Clinic
Rocky Point Medical Care, P.C.
Rocky Point Medical Care, P.C. was paid $122K by Medicaid between Jan 2018 and Jun 2022, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.
33Billing provider infoROCKY POINT MEDICAL CARE, P.C.
ROCKY POINT, NY 11778
ROCKY POINT, NY 11778
33aNPI1134100316assigned 11/07/2005
33bProvider typeClinic/Center
28Total paid$122K
24GClaims2,531
24DCodes billed7
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Clinic/Center providers in New York
Rank by total paid#156 of 235
Median peer was paid$630K
This provider vs. median0.2×
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 | 672 | $36K | |
| 2019 | 896 | $49K | |
| 2020 | 384 | $14K | |
| 2021 | 391 | $15K | |
| 2022 | 188 | $7K |
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 | 75% | 1,933 | 1,784 | $91K |
| 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 | 25% | 413 | 402 | $30K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | 15 | $229.29 |
| 1036F | 0% | 29 | 29 | $0.00 | |
| 3008F | 0% | 22 | 21 | $0.00 | |
| 1159F | 0% | 59 | 58 | $0.00 | |
| 1160F | 0% | 60 | 59 | $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 officialSUNDBERG, DEBRA (CO MANAGER)