Physician
NY Neurological Consultant, PC
NY Neurological Consultant, PC was paid $3.89M by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 95819, — 24% of everything it billed.
33Billing provider infoNY NEUROLOGICAL CONSULTANT, PC
NEW YORK, NY 10033
NEW YORK, NY 10033
33aNPI1053629477assigned 09/20/2010
33bProvider typeNeurology Physician
28Total paid$3.89M
24GClaims48,314
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Neurology Physician providers in New York
Rank by total paid#4 of 623
Median peer was paid$9K
This provider vs. median414×
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 | 6,828 | $517K | |
| 2019 | 6,688 | $512K | |
| 2020 | 5,291 | $329K | |
| 2021 | 5,910 | $481K | |
| 2022 | 6,632 | $595K | |
| 2023 | 9,138 | $731K | |
| 2024incomplete | 7,827 | $727K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95819 | 24% | 3,901 | 3,899 | $941K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 17,094 | 16,870 | $867K |
| 95911 | 14% | 3,791 | 3,510 | $551K | |
| 95886 | 12% | 3,837 | 3,505 | $474K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 10% | 5,210 | 5,208 | $408K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.6% | 3,098 | 3,022 | $100K |
| 99442 | 2.1% | 1,885 | 1,812 | $80K | |
| 95923 | 1.8% | 823 | 823 | $71K | |
| 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 | 1.4% | 480 | 480 | $56K |
| 92546 | 1.2% | 764 | 764 | $48K | |
| 96132 | 1.2% | 725 | 725 | $46K | |
| 93880 | <1% | 532 | 531 | $37K |
10 more codes
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 officialBALMACEDA, CASILDA (MEDICAL DIRECTOR)