Physician
Garnet Health Doctors PC
Garnet Health Doctors PC was paid $4.14M by Medicaid between Jan 2018 and Nov 2024, across 72 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoGARNET HEALTH DOCTORS PC
MIDDLETOWN, NY 10940
MIDDLETOWN, NY 10940
33aNPI1093138851assigned 01/30/2014
33bProvider typeGeneral Practice Physician
28Total paid$4.14M
24GClaims53,024
24DCodes billed72
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in New York
Rank by total paid#10 of 178
Median peer was paid$27K
This provider vs. median154×
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 | 764 | $53K | |
| 2019 | 1,127 | $85K | |
| 2020 | 4,440 | $252K | |
| 2021 | 9,093 | $582K | |
| 2022 | 13,955 | $1.02M | |
| 2023 | 14,408 | $1.29M | |
| 2024incomplete | 9,237 | $867K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 28% | 9,760 | 9,283 | $1.18M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 8,535 | 8,063 | $756K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.1% | 2,328 | 1,056 | $252K |
| 99223 | Prolong inpt eval add15 m | 5.4% | 1,401 | 1,246 | $225K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.4% | 3,273 | 1,252 | $225K |
| 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 | 3.7% | 945 | 928 | $154K |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.7% | 1,526 | 1,484 | $152K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.2% | 1,145 | 1,031 | $132K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.9% | 1,053 | 1,046 | $121K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 1,144 | 1,099 | $112K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.6% | 522 | 178 | $108K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.3% | 1,180 | 1,177 | $94K |
60 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | 2.1% | 1,104 | $85K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 488 | $58K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.4% | 6,933 | $56K |
| 99460 | 1.3% | 593 | $55K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 466 | $55K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 1.0% | 357 | $43K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.0% | 326 | $42K |
| 99462 | <1% | 896 | $37K | |
| 99441 | <1% | 391 | $20K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,130 | $18K |
| 99283 | Emergency room visit (moderate) | <1% | 407 | $18K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 111 | $15K |
| 99221 | <1% | 153 | $14K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,326 | $12K |
| 99284 | Emergency room visit (serious) | <1% | 159 | $11K |
| 90837 | Psychotherapy session, about an hour | <1% | 111 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 124 | $7K |
| 93000 | <1% | 465 | $7K | |
| 90670 | <1% | 184 | $7K | |
| 73562 | <1% | 208 | $6K | |
| 99443 | <1% | 39 | $5K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,187 | $4K |
| 99442 | <1% | 59 | $4K | |
| 59025 | Fetal non-stress test | <1% | 62 | $3K |
| 99220 | <1% | 49 | $3K | |
| 90698 | <1% | 95 | $3K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 124 | $3K |
| 99205 | Prolong outpt/office vis | <1% | 12 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 42 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 70 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 204 | $2K |
| 99217 | <1% | 73 | $2K | |
| 76801 | <1% | 14 | $2K | |
| 81003 | <1% | 992 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $2K |
| 20610 | <1% | 27 | $2K | |
| 90674 | <1% | 55 | $2K | |
| 90686 | <1% | 120 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $2K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 17 | $2K |
| 99285 | Emergency room visit (most serious) | <1% | 16 | $1K |
| 90461 | <1% | 144 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 138 | $1K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 92 | $1K |
| 90474 | <1% | 79 | $586.07 | |
| 98966 | <1% | 37 | $568.93 | |
| 99219 | <1% | 13 | $535.60 | |
| 81025 | <1% | 149 | $415.31 | |
| 51798 | <1% | 25 | $307.87 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 13 | $190.44 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 13 | $95.96 |
| 94726 | <1% | 12 | $95.95 | |
| 94010 | <1% | 12 | $84.46 | |
| 96127 | <1% | 16 | $78.95 | |
| 94729 | <1% | 12 | $68.36 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $3.75 |
| 99173 | 0% | 184 | $0.00 | |
| 3008F | 0% | 17 | $0.00 | |
| 90744 | 0% | 12 | $0.00 | |
| 99024 | 0% | 19 | $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 officialMURPHY, PAMELA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Garnet Health Urgent Care PC | Middletown, NY | $7.40M |
| Garnet Health Doctors PC | Middletown, NY | $387K |
| Garnet Health Doctors PC | Harris, NY | $263K |
| P.A.M. Care INC. | Orlando, FL | $40K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.