Falcone, Jeffrey
Falcone, Jeffrey was paid $489K by Medicaid between Feb 2020 and Nov 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoFALCONE, JEFFREY
NEW YORK, NY 10022
NEW YORK, NY 10022
33aNPI1295848976assigned 08/16/2006
33bProvider typeFoot & Ankle Surgery Podiatrist
28Total paid$489K
24GClaims7,405
24DCodes billed17
24AFirst – last monthFeb 2020 – Nov 2024
Compared with peers
Next to other Foot & Ankle Surgery Podiatrist providers in New York
Rank by total paid#36 of 342
Median peer was paid$16K
This provider vs. median30×
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 | 493 | $42K | |
| 2021 | 1,012 | $86K | |
| 2022 | 1,347 | $89K | |
| 2023 | 2,440 | $138K | |
| 2024incomplete | 2,113 | $133K |
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 | 22% | 1,472 | 1,428 | $110K |
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 20% | 636 | 317 | $97K |
| 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 | 13% | 495 | 495 | $65K |
| L3332 | Lift, elevation, inside shoe, tapered, up to one-half inch | 13% | 962 | 959 | $61K |
| 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 | 12% | 759 | 752 | $58K |
| L3060 | Foot, arch support, removable, premolded, longitudinal/ metatarsal, each | 6.9% | 1,052 | 527 | $34K |
| L3350 | Heel wedge | 3.9% | 978 | 973 | $19K |
| L3390 | Outflare wedge | 2.2% | 237 | 236 | $11K |
| L2820 | Addition to lower extremity orthosis, soft interface for molded plastic, below knee section | 2.0% | 148 | 147 | $10K |
| L3370 | Sole wedge, between sole | 1.5% | 181 | 181 | $7K |
| L2275 | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined | 1.4% | 85 | 85 | $7K |
| L3410 | Metatarsal bar wedge, between sole | 1.1% | 67 | 67 | $6K |
5 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 49 | $2K |
| L3500 | Orthopedic shoe addition, insole, leather | <1% | 185 | $2K |
| L3360 | Sole wedge, outside sole | <1% | 28 | $835.52 |
| L2830 | Addition to lower extremity orthosis, soft interface for molded plastic, above knee section | <1% | 12 | $497.94 |
| L3510 | Orthopedic shoe addition, insole, rubber | <1% | 59 | $455.15 |
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.