Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FITNESS & RECOVERY MEDICAL PRACTICE, PC

NPI: 1114164225 · EASTCHESTER, NY 10709 · Family Medicine Physician · NPI assigned 01/12/2009

$46K
Total Medicaid Paid
1,374
Total Claims
1,185
Beneficiaries
14
Codes Billed
2020-05
First Month
2024-03
Last Month

Provider Details

Authorized OfficialSULLIVAN, MACK (M.D.)
NPI Enumeration Date01/12/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 112 $2K
2021 302 $5K
2022 519 $17K
2023 378 $20K
2024 63 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 613 480 $36K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 66 58 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 118 118 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 41 40 $1K
0001A 35 35 $1K
99441 47 47 $1K
0002A 28 28 $975.28
86769 46 33 $763.68
99442 18 18 $465.68
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 23 12 $89.12
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 12 $79.76
91300 99 91 $0.01
99000 191 179 $0.00
36415 Collection of venous blood by venipuncture 36 34 $0.00