Stony Brook Orthopaedic Associates, University Faculty Practice Corpor

Stony Brook Orthopaedic Associates, University Faculty Practice Corpor was paid $4.76M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.

33Billing provider infoSTONY BROOK ORTHOPAEDIC ASSOCIATES, UNIVERSITY FACULTY PRACTICE CORPOR
STONY BROOK, NY 11794

33aNPI1154377638assigned 05/26/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$4.76M

24GClaims36,330

24DCodes billed15

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in New York

Rank by total paid#7 of 429

Median peer was paid$4K

This provider vs. median1,238×

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	1,528	$171K
2019	2,863	$305K
2020	3,609	$402K
2021	5,531	$710K
2022	6,924	$939K
2023	8,522	$1.18M
2024incomplete	7,353	$1.05M

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	31%	10,211	9,861	$1.47M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	29%	13,438	12,855	$1.38M
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	19%	4,617	4,612	$922K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	19%	6,718	6,713	$903K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.1%	771	713	$50K
20610		<1%	184	148	$16K
64483		<1%	13	13	$5K
97760		<1%	202	202	$2K
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)	<1%	96	93	$2K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	14	14	$1K
20550		<1%	14	12	$1K
76882		<1%	13	12	$868.26

3 more codes

J1040	Injection, methylprednisolone acetate, 80 mg	<1%	13	$129.96
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	<1%	13	$76.45
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	13	$17.05

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 officialHURST, LAWRENCE (CHAIR PERSON)