Pommier, Max

Pommier, Max was paid $72K by Medicaid between May 2018 and Oct 2024, across 10 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 45% of everything it billed.

33Billing provider infoPOMMIER, MAX
BAY SHORE, NY 11706

33aNPI1194010579assigned 06/14/2011

33bProvider typeNephrology Physician

28Total paid$72K

24GClaims6,400

24DCodes billed10

24AFirst – last monthMay 2018 – Oct 2024

Compared with peers

Next to other Nephrology Physician providers in New York

Rank by total paid#146 of 559

Median peer was paid$18K

This provider vs. median4.1×

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	95	$2K
2019	624	$7K
2020	1,103	$9K
2021	1,502	$14K
2022	1,515	$15K
2023	879	$16K
2024incomplete	682	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	45%	869	869	$32K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	28%	2,789	1,227	$20K
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	23%	804	790	$17K
90935	Hemodialysis procedure with single evaluation by a physician	4.2%	561	343	$3K
G9744	Patient not eligible due to active diagnosis of hypertension	0%	375	362	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	169	165	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	444	429	$0.00
G8482	Influenza immunization administered or previously received	0%	13	12	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	272	264	$0.00
G9664	Patients who are currently statin therapy users or received an order (prescription) for statin therapy	0%	104	103	$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.