Physician
Garnet Health Doctors PC
Garnet Health Doctors PC was paid $263K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoGARNET HEALTH DOCTORS PC
HARRIS, NY 12742
HARRIS, NY 12742
33aNPI1164845699assigned 02/04/2014
33bProvider typeGeneral Practice Physician
28Total paid$263K
24GClaims5,096
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in New York
Rank by total paid#46 of 178
Median peer was paid$27K
This provider vs. median9.8×
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 | 664 | $44K | |
| 2019 | 1,435 | $35K | |
| 2020 | 1,327 | $58K | |
| 2021 | 247 | $2K | |
| 2022 | 568 | $33K | |
| 2023 | 586 | $60K | |
| 2024incomplete | 269 | $31K |
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 | 50% | 1,062 | 953 | $130K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 590 | 557 | $46K |
| 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 | 11% | 177 | 177 | $29K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 7.4% | 2,478 | 2,130 | $19K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.2% | 230 | 230 | $16K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 1.4% | 53 | 52 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 25 | 25 | $3K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 25 | 25 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 21 | 12 | $3K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 32 | 16 | $2K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 12 | 12 | $1K |
| 93000 | <1% | 74 | 73 | $1K |
10 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 23 | $1K |
| 99460 | <1% | 12 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 47 | $980.00 |
| 73630 | <1% | 32 | $556.75 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 34 | $493.00 |
| 73110 | <1% | 20 | $425.44 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 43 | $402.02 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 44 | $142.47 |
| 36415 | Collection of venous blood by venipuncture | <1% | 42 | $66.00 |
| 99024 | 0% | 20 | $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 officialMURPHY, PAMELA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Garnet Health Urgent Care PC | Middletown, NY | $7.40M |
| Garnet Health Doctors PC | Middletown, NY | $4.14M |
| Garnet Health Doctors PC | Middletown, NY | $387K |
| P.A.M. Care INC. | Orlando, FL | $40K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.