Clarkstown Medical Care P.C.

Clarkstown Medical Care P.C. was paid $216K by Medicaid between Sep 2019 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.

33Billing provider infoCLARKSTOWN MEDICAL CARE P.C.
NEW CITY, NY 10956

33aNPI1275020315assigned 04/14/2018

33bProvider typeAdult Medicine Physician

28Total paid$216K

24GClaims6,835

24DCodes billed12

24AFirst – last monthSep 2019 – Dec 2024

Compared with peers

Next to other Adult Medicine Physician providers in New York

Rank by total paid#8 of 54

Median peer was paid$23K

This provider vs. median9.2×

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
2019	84	$468.98
2020	596	$18K
2021	1,667	$48K
2022	1,205	$34K
2023	1,635	$57K
2024incomplete	1,648	$57K

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	51%	1,539	1,429	$111K
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	40%	843	828	$85K
51798		2.9%	615	587	$6K
81002		1.9%	2,131	2,036	$4K
36415	Collection of venous blood by venipuncture	1.2%	1,413	1,387	$3K
0012A		<1%	44	44	$2K
0013A		<1%	33	33	$1K
0011A		<1%	33	33	$1K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	66	63	$939.25
93000		<1%	54	54	$729.53
0031A		<1%	18	18	$654.12
91301		<1%	46	43	$0.02

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 officialSAYEGH, JAMES (OWNER)