Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › LAKE SUCCESS › PROHEALTH CARE ASSOCIATES LLP

PROHEALTH CARE ASSOCIATES LLP

NPI: 1275596280 · LAKE SUCCESS, NY 11042 · Pain Medicine (Anesthesiology) Physician · NPI assigned 04/10/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COOPER, DAVID controls 13+ related entities in our dataset. Read more

$69.52M
Total Medicaid Paid
1,061,412
Total Claims
900,445
Beneficiaries
291
Codes Billed
2018-01
First Month
2022-11
Last Month

Provider Details

Authorized OfficialCOOPER, DAVID (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date04/10/2006

Related Entities

Other providers sharing the same authorized official: COOPER, DAVID

ProviderCityStateTotal Paid
C H L EMS INC VISALIA CA $10.59M
CHESTER COUNTY PEDIATRICS DOWNINGTON PA $4.85M
STODDARD COUNTY AMBULANCE DISTRICT DEXTER MO $4.67M
TIDEWATER LLC LEXINGTON PARK MD $735K
DRS. COOPER & BANNINGER, LLC. SALINA KS $587K
NO LIMIT LIFE LLC PENNSAUKEN NJ $366K
TIDEWATER LLC LEXINGTON PARK MD $192K
TIDEWATER LLC SOLOMONS MD $82K
TIDEWATER LLC PRINCE FREDERICK MD $74K
TIDEWATER LLC DUNKIRK MD $21K
TIDEWATER LLC LANHAM MD $21K
MOBILE MEDICAL SERVICES P.C. NEW HYDE PARK NY $3K
CHESTER COUNTY PEDIATRICS PC AVONDALE PA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 110,800 $8.42M
2019 247,127 $14.39M
2020 263,795 $15.73M
2021 305,764 $20.78M
2022 133,926 $10.20M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 166,250 154,441 $15.01M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 58,386 55,920 $7.51M
S9083 Global fee urgent care centers 34,114 31,020 $5.98M
76641 24,916 22,669 $2.53M
77067 Screening mammography, bilateral, including computer-aided detection 20,230 20,195 $2.28M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 20,603 20,568 $2.25M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 60,565 25,651 $2.14M
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 49,518 20,040 $1.89M
76700 Ultrasound, abdominal, real time with image documentation; complete 15,361 15,340 $1.69M
90460 Immunization administration through 18 years of age via any route, first or only component 61,543 60,951 $1.41M
97530 Therapeutic activities, direct patient contact, each 15 minutes 32,780 13,228 $1.39M
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 45,590 19,419 $1.34M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 9,199 8,620 $1.19M
92060 16,096 15,942 $1.16M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 6,299 6,293 $1.05M
72148 Magnetic resonance imaging, lumbar spine; without contrast material 3,563 3,542 $835K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 9,792 9,701 $822K
70551 Magnetic resonance imaging, brain; without contrast material 3,261 3,245 $788K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 3,310 3,045 $760K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 4,036 4,035 $666K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,286 6,282 $611K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,992 5,988 $596K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,035 5,991 $563K
74183 1,329 1,328 $542K
77063 Screening digital breast tomosynthesis, bilateral 11,616 11,603 $523K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,305 5,951 $512K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 8,570 8,388 $494K
76536 5,094 5,063 $488K
76830 Ultrasound, transvaginal 4,799 4,730 $475K
71046 Radiologic examination, chest; 2 views 16,949 16,903 $475K
78815 Positron emission tomography (PET) for limited area imaging 417 410 $470K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,214 1,207 $462K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 13,778 13,417 $454K
31231 1,878 1,808 $425K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,765 3,562 $399K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,666 3,662 $384K
