Physician
Doctors Medical Office PLLC
Doctors Medical Office PLLC was paid $665K by Medicaid between Jan 2018 and Nov 2024, across 39 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoDOCTORS MEDICAL OFFICE PLLC
MERRICK, NY 11566
MERRICK, NY 11566
33aNPI1164848818assigned 03/05/2014
33bProvider typeFamily Medicine Physician
28Total paid$665K
24GClaims18,788
24DCodes billed39
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#172 of 2,605
Median peer was paid$10K
This provider vs. median66×
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 | 1,304 | $48K | |
| 2019 | 2,143 | $73K | |
| 2020 | 3,722 | $113K | |
| 2021 | 3,086 | $106K | |
| 2022 | 2,643 | $116K | |
| 2023 | 2,879 | $124K | |
| 2024incomplete | 3,011 | $85K |
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 | 42% | 3,609 | 3,254 | $278K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 4,262 | 3,821 | $246K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 6.1% | 421 | 421 | $40K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.8% | 280 | 280 | $25K |
| 93000 | 1.8% | 870 | 864 | $12K | |
| 99401 | 1.6% | 641 | 598 | $11K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.3% | 337 | 316 | $9K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.1% | 145 | 139 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 69 | 69 | $6K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 140 | 129 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 263 | 227 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 90 | 84 | $3K |
27 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 253 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,173 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 18 | $2K |
| 98929 | <1% | 26 | $2K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 98 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 97 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $1K |
| 99497 | <1% | 14 | $867.25 | |
| 96127 | <1% | 235 | $834.70 | |
| 99072 | <1% | 543 | $732.50 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 106 | $579.57 |
| 86769 | <1% | 23 | $495.47 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 47 | $482.52 |
| 90688 | <1% | 26 | $432.81 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 110 | $156.55 |
| 94760 | <1% | 70 | $16.38 | |
| 99058 | <1% | 436 | $0.04 | |
| 1126F | 0% | 73 | $0.00 | |
| 1170F | 0% | 73 | $0.00 | |
| 99000 | 0% | 784 | $0.00 | |
| 1123F | 0% | 73 | $0.00 | |
| 1125F | 0% | 58 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 32 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 89 | $0.00 |
| 1159F | 0% | 73 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 46 | $0.00 |
| 1160F | 0% | 73 | $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 officialHALTRECHT, MARK (MANAGER/MEMBER)