Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Samboy, Jazlen

Samboy, Jazlen was paid $368K by Medicaid between Apr 2019 and Nov 2024, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.

33Billing provider infoSAMBOY, JAZLEN
BRONX, NY 10457
33aNPI1093137655assigned 01/15/2014
33bProvider typePhysician Assistant
28Total paid$368K
24GClaims9,171
24DCodes billed23
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers

Next to other Physician Assistant providers in New York

Rank by total paid#15 of 263
Median peer was paid$3K
This provider vs. median113×

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$5.0K$10K$15K2018201920202021202220232024
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
2019978$30K
20202,093$93K
20211,415$65K
20221,422$60K
20231,815$68K
2024incomplete1,448$52K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 33% 2,161 1,946 $123K
99442 32% 2,621 2,350 $117K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 1,796 1,594 $76K
99487 Ccm add 20min 6.5% 422 422 $24K
99401 3.8% 626 554 $14K
99441 1.3% 158 144 $5K
93000 1.2% 339 332 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 26 26 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 64 59 $1K
90756 <1% 52 52 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 35 35 $492.50
90674 <1% 12 12 $359.28
11 more codes
A4556 Electrodes, (e.g., apnea monitor), per pair <1% 311 $51.60
3074F <1% 88 $2.12
36415 Collection of venous blood by venipuncture <1% 165 $0.80
3078F 0% 77 $0.00
3725F 0% 30 $0.00
1160F 0% 30 $0.00
99497 0% 23 $0.00
1126F 0% 30 $0.00
1170F 0% 30 $0.00
3079F 0% 45 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 30 $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.