Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Brooklyn › NPI 1144693607
Clinic

Doral Medical and Multi Specialty Facility LLC

Doral Medical and Multi Specialty Facility LLC was paid $7.77M by Medicaid between Apr 2020 and Dec 2024, across 186 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.

33Billing provider infoDORAL MEDICAL AND MULTI SPECIALTY FACILITY LLC
BROOKLYN, NY 11212
33aNPI1144693607assigned 11/05/2015
28Total paid$7.77M
24GClaims287,912
24DCodes billed186
24AFirst – last monthApr 2020 – Dec 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in New York

Rank by total paid#15 of 118
Median peer was paid$372K
This provider vs. median21×

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

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
20201,450$8K
202112,987$320K
202234,608$1.65M
2023131,231$2.32M
2024incomplete107,636$3.48M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 65,206 20,438 $2.05M
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 8.2% 13,608 10,488 $635K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7.3% 7,982 5,942 $569K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 7.0% 5,988 3,430 $545K
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 6.6% 9,939 4,490 $512K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.4% 4,149 3,366 $262K
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 2.8% 2,178 1,853 $220K
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 2.5% 2,319 2,242 $195K
99441 2.5% 1,661 1,565 $193K
20552 2.4% 1,068 931 $188K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1.8% 262 259 $140K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 1.6% 770 728 $121K
174 more codes
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.5% 2,102 $120K
99443 1.5% 2,217 $119K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 1.4% 1,409 $112K
99401 1.4% 3,365 $109K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1.2% 1,027 $93K
93880 1.2% 238 $91K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.2% 509 $91K
90792 Psychiatric diagnostic evaluation with medical services 1.1% 528 $87K
93970 1.1% 198 $85K
99454 1.0% 8,767 $81K
99000 <1% 5,385 $75K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 696 $66K
76942 <1% 389 $65K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 882 $65K
96160 <1% 1,471 $56K
99385 <1% 665 $53K
11900 <1% 160 $44K
11721 <1% 1,165 $41K
G0444 Annual depression screening, 5 to 15 minutes <1% 1,489 $39K
99442 <1% 729 $37K
92201 <1% 589 $37K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 194 $33K
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 919 $32K
93925 <1% 94 $32K
99457 <1% 5,678 $29K
0002A <1% 983 $27K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 363 $26K
0001A <1% 1,047 $26K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 47 $25K
99386 <1% 227 $23K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,296 $23K
99406 <1% 536 $22K
20611 <1% 57 $22K
H0001 Alcohol and/or drug assessment <1% 198 $20K
2000F <1% 14,413 $17K
99091 <1% 296 $13K
36415 Collection of venous blood by venipuncture <1% 4,666 $12K
H0002 Behavioral health screening to determine eligibility for admission to treatment program <1% 100 $12K
93975 <1% 21 $11K
86328 <1% 297 $10K
90834 Psychotherapy session, about 45 minutes <1% 61 $10K
0003A <1% 292 $10K
1159F <1% 8,690 $10K
95250 <1% 60 $9K
93015 <1% 58 $8K
17110 <1% 34 $8K
11056 <1% 25 $7K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 102 $7K
94060 <1% 27 $7K
90674 <1% 247 $6K
92133 <1% 69 $5K
51798 <1% 14 $5K
93000 <1% 693 $5K
1126F <1% 5,496 $4K
81002 <1% 1,220 $4K
82962 <1% 553 $4K
57410 <1% 67 $3K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 26 $3K
95251 <1% 41 $3K
20610 <1% 14 $3K
T1013 Sign language or oral interpretive services, per 15 minutes <1% 215 $2K
99453 <1% 457 $2K
92250 <1% 27 $2K
80305 <1% 1,373 $2K
10040 <1% 13 $2K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 422 $2K
G0008 Administration of influenza virus vaccine <1% 215 $2K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit <1% 14 $2K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 1,519 $2K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 83 $2K
92015 Determination of refractive state <1% 474 $2K
99490 Ccm add 20min <1% 291 $2K
S0610 Annual gynecological examination, new patient <1% 26 $1K
