physician
28Total paid$447K
24GClaims15,168
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#506 of 6,049
Median peer was paid$11K
This provider vs. median40×
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 | 522 | $24K | |
| 2019 | 939 | $38K | |
| 2020 | 893 | $37K | |
| 2021 | 1,397 | $53K | |
| 2022 | 3,038 | $98K | |
| 2023 | 4,811 | $115K | |
| 2024incomplete | 3,568 | $82K |
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 | 41% | 4,086 | 3,747 | $185K |
| 99307 | 19% | 3,207 | 1,900 | $87K | |
| 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 | 19% | 1,176 | 1,165 | $85K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.0% | 1,094 | 280 | $40K |
| 93000 | 2.4% | 933 | 933 | $11K | |
| 94010 | 2.3% | 532 | 532 | $10K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.9% | 122 | 109 | $8K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.2% | 134 | 124 | $5K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.0% | 92 | 86 | $5K |
| 99305 | <1% | 31 | 31 | $2K | |
| 99497 | <1% | 107 | 107 | $2K | |
| 71045 | Radiologic examination, chest; single view | <1% | 338 | 337 | $2K |
26 more codes
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 91 | $2K |
| 99306 | Prolong nursin fac eval 15m | <1% | 12 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,006 | $1K |
| 90674 | <1% | 12 | $323.84 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $165.76 |
| G0008 | Administration of influenza virus vaccine | <1% | 32 | $124.76 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 94 | $96.82 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $71.70 |
| 90688 | <1% | 30 | $62.24 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 46 | $54.83 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 133 | $54.33 |
| 1170F | <1% | 40 | $10.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 32 | $4.00 |
| 96127 | 0% | 89 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 119 | $0.00 |
| 2000F | 0% | 71 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 69 | $0.00 |
| 1126F | 0% | 12 | $0.00 | |
| 1036F | 0% | 54 | $0.00 | |
| 1111F | 0% | 12 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 30 | $0.00 |
| 1158F | 0% | 38 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 39 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 96 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 123 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 12 | $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 officialELKIN, DMITRIY (PRESIDENT)