Physician
Carla Lucacel MD PC
Carla Lucacel MD PC was paid $2.12M by Medicaid between Jan 2018 and Nov 2024, across 37 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoCARLA LUCACEL MD PC
SUNNYSIDE, NY 11104
SUNNYSIDE, NY 11104
33aNPI1154640092assigned 05/18/2010
33bProvider typePediatrics Physician
28Total paid$2.12M
24GClaims47,250
24DCodes billed37
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#157 of 1,983
Median peer was paid$17K
This provider vs. median125×
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 | 4,242 | $174K | |
| 2019 | 6,304 | $242K | |
| 2020 | 6,997 | $277K | |
| 2021 | 7,766 | $390K | |
| 2022 | 8,106 | $395K | |
| 2023 | 8,077 | $375K | |
| 2024incomplete | 5,758 | $265K |
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 | 43% | 9,099 | 7,783 | $916K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 12,103 | 9,627 | $832K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.2% | 988 | 987 | $88K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.1% | 980 | 980 | $86K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.3% | 513 | 513 | $48K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.8% | 4,213 | 4,089 | $38K |
| 92552 | 1.7% | 2,264 | 2,260 | $35K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 1,846 | 900 | $23K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 211 | 210 | $18K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 646 | 646 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,422 | 1,383 | $6K |
| 99441 | <1% | 98 | 95 | $4K |
25 more codes
| 90686 | <1% | 1,506 | $3K | |
| 0071A | <1% | 68 | $2K | |
| 99442 | <1% | 45 | $2K | |
| 0072A | <1% | 58 | $2K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 40 | $1K |
| 90670 | <1% | 133 | $1K | |
| 90461 | <1% | 935 | $943.22 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,246 | $870.14 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 56 | $512.17 |
| 90671 | <1% | 24 | $208.11 | |
| 93000 | <1% | 12 | $153.00 | |
| 90480 | <1% | 24 | $120.00 | |
| 90633 | <1% | 25 | $96.00 | |
| 86580 | <1% | 18 | $77.22 | |
| 99173 | <1% | 2,257 | $45.39 | |
| 83655 | <1% | 984 | $35.53 | |
| 90656 | <1% | 98 | $23.53 | |
| 94760 | <1% | 2,082 | $3.66 | |
| 90734 | 0% | 20 | $0.00 | |
| 90715 | 0% | 14 | $0.00 | |
| 99401 | 0% | 27 | $0.00 | |
| 90651 | 0% | 40 | $0.00 | |
| 91307 | 0% | 131 | $0.00 | |
| 36416 | 0% | 12 | $0.00 | |
| 91305 | 0% | 12 | $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 officialLUCACEL, CARLA (PRESIDENT)