Physician
Esopus Medical, PC
Esopus Medical, PC was paid $1.16M by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoESOPUS MEDICAL, PC
RIFTON, NY 12471
RIFTON, NY 12471
33aNPI1295701787assigned 02/24/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.16M
24GClaims34,115
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#114 of 2,605
Median peer was paid$10K
This provider vs. median115×
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 | 829 | $19K | |
| 2019 | 2,365 | $41K | |
| 2020 | 4,395 | $142K | |
| 2021 | 6,898 | $226K | |
| 2022 | 7,092 | $260K | |
| 2023 | 6,513 | $251K | |
| 2024incomplete | 6,023 | $218K |
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 | 62% | 10,580 | 9,049 | $715K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 17% | 4,843 | 4,287 | $191K |
| 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 | 9.1% | 1,062 | 924 | $106K |
| 90686 | 4.9% | 5,134 | 5,134 | $57K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.9% | 6,761 | 6,667 | $34K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.9% | 1,235 | 971 | $22K |
| 90656 | 1.2% | 1,115 | 1,115 | $13K | |
| 0064A | <1% | 254 | 254 | $8K | |
| 0134A | <1% | 127 | 127 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 181 | 176 | $2K |
| 0111A | <1% | 66 | 66 | $2K | |
| 0112A | <1% | 32 | 32 | $960.00 |
13 more codes
| 90688 | <1% | 46 | $844.65 | |
| 92552 | <1% | 26 | $503.30 | |
| 0012A | <1% | 14 | $439.74 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 127 | $408.94 |
| 0011A | <1% | 12 | $376.92 | |
| 90480 | <1% | 44 | $220.00 | |
| 91313 | 0% | 127 | $0.00 | |
| 91311 | 0% | 107 | $0.00 | |
| 91321 | 0% | 14 | $0.00 | |
| 90685 | 0% | 53 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,864 | $0.00 |
| 91306 | 0% | 254 | $0.00 | |
| 91301 | 0% | 37 | $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 officialMOMMSEN, MONIKA (PRESIDENT)