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

Cross Island Medical LLC

Cross Island Medical LLC was paid $267K by Medicaid between Aug 2021 and Oct 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.

33Billing provider infoCROSS ISLAND MEDICAL LLC
HOWARD BEACH, NY 11414
33aNPI1285290775assigned 05/10/2019
28Total paid$267K
24GClaims6,018
24DCodes billed25
24AFirst – last monthAug 2021 – Oct 2024
Compared with peers

Next to other Urgent Care Clinic/Center providers in New York

Rank by total paid#79 of 138
Median peer was paid$576K
This provider vs. median0.5×

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$10K$20K$30K2018201920202021202220232024
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
202194$6K
20222,238$101K
20232,837$129K
2024incomplete849$31K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 72% 2,332 1,948 $193K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16% 689 689 $42K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 5.6% 549 532 $15K
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 2.5% 60 57 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2.4% 585 303 $6K
99441 <1% 54 53 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 64 63 $637.09
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 35 35 $547.06
36415 Collection of venous blood by venipuncture <1% 143 137 $127.89
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 281 218 $94.46
S9083 Global fee urgent care centers <1% 141 134 $67.54
3078F <1% 42 40 $50.00
13 more codes
81000 <1% 12 $32.16
3074F <1% 28 $25.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 21 $0.00
99000 0% 380 $0.00
G9275 Documentation that patient is a current non-tobacco user 0% 18 $0.00
1101F 0% 59 $0.00
3008F 0% 13 $0.00
3725F 0% 174 $0.00
1100F 0% 58 $0.00
1160F 0% 100 $0.00
1159F 0% 100 $0.00
3288F 0% 59 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 21 $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.

From NPPES

Who's on the registration

Authorized officialPANDYA, HIMANSHU (PRESIDENT)
Same official

Other billing entities under PANDYA, HIMANSHU

Full network →
ProviderLocationPaid
Floral Park Medical PCFloral Park, NY$269K
New Hillside Medical LLCFloral Park, NY$6K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.