Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › PORT JEFFERSON STATION › NORTH SHORE IMMEDIATE MEDICAL CARE P.C.

NORTH SHORE IMMEDIATE MEDICAL CARE P.C.

NPI: 1225253537 · PORT JEFFERSON STATION, NY 11776 · Family Medicine Physician · NPI assigned 04/13/2007

$50K
Total Medicaid Paid
1,300
Total Claims
1,130
Beneficiaries
2
Codes Billed
2018-01
First Month
2022-02
Last Month

Provider Details

Authorized OfficialMITROMARAS, ANTOUN (PRESIDENT)
NPI Enumeration Date04/13/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 263 $10K
2019 283 $11K
2020 324 $12K
2021 366 $14K
2022 64 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,288 1,118 $49K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12 12 $629.44