Physician
North Shore - Lij Pediatrics of Suffolk County, P.C.
North Shore - Lij Pediatrics of Suffolk County, P.C. was paid $4.60M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoNORTH SHORE - LIJ PEDIATRICS OF SUFFOLK COUNTY, P.C.
ISLANDIA, NY 11749
ISLANDIA, NY 11749
33aNPI1255722161assigned 02/13/2015
33bProvider typePediatrics Physician
28Total paid$4.60M
24GClaims117,710
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#69 of 1,983
Median peer was paid$17K
This provider vs. median271×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official CUSAK, MICHELE controls 12+ related entities in our dataset. Read more
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 | 5,350 | $333K | |
| 2019 | 11,287 | $558K | |
| 2020 | 18,592 | $699K | |
| 2021 | 24,014 | $830K | |
| 2022 | 22,115 | $862K | |
| 2023 | 18,078 | $710K | |
| 2024incomplete | 18,274 | $611K |
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 | 38% | 28,418 | 27,272 | $1.73M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 37% | 19,774 | 19,133 | $1.70M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.6% | 17,752 | 17,714 | $302K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.6% | 2,290 | 2,288 | $164K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.4% | 2,189 | 2,189 | $156K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.6% | 1,809 | 1,799 | $120K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 1,426 | 1,426 | $116K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.8% | 2,049 | 2,030 | $83K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 4,734 | 4,692 | $67K |
| 99072 | <1% | 7,692 | 7,301 | $45K | |
| 92551 | <1% | 5,216 | 5,211 | $35K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,786 | 888 | $17K |
27 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,781 | $13K |
| 99173 | <1% | 6,955 | $8K | |
| 96160 | <1% | 5,188 | $8K | |
| 99051 | <1% | 1,053 | $8K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 64 | $7K |
| 92552 | <1% | 184 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 118 | $5K |
| 96127 | <1% | 224 | $1K | |
| 0071A | <1% | 28 | $1K | |
| 83655 | <1% | 94 | $1K | |
| 90686 | <1% | 2,328 | $727.05 | |
| 0072A | <1% | 13 | $569.48 | |
| 92567 | <1% | 31 | $356.60 | |
| 90670 | <1% | 501 | $267.75 | |
| 81003 | <1% | 110 | $249.22 | |
| 85018 | <1% | 100 | $231.96 | |
| 90461 | <1% | 2,936 | $193.21 | |
| 90680 | <1% | 181 | $124.95 | |
| 96161 | <1% | 121 | $95.21 | |
| 81002 | <1% | 26 | $69.42 | |
| 90656 | <1% | 140 | $21.18 | |
| 90715 | 0% | 12 | $0.00 | |
| 90633 | 0% | 15 | $0.00 | |
| 90677 | 0% | 238 | $0.00 | |
| 90697 | 0% | 68 | $0.00 | |
| 94760 | 0% | 40 | $0.00 | |
| 90619 | 0% | 26 | $0.00 |
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 officialCUSAK, MICHELE (CFO)
| Provider | Location | Paid |
|---|---|---|
| Westchester Health Medical, P.C. | Katonah, NY | $2.26M |
| North Shore Lij Ob Gyn PC | Islandia, NY | $1.04M |
| North Shore - Lij Cardiology at Deer Park PC | Deer Park, NY | $624K |
| North Shore - Lij Medical Group at Syosset PC | Syosset, NY | $321K |
| North Shore Lij Internal Medicine at New Hyde Park PC | New Hyde Park, NY | $284K |
| North Shore Lij Medical Group at North Nassau, PC | Glen Cove, NY | $64K |
| The Long Island Home | Amityville, NY | $62K |
| North Shore Lij Heart Surgery PC | Brooklyn, NY | $61K |
| Lenox Hill Pathology, PC | New York, NY | $30K |
| North Shore - Lij Internal Medicine at Lynbrook PC | Lynbrook, NY | $6K |
| North Shore - Lij Radiology Services, PC | Great Neck, NY | $6K |
| North Shore-Lij Medical Group P.C. | Manhasset, NY | $518.65 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.