Raphael Reiss, a Physician P.C.
Raphael Reiss, a Physician P.C. was paid $515K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 76830, Ultrasound, transvaginal — 24% of everything it billed.
33Billing provider infoRAPHAEL REISS, A PHYSICIAN P.C.
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
33aNPI1245323815assigned 10/02/2006
33bProvider typeSpecialist
28Total paid$515K
24GClaims11,339
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#231 of 1,221
Median peer was paid$45K
This provider vs. median11×
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 | 419 | $17K | |
| 2019 | 870 | $34K | |
| 2020 | 1,798 | $77K | |
| 2021 | 2,189 | $107K | |
| 2022 | 2,000 | $91K | |
| 2023 | 2,065 | $92K | |
| 2024incomplete | 1,998 | $98K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76830 | Ultrasound, transvaginal | 24% | 1,966 | 1,849 | $124K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 1,670 | 1,537 | $118K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 14% | 724 | 724 | $72K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 1,455 | 1,302 | $57K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 9.2% | 843 | 836 | $47K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 8.2% | 672 | 591 | $42K |
| 59426 | 2.1% | 13 | 13 | $11K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 2.1% | 145 | 115 | $11K |
| 99459 | 1.4% | 381 | 373 | $7K | |
| 99401 | 1.2% | 254 | 250 | $6K | |
| 90674 | <1% | 162 | 161 | $5K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 54 | 50 | $4K |
7 more codes
| 81025 | <1% | 2,338 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 261 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 269 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $1K |
| 87660 | <1% | 41 | $421.16 | |
| 87480 | <1% | 40 | $411.30 | |
| 87510 | <1% | 39 | $401.44 |
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 officialREISS, RAPHAEL (PRESIDENT)