Spadafora, Philip

Spadafora, Philip was paid $12K by Medicaid between Oct 2022 and Oct 2024, across 1 billing code. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.

33Billing provider infoSPADAFORA, PHILIP
GARDEN CITY, NY 11530

33aNPI1255386959assigned 05/23/2006

33bProvider typeInternal Medicine Physician

28Total paid$12K

24GClaims296

24DCodes billed1

24AFirst – last monthOct 2022 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#2,936 of 6,049

Median peer was paid$11K

This provider vs. median1.1×

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
2022	52	$2K
2023	173	$7K
2024incomplete	71	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	100%	296	265	$12K

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.