Maimonides Medical Center - Maimo Criticare FPP

Maimonides Medical Center - Maimo Criticare FPP was paid $341K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 39% of everything it billed.

33Billing provider infoMAIMONIDES MEDICAL CENTER - MAIMO CRITICARE FPP
BROOKLYN, NY 11219

33aNPI1265547178assigned 08/20/2006

33bProvider typePulmonary Disease Physician

28Total paid$341K

24GClaims5,169

24DCodes billed17

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in New York

Rank by total paid#33 of 413

Median peer was paid$8K

This provider vs. median43×

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	441	$6K
2019	498	$13K
2020	208	$13K
2021	516	$18K
2022	1,152	$81K
2023	1,324	$112K
2024incomplete	1,030	$98K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	39%	876	493	$133K
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	13%	432	426	$46K
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	12%	251	251	$41K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	11%	486	485	$37K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	7.9%	250	250	$27K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	5.4%	317	151	$18K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	3.4%	149	79	$12K
94060		2.1%	770	765	$7K
94726		1.9%	740	735	$6K
94729		1.3%	719	715	$5K
99223	Prolong inpt eval add15 m	1.1%	37	33	$4K
95810	Polysomnography; sleep staging with 4 or more additional parameters	<1%	24	24	$3K

5 more codes

99222	Initial hospital care, per day, moderate complexity	<1%	14	$2K
99221		<1%	14	$1K
94760		<1%	29	$3.47
1126F		0%	15	$0.00
G9622	Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method	0%	46	$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 officialTESSLER, SIDNEY (DIRECTOR, DIV. OF PULM/CRIT CARE)