Marc Braunstein MD PLLC

Marc Braunstein MD PLLC was paid $174K by Medicaid between Dec 2020 and Nov 2024, across 5 billing codes. Its largest line is 95004, Percutaneous tests with allergenic extracts, immediate type reaction — 39% of everything it billed.

33Billing provider infoMARC BRAUNSTEIN MD PLLC
WOODMERE, NY 11598

33aNPI1235653007assigned 08/02/2017

33bProvider typeAllergy & Immunology Physician

28Total paid$174K

24GClaims2,284

24DCodes billed5

24AFirst – last monthDec 2020 – Nov 2024

Compared with peers

Next to other Allergy & Immunology Physician providers in New York

Rank by total paid#42 of 135

Median peer was paid$34K

This provider vs. median5.2×

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
2020	13	$4K
2021	393	$32K
2022	898	$72K
2023	811	$47K
2024incomplete	169	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95004	Percutaneous tests with allergenic extracts, immediate type reaction	39%	289	287	$68K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	37%	889	428	$63K
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	20%	222	222	$35K
95115		3.5%	801	355	$6K
95117		<1%	83	24	$806.48

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.

From NPPES

Who's on the registration

Authorized officialBRAUNSTEIN, MARC (PHYSICIAN)