Physician
Central New York Brain & Spine Neurosurgery PLLC
Central New York Brain & Spine Neurosurgery PLLC was paid $2.45M by Medicaid between Apr 2018 and Oct 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 17% of everything it billed.
33Billing provider infoCENTRAL NEW YORK BRAIN & SPINE NEUROSURGERY PLLC
NEW HARTFORD, NY 13413
NEW HARTFORD, NY 13413
33aNPI1174039929assigned 12/15/2017
33bProvider typeNeurological Surgery Physician
28Total paid$2.45M
24GClaims24,717
24DCodes billed27
24AFirst – last monthApr 2018 – Oct 2024
Compared with peers
Next to other Neurological Surgery Physician providers in New York
Rank by total paid#2 of 80
Median peer was paid$3K
This provider vs. median764×
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 | 1,065 | $63K | |
| 2019 | 1,376 | $115K | |
| 2020 | 2,791 | $279K | |
| 2021 | 4,742 | $463K | |
| 2022 | 4,743 | $441K | |
| 2023 | 6,377 | $671K | |
| 2024incomplete | 3,623 | $421K |
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 | 17% | 6,411 | 6,347 | $422K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 17% | 2,174 | 2,173 | $412K |
| 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 | 16% | 4,300 | 4,266 | $404K |
| 62323 | 10% | 1,119 | 1,117 | $246K | |
| 72141 | 10.0% | 1,217 | 1,217 | $245K | |
| 95913 | 4.9% | 570 | 568 | $119K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | 4.6% | 320 | 319 | $112K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.4% | 2,531 | 2,514 | $107K |
| 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 | 3.7% | 711 | 711 | $91K |
| 62321 | 3.0% | 308 | 308 | $73K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 544 | 544 | $54K |
| 95886 | 1.6% | 541 | 539 | $39K |
15 more codes
| 99442 | 1.2% | 467 | $30K | |
| 72158 | 1.0% | 77 | $25K | |
| 99441 | <1% | 580 | $23K | |
| 72114 | <1% | 493 | $17K | |
| 72052 | <1% | 279 | $9K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 36 | $8K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,206 | $5K |
| 72110 | <1% | 107 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 26 | $3K |
| 72050 | <1% | 76 | $3K | |
| 64490 | <1% | 12 | $1K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 474 | $300.91 |
| 72100 | <1% | 13 | $216.60 | |
| 99406 | 0% | 20 | $0.00 | |
| 99024 | 0% | 105 | $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 officialQANDAH, NICHOLAS (OWNER)