Physician
Grunstein, Eli
Grunstein, Eli was paid $43K by Medicaid between Jan 2018 and Oct 2018, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoGRUNSTEIN, ELI
NEW YORK, NY 10032
NEW YORK, NY 10032
33aNPI1295871879assigned 01/30/2007
33bProvider typePediatric Otolaryngology Physician
28Total paid$43K
24GClaims416
24DCodes billed3
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers
Next to other Pediatric Otolaryngology Physician providers in New York
Rank by total paid#9 of 21
Median peer was paid$18K
This provider vs. median2.5×
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
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 | 416 | $43K |
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 | 35% | 226 | 221 | $15K |
| 31231 | 33% | 71 | 70 | $14K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 33% | 119 | 119 | $14K |
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.