Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Manhattan Ent and Facial Plastic Surgery, P.C.

Manhattan Ent and Facial Plastic Surgery, P.C. was paid $1.64M by Medicaid between Sep 2020 and Dec 2024, across 8 billing codes. Its largest line is 31231, — 29% of everything it billed.

33Billing provider infoMANHATTAN ENT AND FACIAL PLASTIC SURGERY, P.C.
NEW YORK, NY 10013
33aNPI1285197020assigned 04/09/2019
33bProvider typeOtolaryngology Physician
28Total paid$1.64M
24GClaims15,443
24DCodes billed8
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers

Next to other Otolaryngology Physician providers in New York

Rank by total paid#15 of 302
Median peer was paid$10K
This provider vs. median162×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
2020443$53K
20211,713$195K
20223,331$366K
20234,821$507K
2024incomplete5,135$518K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
31231 29% 2,408 2,312 $475K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23% 3,999 3,750 $371K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 19% 2,577 2,577 $308K
31575 14% 1,752 1,731 $233K
69200 6.3% 2,251 1,135 $103K
69210 5.9% 2,134 2,106 $98K
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 3.2% 287 287 $52K
99051 <1% 35 34 $57.75

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 officialLAM, HERMAN (PHYSICIAN)