Physician
Hillcrest Medical Associates, P.C,.
Hillcrest Medical Associates, P.C,. was paid $8.41M by Medicaid between Jan 2018 and Feb 2023, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoHILLCREST MEDICAL ASSOCIATES, P.C,.
NANUET, NY 10954
NANUET, NY 10954
33aNPI1114193273assigned 05/07/2008
33bProvider typePediatrics Physician
28Total paid$8.41M
24GClaims169,500
24DCodes billed51
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#29 of 1,983
Median peer was paid$17K
This provider vs. median496×
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 | 31,468 | $1.36M | |
| 2019 | 34,632 | $1.47M | |
| 2020 | 31,731 | $1.46M | |
| 2021 | 35,323 | $2.00M | |
| 2022 | 31,380 | $1.84M | |
| 2023 | 4,966 | $276K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 45,576 | 43,251 | $3.62M |
| 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 | 17% | 12,936 | 12,437 | $1.47M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 8,450 | 8,325 | $860K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.4% | 6,140 | 6,118 | $626K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.9% | 6,062 | 5,910 | $584K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.2% | 3,144 | 3,126 | $351K |
| 99442 | 2.4% | 2,557 | 2,446 | $206K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.2% | 14,223 | 14,119 | $188K |
| 99441 | 2.0% | 3,354 | 3,287 | $172K | |
| 87070 | 1.3% | 18,589 | 18,256 | $113K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,676 | 1,651 | $72K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 6,066 | 3,010 | $66K |
39 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 22,272 | $62K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 144 | $5K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 31 | $3K |
| 85018 | <1% | 2,122 | $3K | |
| 17110 | <1% | 27 | $3K | |
| 99381 | <1% | 24 | $2K | |
| 87807 | <1% | 252 | $2K | |
| 69210 | <1% | 24 | $1K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 190 | $1K |
| 81000 | <1% | 147 | $459.60 | |
| 96127 | <1% | 81 | $412.01 | |
| 81002 | <1% | 158 | $221.73 | |
| 94664 | <1% | 22 | $143.43 | |
| 99421 | <1% | 12 | $108.15 | |
| 90707 | <1% | 705 | $60.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $55.00 |
| 90686 | <1% | 1,568 | $20.61 | |
| 99173 | <1% | 2,494 | $2.86 | |
| 36416 | 0% | 284 | $0.00 | |
| 90744 | 0% | 978 | $0.00 | |
| 90698 | 0% | 2,465 | $0.00 | |
| 99000 | 0% | 832 | $0.00 | |
| 90723 | 0% | 294 | $0.00 | |
| 90696 | 0% | 66 | $0.00 | |
| 94760 | 0% | 48 | $0.00 | |
| 91307 | 0% | 47 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| 90716 | 0% | 42 | $0.00 | |
| 87081 | 0% | 17 | $0.00 | |
| 90732 | 0% | 12 | $0.00 | |
| 90660 | 0% | 15 | $0.00 | |
| 90670 | 0% | 2,357 | $0.00 | |
| 90658 | 0% | 1,169 | $0.00 | |
| 90710 | 0% | 215 | $0.00 | |
| 90734 | 0% | 624 | $0.00 | |
| 90633 | 0% | 333 | $0.00 | |
| 90655 | 0% | 216 | $0.00 | |
| 90715 | 0% | 383 | $0.00 | |
| 90713 | 0% | 33 | $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 officialGORELICK, RISA (PHYSICIAN)