Physician
Five Towns Medicine, P.C.
Five Towns Medicine, P.C. was paid $209K by Medicaid between May 2018 and Nov 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoFIVE TOWNS MEDICINE, P.C.
CEDARHURST, NY 11516
CEDARHURST, NY 11516
33aNPI1275832552assigned 03/25/2011
33bProvider typeCardiovascular Disease Physician
28Total paid$209K
24GClaims5,222
24DCodes billed15
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in New York
Rank by total paid#207 of 1,564
Median peer was paid$13K
This provider vs. median16×
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 | 57 | $1K | |
| 2019 | 187 | $6K | |
| 2020 | 745 | $20K | |
| 2021 | 1,193 | $45K | |
| 2022 | 903 | $36K | |
| 2023 | 1,433 | $68K | |
| 2024incomplete | 704 | $34K |
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 | 35% | 1,160 | 1,038 | $74K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 22% | 1,107 | 931 | $46K |
| 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 | 19% | 459 | 422 | $41K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 16% | 247 | 240 | $34K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.7% | 37 | 37 | $3K |
| 93000 | 1.4% | 237 | 234 | $3K | |
| 90686 | <1% | 85 | 85 | $2K | |
| 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 | <1% | 12 | 12 | $2K |
| 99306 | Prolong nursin fac eval 15m | <1% | 13 | 13 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 48 | 46 | $909.50 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 113 | 113 | $879.47 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 31 | 31 | $488.99 |
3 more codes
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 officialOSTREICHER, MARC (PRESIDENT)