Physician
Northern Medical Group, PLLC
Northern Medical Group, PLLC was paid $14.02M by Medicaid between Jan 2018 and Dec 2024, across 113 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoNORTHERN MEDICAL GROUP, PLLC
BREWSTER, NY 10509
BREWSTER, NY 10509
33aNPI1174994826assigned 10/07/2015
33bProvider typePediatrics Physician
28Total paid$14.02M
24GClaims204,785
24DCodes billed113
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#13 of 1,983
Median peer was paid$17K
This provider vs. median826×
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 | 28,861 | $1.57M | |
| 2019 | 27,375 | $1.64M | |
| 2020 | 30,800 | $2.05M | |
| 2021 | 38,295 | $2.97M | |
| 2022 | 37,400 | $2.94M | |
| 2023 | 31,339 | $2.14M | |
| 2024incomplete | 10,715 | $705K |
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 | 37% | 60,446 | 53,705 | $5.12M |
| 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 | 30% | 37,841 | 34,399 | $4.25M |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 6.3% | 17,808 | 15,932 | $881K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 5.6% | 3,862 | 3,599 | $778K |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | 3.5% | 3,747 | 3,071 | $497K |
| 88341 | 2.5% | 2,080 | 2,063 | $344K | |
| 88313 | 1.7% | 1,935 | 1,929 | $245K | |
| 88342 | 1.6% | 2,496 | 2,475 | $220K | |
| 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 | 1.4% | 1,095 | 1,093 | $197K |
| 88312 | 1.3% | 1,272 | 1,266 | $186K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 1,008 | 1,004 | $116K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,883 | 2,532 | $97K |
101 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,286 | $82K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 516 | $61K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 477 | $58K |
| 92552 | <1% | 1,548 | $48K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 7,778 | $47K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 375 | $41K |
| 80053 | Comprehensive metabolic panel | <1% | 4,366 | $38K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 814 | $37K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 189 | $34K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 289 | $34K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,374 | $33K |
| 80305 | <1% | 2,706 | $33K | |
| 99051 | <1% | 2,269 | $32K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,711 | $32K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 177 | $28K |
| 43237 | <1% | 109 | $24K | |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | <1% | 167 | $22K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 155 | $21K |
| 99442 | <1% | 232 | $21K | |
| 92587 | <1% | 903 | $21K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 175 | $17K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 109 | $17K |
| 99441 | <1% | 292 | $16K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,125 | $15K |
| 80061 | Lipid panel | <1% | 1,580 | $15K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 114 | $15K |
| 00731 | <1% | 115 | $14K | |
| 00813 | <1% | 96 | $13K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 120 | $12K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,020 | $12K |
| 93000 | <1% | 703 | $11K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,327 | $10K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 401 | $10K |
| 96160 | <1% | 3,053 | $10K | |
| 91065 | <1% | 94 | $9K | |
| 86580 | <1% | 1,041 | $9K | |
| 44361 | <1% | 56 | $9K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 44 | $9K |
| 0011A | <1% | 221 | $9K | |
| 81002 | <1% | 2,680 | $8K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 74 | $8K |
| 0012A | <1% | 173 | $8K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 10,653 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 101 | $5K |
| 90674 | <1% | 162 | $4K | |
| 00811 | <1% | 38 | $4K | |
| 99050 | <1% | 151 | $4K | |
| 83655 | <1% | 248 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 332 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 363 | $3K |
| 85018 | <1% | 1,216 | $3K | |
| 82607 | <1% | 266 | $3K | |
| 81003 | <1% | 1,563 | $3K | |
| 82746 | <1% | 240 | $3K | |
| 84481 | <1% | 210 | $3K | |
| 86769 | <1% | 65 | $3K | |
| 0031A | <1% | 65 | $2K | |
| 82728 | <1% | 175 | $2K | |
| 84439 | <1% | 223 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 23 | $2K |
| 4124F | <1% | 336 | $2K | |
| 0013A | <1% | 37 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 95 | $1K |
| S0285 | Colonoscopy consultation performed prior to a screening colonoscopy procedure | <1% | 24 | $1K |
| 00812 | <1% | 16 | $1K | |
| 90756 | <1% | 47 | $1K | |
| 97803 | <1% | 33 | $1K | |
| 90836 | <1% | 13 | $1K | |
| 83550 | <1% | 200 | $951.15 | |
| 0003A | <1% | 22 | $924.14 | |
| 83540 | <1% | 200 | $893.75 | |
| 90686 | <1% | 726 | $821.78 | |
| 0002A | <1% | 19 | $814.57 | |
| 99173 | <1% | 1,170 | $770.61 | |
| 11721 | <1% | 24 | $725.98 | |
| 73630 | <1% | 22 | $662.34 | |
| 85027 | <1% | 107 | $534.79 | |
| 36410 | <1% | 43 | $465.54 | |
| 0001A | <1% | 20 | $424.66 | |
| 82465 | <1% | 105 | $393.70 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 12 | $295.56 |
| 90688 | <1% | 13 | $230.94 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 26 | $221.84 |
| 86800 | <1% | 14 | $189.42 | |
| 90651 | <1% | 31 | $179.40 | |
| 86376 | <1% | 14 | $173.18 | |
| 90620 | <1% | 12 | $162.00 | |
| 90656 | <1% | 55 | $150.40 | |
| 92015 | Determination of refractive state | <1% | 135 | $111.93 |
| 92551 | <1% | 12 | $102.48 | |
| 90461 | <1% | 43 | $100.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 38 | $97.88 |
| 90734 | <1% | 27 | $85.00 | |
| 36416 | <1% | 826 | $39.00 | |
| 82962 | <1% | 13 | $37.49 | |
| 94760 | <1% | 205 | $16.46 | |
| 91300 | 0% | 43 | $0.00 | |
| 90670 | 0% | 31 | $0.00 | |
| 99000 | 0% | 59 | $0.00 | |
| 91301 | 0% | 263 | $0.00 | |
| 91303 | 0% | 33 | $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 officialBUSHEY, CHRISTINE (BILLING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Northern Heart Specialists PC | Brewster, NY | $51K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.