Fenar Themistocle MD PLLC
Fenar Themistocle MD PLLC was paid $379K by Medicaid between Jan 2018 and Jan 2021, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoFENAR THEMISTOCLE MD PLLC
BRONX, NY 10453
BRONX, NY 10453
33aNPI1265855597assigned 01/22/2014
33bProvider typeSpecialist
28Total paid$379K
24GClaims7,950
24DCodes billed18
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#272 of 1,221
Median peer was paid$45K
This provider vs. median8.4×
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 | 3,571 | $170K | |
| 2019 | 3,827 | $179K | |
| 2020 | 533 | $29K | |
| 2021 | 19 | $1K |
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 | 50% | 3,460 | 3,308 | $188K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 15% | 1,554 | 1,536 | $56K |
| 99243 | 9.7% | 435 | 435 | $37K | |
| 64484 | 6.9% | 99 | 99 | $26K | |
| 62323 | 5.6% | 204 | 204 | $21K | |
| 99152 | 4.9% | 455 | 455 | $19K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 103 | 103 | $9K |
| 64483 | 2.3% | 99 | 99 | $9K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 1.3% | 486 | 486 | $5K |
| 20552 | <1% | 101 | 99 | $4K | |
| 20610 | <1% | 28 | 27 | $1K | |
| 64493 | <1% | 25 | 25 | $1K |
6 more codes
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 239 | $1K |
| 64494 | <1% | 25 | $703.16 | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 536 | $405.81 |
| 99407 | <1% | 12 | $231.00 | |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | <1% | 16 | $2.33 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 73 | $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 officialTHEMISTOCLE, FENAR (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Interborough Anesthesia PLLC | Bronx, NY | $48K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.