Physician
Cummings, Gregory
Cummings, Gregory was paid $31K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoCUMMINGS, GREGORY
COOPERSTOWN, NY 13326
COOPERSTOWN, NY 13326
33aNPI1114982774assigned 04/18/2006
33bProvider typeNeurology Physician
28Total paid$31K
24GClaims2,211
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Neurology Physician providers in New York
Rank by total paid#202 of 623
Median peer was paid$9K
This provider vs. median3.3×
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 | 284 | $6K | |
| 2019 | 257 | $3K | |
| 2020 | 286 | $4K | |
| 2021 | 306 | $4K | |
| 2022 | 334 | $4K | |
| 2023 | 268 | $5K | |
| 2024incomplete | 476 | $5K |
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 | 48% | 792 | 790 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 1,034 | 1,033 | $12K |
| 95974 | 14% | 103 | 102 | $4K | |
| 95970 | <1% | 82 | 81 | $248.03 | |
| 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) | 0% | 200 | 198 | $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.