Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MEDICAL CARE OF QUEENS, PC

NPI: 1225683840 · FRESH MEADOWS, NY 11366 · Hospice and Palliative Medicine (Internal Medicine) Physician · NPI assigned 08/09/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CUSACK, MICHELE controls 20+ related entities in our dataset. Read more

$5.03M
Total Medicaid Paid
114,369
Total Claims
85,248
Beneficiaries
34
Codes Billed
2020-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCUSACK, MICHELE (SENIOR VICE PRESIDENT & CFO)
NPI Enumeration Date08/09/2019

Related Entities

Other providers sharing the same authorized official: CUSACK, MICHELE

ProviderCityStateTotal Paid
LONG ISLAND JEWISH MEDICAL CENTER NEW HYDE PARK NY $370.91M
NORTH SHORE UNIVERSITY HOSPITAL NEW HYDE PARK NY $166.53M
STATEN ISLAND UNIVERSITY HOSPITAL STATEN ISLAND NY $118.12M
REGIONCARE INC. GARDEN CITY NY $96.55M
NORTH SHORE UNIVERSITY HOSPITAL MANHASSET NY $87.68M
LENOX HILL HOSPITAL NEW YORK NY $63.17M
SOUTH SHORE UNIVERSITY HOSPITAL BAY SHORE NY $47.45M
JOHN T. MATHER MEMORIAL HOSPITAL PORT JEFFERSON NY $20.34M
PHELPS MEMORIAL HOSPITAL ASSOCIATION SLEEPY HOLLOW NY $20.17M
NORTH SHORE UNIVERSITY HOSPITAL WESTBURY NY $17.90M
TRUE NORTH MEDICAL GROUP PC MERRICK NY $12.56M
HUNTINGTON HOSPITAL ASSOCIATION HUNTINGTON NY $9.83M
THE LONG ISLAND HOME AMITYVILLE NY $9.49M
REGIONCARE INC. GREAT NECK NY $9.43M
LONG ISLAND JEWISH MEDICAL CENTER VALLEY STREAM NY $8.41M
HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH CENTER GREENLAWN NY $8.03M
GLEN COVE HOSPITAL GLEN COVE NY $7.72M
CENTRAL SUFFOLK HOSPITAL RIVERHEAD NY $7.66M
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION MOUNT KISCO NY $7.58M
PLAINVIEW HOSPITAL PLAINVIEW NY $6.39M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 19,938 $753K
2021 28,795 $1.19M
2022 27,239 $1.12M
2023 30,398 $1.25M
2024 7,999 $714K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,292 13,244 $2.00M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,240 14,124 $1.32M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 6,527 2,580 $493K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2,418 1,474 $356K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 28,216 20,989 $196K
J1756 Injection, iron sucrose, 1 mg 4,138 1,474 $162K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 688 688 $120K
99205 Prolong outpt/office vis 462 462 $106K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,847 3,223 $59K
96367 731 407 $36K
96375 Therapeutic injection; each additional sequential IV push 885 492 $34K
99442 366 340 $28K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 194 194 $24K
36415 Collection of venous blood by venipuncture 29,713 21,601 $20K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) 43 25 $16K
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) 784 734 $9K
99232 Subsequent hospital care, per day, moderate complexity 127 76 $9K
99215 Prolong outpt/office vis 33 27 $6K
99443 55 49 $5K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 2,599 2,385 $4K
96417 40 24 $4K
J2469 Injection, palonosetron hcl, 25 mcg 99 48 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 62 58 $3K
99223 Prolong inpt eval add15 m 14 14 $3K
99422 58 54 $2K
99441 27 26 $993.19
90686 40 40 $839.54
96415 17 12 $705.02
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 42 25 $598.83
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 36 36 $567.61
99423 13 12 $504.71
J1100 Injection, dexamethasone sodium phosphate, 1 mg 395 194 $464.49
81025 40 38 $335.94
J1200 Injection, diphenhydramine hcl, up to 50 mg 128 79 $110.35