Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Vladimir Zelenko M.D. P.C.

Vladimir Zelenko M.D. P.C. was paid $10.95M by Medicaid between Jan 2018 and Nov 2024, across 85 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.

33Billing provider infoVLADIMIR ZELENKO M.D. P.C.
MONROE, NY 10950
33aNPI1063669562assigned 08/26/2008
28Total paid$10.95M
24GClaims178,289
24DCodes billed85
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#13 of 2,605
Median peer was paid$10K
This provider vs. median1,085×

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

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
20187,874$506K
201918,759$998K
202024,221$1.40M
202137,091$2.41M
202233,688$2.31M
202321,407$1.45M
2024incomplete35,249$1.87M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42% 53,249 44,599 $4.64M
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 27% 23,126 20,531 $2.96M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6.1% 6,448 6,442 $667K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4.7% 4,321 4,314 $512K
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 2.7% 1,879 1,876 $293K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2.5% 2,127 2,126 $271K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.6% 1,451 1,448 $174K
99051 1.5% 26,182 24,244 $166K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.2% 1,199 1,172 $133K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.1% 2,184 2,099 $116K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 918 918 $109K
99385 <1% 855 855 $107K
73 more codes
69210 <1% 1,789 $97K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 3,278 $82K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 6,814 $81K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 23,367 $76K
17110 <1% 453 $59K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 298 $33K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 213 $28K
99381 <1% 219 $26K
92587 <1% 806 $24K
99383 <1% 172 $23K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,240 $21K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 2,527 $20K
99442 <1% 215 $20K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 260 $18K
99215 Doctor's office visit, returning patient (complex) <1% 89 $17K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 245 $14K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 131 $14K
76857 <1% 334 $14K
99382 <1% 87 $11K
99443 <1% 77 $10K
99441 <1% 202 $10K
90756 <1% 377 $9K
M0244 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency <1% 13 $9K
30210 <1% 43 $8K
90834 Psychotherapy session, about 45 minutes <1% 88 $7K
87081 <1% 1,541 $6K
76830 Ultrasound, transvaginal <1% 78 $6K
87428 <1% 101 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 203 $5K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 245 $5K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 12 $4K
90688 <1% 225 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 666 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 135 $3K
81000 <1% 1,000 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 1,048 $3K
92550 <1% 254 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 55 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 62 $2K
99050 <1% 229 $2K
85048 <1% 571 $1K
90686 <1% 362 $1K
71046 Radiologic examination, chest; 2 views <1% 55 $1K
90658 <1% 60 $1K
96127 <1% 135 $801.54
73630 <1% 28 $613.72
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 283 $516.57
73130 <1% 24 $497.86
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 180 $470.94
93000 <1% 37 $444.00
81003 <1% 301 $430.16
73110 <1% 14 $380.10
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 47 $324.76
90710 <1% 224 $299.42
81001 <1% 109 $260.48
90697 <1% 289 $158.54
92567 <1% 14 $152.74
86580 <1% 26 $104.00
36415 Collection of venous blood by venipuncture <1% 876 $52.72
85018 <1% 29 $44.80
90744 <1% 56 $28.59
90723 0% 396 $0.00
90698 0% 126 $0.00
90647 0% 47 $0.00
90716 0% 13 $0.00
90696 0% 98 $0.00
90670 0% 566 $0.00
90648 0% 36 $0.00
90461 0% 35 $0.00
90700 0% 43 $0.00
90715 0% 26 $0.00
90734 0% 41 $0.00
90713 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 officialGAMSS, JONATHAN (MD)
Same official

Other billing entities under GAMSS, JONATHAN

Full network →
ProviderLocationPaid
Levelup MD Urgent Care NJ LLCEmerson, NJ$261K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.