NPI: 1184041899 · BELLPORT, NY 11713 · Family Medicine Physician · NPI assigned 03/20/2014
| Authorized Official | FARRELL, BRENDA (CHIEF FINANCIAL OFFICERE) |
| Parent Organization | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER |
| NPI Enumeration Date | 03/20/2014 |
Other providers sharing the same authorized official: FARRELL, BRENDA
| Provider | City | State | Total Paid |
|---|---|---|---|
| BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER, INC. | PATCHOGUE | NY | $138K |
| BROOKHAVEN SURGICAL SERVICES PC | PATCHOGUE | NY | $9K |
| BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER, INC. | PATCHOGUE | NY | $8K |
| BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER | PATCHOGUE | NY | $206.44 |
| BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER, INC. | PATCHOGUE | NY | $79.76 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 100 | $2K |
| 2019 | 425 | $11K |
| 2020 | 446 | $15K |
| 2021 | 584 | $33K |
| 2022 | 502 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,332 | 1,120 | $69K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 124 | 120 | $10K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 511 | 392 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 40 | 32 | $280.98 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 12 | 12 | $25.00 |
| 36415 | Collection of venous blood by venipuncture | 26 | 25 | $3.75 |
| 81003 | 12 | 12 | $0.00 |