Efros, Mitchell

Efros, Mitchell was paid $797.15 by Medicaid between Oct 2018 and Oct 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 90% of everything it billed.

33Billing provider infoEFROS, MITCHELL
GARDEN CITY, NY 11530

33aNPI1205892163assigned 04/20/2006

33bProvider typeUrology Physician

28Total paid$797.15

24GClaims568

24DCodes billed4

24AFirst – last monthOct 2018 – Oct 2024

Compared with peers

Next to other Urology Physician providers in New York

Rank by total paid#356 of 461

Median peer was paid$6K

This provider vs. median0.1×

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	14	$0.00
2019	26	$4.20
2020	12	$8.21
2021	183	$306.06
2022	171	$434.95
2023	56	$34.52
2024incomplete	106	$9.21

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	90%	111	110	$715.13
81003		6.0%	359	340	$47.93
51798		4.3%	57	54	$34.09
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	0%	41	37	$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.