Physician
Condon, Edward
Condon, Edward was paid $2.47M by Medicaid between Jan 2018 and Nov 2024, across 51 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoCONDON, EDWARD
COMMACK, NY 11725
COMMACK, NY 11725
33aNPI1225058969assigned 07/19/2006
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$2.47M
24GClaims161,222
24DCodes billed51
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in New York
Rank by total paid#6 of 344
Median peer was paid$9K
This provider vs. median275×
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 | 22,245 | $331K | |
| 2019 | 29,400 | $453K | |
| 2020 | 21,384 | $391K | |
| 2021 | 17,047 | $305K | |
| 2022 | 27,207 | $384K | |
| 2023 | 28,485 | $374K | |
| 2024incomplete | 15,454 | $236K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 36% | 17,544 | 16,240 | $899K |
| 76536 | 5.4% | 2,088 | 2,050 | $135K | |
| 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 | 5.4% | 1,539 | 1,534 | $134K |
| 83970 | 4.5% | 6,103 | 6,072 | $112K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 3.9% | 6,862 | 6,813 | $97K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.2% | 2,165 | 2,123 | $79K |
| 82308 | 2.6% | 5,405 | 5,369 | $65K | |
| 84681 | 2.4% | 6,089 | 5,959 | $59K | |
| 84443 | Thyroid stimulating hormone (TSH) | 2.3% | 7,504 | 7,437 | $58K |
| 84146 | 2.3% | 6,244 | 6,188 | $56K | |
| 84481 | 2.2% | 7,416 | 7,360 | $56K | |
| 82670 | 2.2% | 3,835 | 3,798 | $54K |
39 more codes
| 86800 | 2.1% | 7,288 | $53K | |
| 84403 | 2.0% | 3,873 | $50K | |
| 86376 | 2.0% | 7,338 | $49K | |
| 82607 | 1.9% | 6,702 | $47K | |
| 82024 | 1.7% | 2,193 | $42K | |
| 84270 | 1.6% | 3,687 | $40K | |
| 84442 | 1.5% | 5,745 | $37K | |
| 83001 | 1.5% | 3,853 | $37K | |
| 83002 | 1.5% | 3,846 | $37K | |
| 82626 | 1.4% | 2,487 | $35K | |
| 83525 | 1.3% | 6,154 | $33K | |
| 84432 | 1.3% | 4,814 | $32K | |
| 84439 | 1.2% | 7,545 | $30K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.2% | 5,513 | $30K |
| 84144 | 1.1% | 2,871 | $28K | |
| 94690 | <1% | 701 | $23K | |
| 82533 | <1% | 2,177 | $18K | |
| 84445 | <1% | 783 | $16K | |
| 93922 | <1% | 130 | $7K | |
| 84305 | <1% | 599 | $6K | |
| 92250 | <1% | 131 | $4K | |
| 83003 | <1% | 572 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 102 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 40 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,533 | $3K |
| 0012A | <1% | 54 | $2K | |
| 0011A | <1% | 57 | $2K | |
| 86769 | <1% | 41 | $1K | |
| 82627 | <1% | 29 | $405.67 | |
| 80053 | Comprehensive metabolic panel | <1% | 111 | $398.92 |
| 82565 | <1% | 85 | $197.48 | |
| 80061 | Lipid panel | <1% | 24 | $113.75 |
| 82310 | <1% | 79 | $107.33 | |
| 84520 | <1% | 85 | $105.36 | |
| 84295 | <1% | 39 | $67.32 | |
| 84132 | <1% | 34 | $51.20 | |
| 80069 | <1% | 13 | $37.39 | |
| 80076 | <1% | 15 | $28.62 | |
| 99080 | 0% | 85 | $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.