20553 <1% 57 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 215 $1K
99051 <1% 113 $1K
Q3014 Telehealth originating site facility fee <1% 112 $1K
99459 <1% 26 $1K
36000 <1% 40 $1K
11719 <1% 14 $887.51
92134 <1% 12 $655.01
J1030 Injection, methylprednisolone acetate, 40 mg <1% 228 $579.55
87070 <1% 157 $518.60
3074F <1% 3,951 $518.50
99458 <1% 354 $510.35
99050 <1% 80 $506.76
1125F <1% 2,422 $390.80
90661 <1% 12 $360.76
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 968 $360.49
3079F <1% 1,936 $355.16
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 942 $339.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 30 $332.24
99348 <1% 75 $284.22
3078F <1% 3,222 $270.49
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,269 $263.85
2001F <1% 6,189 $183.02
G8420 Bmi is documented within normal parameters and no follow-up plan is required <1% 3,670 $150.40
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 15 $150.00
99344 <1% 14 $130.25
96127 <1% 114 $113.68
G9744 Patient not eligible due to active diagnosis of hypertension <1% 447 $106.08
G8753 Most recent systolic blood pressure >= 140 mmhg <1% 304 $103.36
81025 <1% 33 $97.01
3077F <1% 907 $92.50
G8417 Bmi is documented above normal parameters and a follow-up plan is documented <1% 4,523 $88.68
G8752 Most recent systolic blood pressure < 140 mmhg <1% 257 $88.40
3080F <1% 604 $80.00
3075F <1% 769 $77.50
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 1,510 $39.11
3028F <1% 6,804 $38.21
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed <1% 38 $28.19
1160F <1% 5,795 $24.70
2010F <1% 6,553 $22.72
G9903 Patient screened for tobacco use and identified as a tobacco non-user <1% 567 $10.27
3044F <1% 927 $5.99
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented <1% 1,369 $3.19
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 81 $0.86
G8783 Normal blood pressure reading documented, follow-up not required <1% 1,814 $0.28
G8754 Most recent diastolic blood pressure < 90 mmhg <1% 392 $0.07
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 1,278 $0.07
G4028 Podiatry mips specialty set <1% 542 $0.06
G9902 Patient screened for tobacco use and identified as a tobacco user <1% 528 $0.05
G4018 Obstetrics/gynecology mips specialty set <1% 818 $0.03
3008F <1% 7,209 $0.01
1036F <1% 2,618 $0.01
G8755 Most recent diastolic blood pressure >= 90 mmhg <1% 73 $0.01
2018F <1% 1,835 $0.01
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 76 $0.01
3754F 0% 230 $0.00
1170F 0% 159 $0.00
3048F 0% 412 $0.00
J0280 Injection, aminophyllin, up to 250 mg 0% 12 $0.00
4011F 0% 214 $0.00
4010F 0% 89 $0.00
1034F 0% 557 $0.00
3279F 0% 263 $0.00
3514F 0% 68 $0.00
3049F 0% 192 $0.00
M1207 Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 0% 106 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 0% 693 $0.00
3510F 0% 69 $0.00
1006F 0% 64 $0.00
G2197 Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user 0% 113 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 30 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 54 $0.00
1000F 0% 193 $0.00
3011F 0% 244 $0.00
4008F 0% 47 $0.00
1220F 0% 17 $0.00
90656 0% 14 $0.00
3512F 0% 65 $0.00
3120F 0% 25 $0.00
G8404 Lower extremity neurological exam performed and documented 0% 525 $0.00
2029F 0% 551 $0.00
4004F 0% 367 $0.00
2028F 0% 547 $0.00
1137F 0% 565 $0.00
1090F 0% 75 $0.00
3725F 0% 376 $0.00
3511F 0% 377 $0.00
4013F 0% 692 $0.00
1033F 0% 634 $0.00
3280F 0% 180 $0.00
3513F 0% 68 $0.00
3015F 0% 190 $0.00
3016F 0% 143 $0.00
1100F 0% 64 $0.00
G8482 Influenza immunization administered or previously received 0% 16 $0.00
3050F 0% 140 $0.00
4025F 0% 23 $0.00
G9796 Patient is currently on a high intensity statin therapy 0% 13 $0.00
3020F 0% 27 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 0% 14 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 0% 27 $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 officialLIPSCHITZ, DAVID (PRESIDENT)
Same official

Other billing entities under LIPSCHITZ, DAVID

Full network →
ProviderLocationPaid
The Doral Investors Group, LLC Dba House Calls Home CareBrooklyn, NY$497.09M
The Doral Investors Group LLCBrooklyn, NY$34.29M
Alpha & Omega Kids Developmental ServicesBrooklyn, NY$11.94M
Doral Dialysis LLCBrooklyn, NY$252K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.