Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Nissirios, Nicholas

Nissirios, Nicholas was paid $249K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 26% of everything it billed.

33Billing provider infoNISSIRIOS, NICHOLAS
BAYSIDE, NY 11361
33aNPI1205130754assigned 12/26/2010
33bProvider typeOphthalmology Physician
28Total paid$249K
24GClaims21,004
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#260 of 1,085
Median peer was paid$34K
This provider vs. median7.4×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2018787$3K
20192,688$28K
20203,475$50K
20213,714$58K
20222,943$30K
20234,054$47K
2024incomplete3,343$33K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 26% 1,188 1,174 $65K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 22% 2,227 1,997 $53K
92250 20% 2,179 2,136 $50K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 19% 1,156 1,148 $46K
92136 7.4% 897 880 $18K
68761 1.5% 87 42 $4K
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% 28 27 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 64 61 $2K
92015 Determination of refractive state <1% 356 355 $2K
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 <1% 56 55 $2K
92225 <1% 278 142 $2K
66821 <1% 17 14 $1K
9 more codes
92226 <1% 29 $198.34
92020 <1% 12 $111.59
92134 <1% 15 $86.43
1036F 0% 4,092 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 0% 632 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 3,871 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 3,430 $0.00
0517F 0% 366 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 24 $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.