Erie T Agustin MD PC

Erie T Agustin MD PC was paid $630K by Medicaid between Jan 2018 and Dec 2023, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 79% of everything it billed.

33Billing provider infoERIE T AGUSTIN MD PC
WOODSIDE, NY 11377

33aNPI1306037247assigned 08/06/2007

33bProvider typeClinic/Center

28Total paid$630K

24GClaims16,153

24DCodes billed35

24AFirst – last monthJan 2018 – Dec 2023

Compared with peers

Next to other Clinic/Center providers in New York

Rank by total paid#119 of 235

Median peer was paid$630K

This provider vs. median1.0×

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	4,367	$185K
2019	6,355	$189K
2020	1,299	$32K
2021	1,455	$70K
2022	1,777	$85K
2023	900	$69K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	79%	5,890	4,574	$495K
99401		6.8%	1,554	1,335	$43K
99402		4.5%	549	435	$28K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.9%	359	300	$18K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.4%	117	112	$9K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	53	53	$4K
G0446	Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	<1%	188	169	$3K
94060		<1%	66	66	$3K
99442		<1%	47	40	$3K
99487	Ccm add 20min	<1%	44	43	$3K
99000		<1%	1,025	990	$2K
36415	Collection of venous blood by venipuncture	<1%	1,003	973	$2K

23 more codes

97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	117	$2K
99490	Ccm add 20min	<1%	60	$2K
H0001	Alcohol and/or drug assessment	<1%	41	$2K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	116	$2K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	46	$1K
99443		<1%	13	$1K
82950		<1%	426	$929.00
97032		<1%	109	$914.60
94375		<1%	64	$853.32
G0444	Annual depression screening, 5 to 15 minutes	<1%	83	$806.54
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	<1%	38	$550.35
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	26	$540.60
81000		<1%	67	$188.27
99001		<1%	43	$139.25
99051		<1%	19	$91.39
1159F		<1%	693	$15.00
1160F		<1%	674	$7.50
99072		0%	77	$0.00
G8730	Pain assessment documented as positive using a standardized tool and a follow-up plan is documented	0%	15	$0.00
80101		0%	40	$0.00
0001F		0%	887	$0.00
2010F		0%	1,489	$0.00
97010		0%	115	$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 officialAGUSTIN, ERIE (PRESIDENT)