Physician
Tonsor, Michael
Tonsor, Michael was paid $2.56M by Medicaid between Jul 2020 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoTONSOR, MICHAEL
ASTORIA, NY 11102
ASTORIA, NY 11102
33aNPI1144635004assigned 06/30/2014
33bProvider typeObstetrics & Gynecology Physician
28Total paid$2.56M
24GClaims39,860
24DCodes billed32
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in New York
Rank by total paid#38 of 762
Median peer was paid$22K
This provider vs. median118×
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 | |
|---|---|---|---|
| 2020 | 1,720 | $71K | |
| 2021 | 3,239 | $147K | |
| 2022 | 4,221 | $271K | |
| 2023 | 19,131 | $1.31M | |
| 2024incomplete | 11,549 | $767K |
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 | 23% | 6,575 | 5,876 | $583K |
| 76830 | Ultrasound, transvaginal | 18% | 4,180 | 3,823 | $466K |
| 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 | 13% | 2,567 | 2,423 | $325K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 13% | 4,228 | 3,869 | $323K |
| 93975 | 8.8% | 935 | 929 | $226K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 6.2% | 1,641 | 1,639 | $158K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.0% | 932 | 932 | $154K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.7% | 875 | 874 | $94K |
| 81025 | 2.6% | 11,133 | 9,736 | $66K | |
| 99385 | 2.4% | 599 | 599 | $61K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.6% | 383 | 383 | $40K |
| 76377 | <1% | 1,028 | 1,016 | $19K |
20 more codes
| 96127 | <1% | 1,444 | $7K | |
| 57454 | <1% | 40 | $7K | |
| 99386 | <1% | 53 | $6K | |
| 88141 | <1% | 266 | $6K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,080 | $3K |
| 99401 | <1% | 165 | $3K | |
| 81000 | <1% | 949 | $3K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 83 | $2K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 82 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 41 | $2K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 34 | $992.44 |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | <1% | 53 | $946.43 |
| 80053 | Comprehensive metabolic panel | <1% | 77 | $677.60 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 65 | $551.65 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 60 | $508.74 |
| 88174 | <1% | 15 | $192.39 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $160.20 |
| 99072 | <1% | 163 | $102.01 | |
| 88150 | <1% | 85 | $10.61 | |
| 99429 | 0% | 16 | $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.