Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1295871879assigned 01/30/2007
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

$0$5.0K$10K$15K2018201920202021202220232024
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
2018416$43K
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 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.