Vault Medical Group PA

Vault Medical Group PA was paid $2.18M by Medicaid between Sep 2020 and Jan 2023, across 12 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 79% of everything it billed.

33Billing provider infoVAULT MEDICAL GROUP PA
NEW YORK, NY 10022

33aNPI1295348019assigned 08/31/2020

33bProvider typeInternal Medicine Physician

28Total paid$2.18M

24GClaims139,808

24DCodes billed12

24AFirst – last monthSep 2020 – Jan 2023

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#121 of 6,049

Median peer was paid$11K

This provider vs. median193×

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
2020	37,376	$577K
2021	84,680	$1.30M
2022	17,693	$310K
2023	59	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	79%	112,621	91,874	$1.73M
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	6.9%	5,340	4,390	$151K
0002A		3.9%	2,355	2,289	$84K
0001A		3.2%	2,400	2,333	$71K
0012A		2.3%	1,741	1,697	$50K
0011A		1.8%	1,846	1,731	$38K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.3%	2,823	1,717	$28K
0031A		<1%	954	936	$17K
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	858	787	$15K
91300		<1%	4,620	3,985	$38.30
91301		<1%	3,310	3,191	$32.22
91303		<1%	940	922	$7.02

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 officialPASTUSZAK, ALEXANDER (CHIEF CLINICAL OFFICER)

Same official

Other billing entities under PASTUSZAK, ALEXANDER

Full network →

Provider	Location	Paid
Vault Medical Services of New Jersey PC	Hackensack, NJ	$14K

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