NPI: 1093723488 · QUEENS VILLAGE, NY 11427 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 08/03/2006
Authorized official CUSACK, MICHELE controls 20+ related entities in our dataset. Read more
| Authorized Official | CUSACK, MICHELE (SENIOR VICE PRESIDENT & CFO) |
| Parent Organization | LONG ISLAND JEWISH MEDICAL CENTER |
| NPI Enumeration Date | 08/03/2006 |
Other providers sharing the same authorized official: CUSACK, MICHELE
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 47 | $1K |
| 2019 | 3,122 | $266K |
| 2020 | 6,248 | $711K |
| 2021 | 5,901 | $746K |
| 2022 | 3,661 | $686K |
| 2023 | 2,185 | $661K |
| 2024 | 119 | $43K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90937 | 9,323 | 810 | $2.33M | |
| 90832 | Psychotherapy, 30 minutes with patient | 1,461 | 797 | $172K |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) | 834 | 377 | $168K |
| 90834 | Psychotherapy, 45 minutes with patient | 698 | 355 | $122K |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 3,213 | 807 | $75K |
| Q5105 | Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units | 2,643 | 316 | $73K |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | 206 | 72 | $47K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 372 | 279 | $40K |
| Q4081 | Injection, epoetin alfa, 100 units (for esrd on dialysis) | 885 | 123 | $39K |
| A4657 | Syringe, with or without needle, each | 1,140 | 114 | $31K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 102 | 56 | $5K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 85 | 41 | $5K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 177 | 86 | $2K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14 | 12 | $994.53 |
| 90686 | 25 | 25 | $546.65 | |
| J2916 | Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg | 49 | 14 | $105.00 |
| G0008 | Administration of influenza virus vaccine | 13 | 13 | $100.00 |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 43 | 40 | $0.00 |