Physician
43RD ST Family Practice PLLC
43RD ST Family Practice PLLC was paid $38K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider info43RD ST FAMILY PRACTICE PLLC
SUNNYSIDE, NY 11104
SUNNYSIDE, NY 11104
33aNPI1194830265assigned 08/20/2006
33bProvider typeFamily Medicine Physician
28Total paid$38K
24GClaims8,094
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#851 of 2,605
Median peer was paid$10K
This provider vs. median3.8×
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 | 669 | $11K | |
| 2019 | 776 | $7K | |
| 2020 | 1,191 | $4K | |
| 2021 | 1,849 | $6K | |
| 2022 | 1,230 | $4K | |
| 2023 | 1,528 | $5K | |
| 2024incomplete | 851 | $2K |
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 | 40% | 3,126 | 2,986 | $15K |
| 93000 | 33% | 878 | 869 | $13K | |
| 90686 | 8.4% | 180 | 180 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 7.7% | 304 | 303 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.5% | 206 | 206 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.5% | 21 | 20 | $946.78 |
| 90688 | 1.1% | 44 | 44 | $411.79 | |
| 81000 | <1% | 269 | 268 | $328.60 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 121 | 121 | $126.36 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,374 | 1,371 | $68.85 |
| 90658 | <1% | 14 | 14 | $65.58 | |
| G0008 | Administration of influenza virus vaccine | <1% | 15 | 15 | $40.00 |
8 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 12 | $27.30 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 409 | $0.00 |
| 1160F | 0% | 15 | $0.00 | |
| 3078F | 0% | 25 | $0.00 | |
| 1036F | 0% | 320 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 563 | $0.00 |
| 36410 | 0% | 172 | $0.00 | |
| 3074F | 0% | 26 | $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 officialMADDINENI, DURGA (MD)