Physician
Stephen, Mark
Stephen, Mark was paid $19K by Medicaid between Jun 2019 and Nov 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.
33Billing provider infoSTEPHEN, MARK
FRESH MEADOWS, NY 11365
FRESH MEADOWS, NY 11365
33aNPI1275912495assigned 05/20/2015
33bProvider typeFamily Medicine Physician
28Total paid$19K
24GClaims804
24DCodes billed7
24AFirst – last monthJun 2019 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#1,081 of 2,605
Median peer was paid$10K
This provider vs. median1.9×
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 | 203 | $3K | |
| 2020 | 29 | $767.39 | |
| 2021 | 128 | $2K | |
| 2022 | 28 | $1K | |
| 2023 | 200 | $6K | |
| 2024incomplete | 216 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 76% | 468 | 461 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 243 | 235 | $5K |
| 1160F | 0% | 14 | 13 | $0.00 | |
| 1159F | 0% | 15 | 14 | $0.00 | |
| 1036F | 0% | 29 | 26 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 20 | 17 | $0.00 |
| 99429 | 0% | 15 | 12 | $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.