Physician
Novel Medicine PC
Novel Medicine PC was paid $1.89M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoNOVEL MEDICINE PC
REGO PARK, NY 11374
REGO PARK, NY 11374
33aNPI1164682217assigned 06/12/2008
33bProvider typeInternal Medicine Physician
28Total paid$1.89M
24GClaims53,214
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#143 of 6,049
Median peer was paid$11K
This provider vs. median167×
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 | 6,316 | $199K | |
| 2019 | 7,867 | $227K | |
| 2020 | 4,853 | $229K | |
| 2021 | 8,987 | $336K | |
| 2022 | 8,487 | $338K | |
| 2023 | 10,050 | $338K | |
| 2024incomplete | 6,654 | $225K |
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 | 34% | 9,964 | 8,485 | $641K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 32% | 14,236 | 3,447 | $613K |
| 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 | 9.0% | 1,988 | 1,829 | $171K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 7.9% | 7,310 | 1,760 | $149K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 5.3% | 6,910 | 1,686 | $100K |
| 97162 | 2.6% | 1,245 | 1,243 | $50K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 699 | 618 | $29K |
| 99442 | 1.2% | 403 | 362 | $23K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 1.1% | 1,226 | 311 | $22K |
| 93000 | <1% | 1,376 | 1,354 | $17K | |
| 99490 | Ccm add 20min | <1% | 2,009 | 2,009 | $17K |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | <1% | 1,482 | 408 | $16K |
20 more codes
| 97035 | <1% | 1,217 | $11K | |
| 97014 | <1% | 1,237 | $10K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 95 | $10K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 40 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 139 | $4K |
| 90688 | <1% | 186 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 206 | $2K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 14 | $913.51 |
| 99439 | <1% | 591 | $868.86 | |
| 97163 | <1% | 12 | $838.25 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 338 | $580.75 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 38 | $535.07 |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | <1% | 20 | $343.68 |
| 82947 | <1% | 115 | $294.47 | |
| 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% | 27 | $252.43 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $172.05 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 36 | $70.03 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 15 | $11.00 |
| 99000 | 0% | 12 | $0.00 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 0% | 13 | $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 officialGOLDVUG, RITA (MEDICAL DIRECTOR)