72197 970 968 $379K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,462 3,453 $372K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 881 877 $335K
19083 484 473 $323K
77065 Tomosynthesis, mammo 2,906 2,838 $322K
72141 1,369 1,364 $308K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 5,027 2,218 $299K
92250 6,600 6,106 $287K
71250 1,697 1,697 $248K
99215 Prolong outpt/office vis 1,230 1,205 $216K
73221 893 843 $215K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 20,419 19,947 $203K
75574 650 649 $189K
76770 1,811 1,799 $170K
92015 Determination of refractive state 15,209 15,192 $169K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 931 748 $165K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 10,398 5,851 $164K
77066 Tomosynthesis, mammo 1,162 1,152 $163K
87428 3,245 3,186 $162K
97161 2,513 2,509 $156K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,668 1,442 $155K
73630 5,052 4,610 $148K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 463 459 $124K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 6,516 6,379 $120K
90461 4,248 4,225 $115K
74177 Computed tomography, abdomen and pelvis; with contrast material 450 449 $113K
92551 10,767 10,759 $107K
92557 2,603 2,550 $101K
77080 2,777 2,772 $100K
92552 3,232 3,227 $98K
74176 Computed tomography, abdomen and pelvis; without contrast material 597 595 $94K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 818 816 $88K
76642 1,175 1,131 $81K
96127 16,825 16,670 $79K
41010 292 291 $79K
70486 583 576 $79K
73562 2,317 1,963 $78K
74178 243 243 $73K
96110 Developmental screening, with scoring and documentation, per standardized instrument 13,448 13,289 $73K
52000 294 293 $72K
92587 3,427 3,380 $72K
92567 4,514 4,323 $72K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 611 542 $69K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 338 336 $68K
95117 5,059 2,409 $67K
99205 Prolong outpt/office vis 414 414 $63K
92082 1,124 1,124 $58K
58340 233 233 $55K
36902 53 51 $52K
73610 1,624 1,509 $49K
17110 365 307 $48K
77049 146 146 $47K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 305 305 $46K
31575 309 302 $45K
97535 Self-care/home management training, each 15 minutes 1,738 1,361 $44K
72110 1,002 1,000 $44K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,537 4,485 $42K
92588 843 841 $40K
73130 1,318 1,232 $40K
J2785 Injection, regadenoson, 0.1 mg 267 267 $36K
72100 1,105 1,104 $36K
93970 196 194 $35K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 271 271 $34K
88313 235 216 $32K
73620 1,021 859 $31K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 252 221 $30K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 771 751 $29K
93000 1,688 1,668 $27K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 1,267 1,231 $27K
73030 992 917 $27K
81003 16,112 14,989 $26K
73718 83 76 $23K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,157 3,754 $20K
93015 281 281 $20K
11750 116 102 $19K
88342 224 207 $19K
93976 105 104 $17K
94010 468 412 $17K
92226 688 406 $16K
10040 117 114 $16K
77072 782 782 $16K
92133 385 383 $15K
51798 1,054 1,021 $14K
92201 628 329 $14K
99173 8,130 8,122 $14K
99201 155 154 $14K
72040 432 432 $13K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 560 536 $13K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 559 535 $13K
A9585 Injection, gadobutrol, 0.1 ml 179 169 $13K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 109 55 $12K
87184 2,120 2,062 $11K
88112 188 185 $11K
87081 2,531 2,467 $11K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 29 29 $11K
99152 235 228 $11K
90832 Psychotherapy, 30 minutes with patient 177 111 $10K
77061 238 238 $10K
92550 437 412 $10K
76376 1,013 998 $10K
99223 Prolong inpt eval add15 m 49 49 $9K
70450 Computed tomography, head or brain; without contrast material 87 86 $9K
36415 Collection of venous blood by venipuncture 10,004 9,494 $9K
81025 2,135 2,068 $8K
73110 257 234 $8K
77062 194 194 $8K
88341 91 91 $8K
82565 1,708 1,696 $8K
A9575 Injection, gadoterate meglumine, 0.1 ml 2,654 2,548 $7K
99232 Subsequent hospital care, per day, moderate complexity 153 50 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 94 93 $7K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 234 228 $7K
97014 671 313 $7K
99177 1,504 1,502 $7K
64615 37 37 $7K
99188 412 411 $7K
99441 283 279 $6K
73560 200 196 $6K
97162 68 68 $6K
74740 99 98 $6K
69210 194 189 $6K
J0585 Injection, onabotulinumtoxina, 1 unit 17 12 $6K
20550 90 65 $6K
99385 47 47 $6K
81002 2,492 2,190 $5K
92285 313 312 $5K
90792 Psychiatric diagnostic evaluation with medical services 28 28 $5K
93880 39 39 $5K
92504 386 362 $5K
87807 530 507 $5K
95806 40 40 $4K
86769 99 99 $4K
99478 34 12 $4K
99000 14,525 14,045 $4K
90686 9,842 9,793 $4K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 14 13 $4K
20600 64 51 $4K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 26 26 $3K
72146 14 14 $3K
93971 25 25 $3K
74018 123 122 $3K
97113 46 29 $3K
97010 14,670 6,821 $3K
93925 12 12 $3K
85018 1,499 1,493 $3K
99051 753 735 $3K
76775 45 45 $3K
77085 69 69 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 170 170 $2K
88304 59 56 $2K
99244 Office or other outpatient consultation, moderate to high complexity 12 12 $2K
76870 26 26 $2K
51741 170 162 $2K
92202 114 114 $2K
95886 13 13 $2K
84153 115 115 $2K
80061 Lipid panel 331 326 $2K
92225 68 68 $2K
0072A 44 44 $2K
0012A 47 47 $2K
0071A 40 40 $2K
99233 Prolong inpt eval add15 m 17 14 $2K
11900 27 26 $2K
95018 30 30 $2K
76801 15 15 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 810 687 $2K
46600 13 12 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 93 89 $1K
73100 44 44 $1K
96160 995 970 $1K
94760 3,118 2,960 $1K
90688 77 77 $1K
97165 27 27 $1K
99243 14 14 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 51 50 $1K
76882 27 25 $1K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 14 13 $1K
73502 30 29 $1K
97116 60 29 $1K
72070 33 33 $1K
97022 67 39 $972.91
99239 Hospital discharge day management, more than 30 minutes 12 12 $958.70
72083 15 15 $954.85
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 134 134 $897.93
97802 305 301 $788.66
0011A 22 22 $785.64
86580 115 114 $783.78
99050 27 27 $777.06
76857 16 12 $770.05
20605 14 12 $731.82
0001A 15 15 $660.12
72082 12 12 $617.70
72050 13 13 $589.74
0002A 13 13 $580.72
99401 77 77 $560.10
90651 289 288 $546.84
84439 102 101 $512.75
83036 Hemoglobin; glycosylated (A1C) 69 68 $498.69
84520 142 142 $493.16
97803 13 12 $479.45
80053 Comprehensive metabolic panel 78 78 $443.06
83655 38 38 $434.17
99408 179 177 $421.70
81001 152 144 $421.03
90756 14 14 $404.63
71100 12 12 $389.29
70210 13 13 $364.75
73080 14 13 $333.75
82465 131 131 $301.52
81000 87 85 $296.14
73140 12 12 $266.90
72220 13 13 $246.14
95012 13 13 $245.95
80048 Basic metabolic panel (calcium, ionized) 41 41 $240.65
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 285 282 $220.00
90670 873 870 $215.84
94667 47 47 $202.44
84480 12 12 $201.27
84436 60 59 $193.56
94664 47 47 $187.87
85652 95 92 $173.83
90621 60 60 $159.33
90734 424 424 $139.29
85027 75 74 $137.06
84479 47 46 $114.04
80050 General health panel 32 32 $109.06
84443 Thyroid stimulating hormone (TSH) 13 13 $99.80
36416 2,578 2,565 $75.56
96161 43 40 $66.27
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 44 14 $40.85
90656 59 59 $19.77
99172 12 12 $16.14
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 56 55 $2.62
J1100 Injection, dexamethasone sodium phosphate, 1 mg 13 12 $2.14
90698 810 808 $0.00
90696 15 15 $0.00
99024 118 99 $0.00
90680 261 261 $0.00
90744 104 104 $0.00
90694 14 14 $0.00
82962 34 33 $0.00
90619 13 13 $0.00
90716 14 14 $0.00
99070 12 12 $0.00
0502F 778 580 $0.00
90672 79 63 $0.00
90707 12 12 $0.00
90685 98 98 $0.00
99080 393 168 $0.00
90710 26 26 $0.00
90633 26 26 $0.00
90715 95 95 $0.00
90700 14 14 $0.00
90658 18 18 $0.00
90648 13 13 $0.00