MMC Ob-Gyn Faculty Practice Plan
MMC Ob-Gyn Faculty Practice Plan was paid $2.41M by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 42% of everything it billed.
33Billing provider infoMMC OB-GYN FACULTY PRACTICE PLAN
BROOKLYN, NY 11220
BROOKLYN, NY 11220
33aNPI1306843388assigned 07/05/2005
33bProvider typeSpecialist
28Total paid$2.41M
24GClaims38,560
24DCodes billed35
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#75 of 1,221
Median peer was paid$45K
This provider vs. median53×
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 | 8,531 | $455K | |
| 2019 | 5,527 | $328K | |
| 2020 | 4,738 | $262K | |
| 2021 | 5,777 | $402K | |
| 2022 | 4,714 | $342K | |
| 2023 | 5,813 | $380K | |
| 2024incomplete | 3,460 | $239K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 42% | 7,747 | 5,038 | $1.00M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 5,360 | 5,034 | $447K |
| 76830 | Ultrasound, transvaginal | 15% | 3,652 | 3,506 | $373K |
| 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 | 7.0% | 1,514 | 1,185 | $169K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.9% | 1,236 | 1,236 | $118K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.7% | 508 | 454 | $41K |
| 99499 | 1.5% | 636 | 371 | $37K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.1% | 252 | 252 | $27K |
| 81002 | 1.1% | 11,341 | 8,329 | $27K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 136 | 127 | $23K |
| 99386 | <1% | 159 | 159 | $19K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 172 | 147 | $15K |
23 more codes
| 76998 | <1% | 186 | $14K | |
| 59426 | <1% | 13 | $13K | |
| 58558 | <1% | 12 | $13K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 239 | $11K |
| 81025 | <1% | 1,734 | $9K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 93 | $7K |
| 99385 | <1% | 62 | $6K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 37 | $5K |
| 99283 | Emergency room visit (moderate) | <1% | 68 | $5K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 123 | $3K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 242 | $3K |
| 59430 | <1% | 15 | $3K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 253 | $3K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 33 | $2K |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 132 | $2K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 195 | $2K |
| 99459 | <1% | 76 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,201 | $1K |
| 58300 | <1% | 12 | $1K | |
| 59025 | Fetal non-stress test | <1% | 41 | $1K |
| 51798 | <1% | 47 | $546.33 | |
| 97162 | <1% | 19 | $230.85 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 14 | $144.80 |
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 officialFALCONE, VICTORIA (BUSINESS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Maimonides Medical Center MMC Midwifery | Brooklyn, NY | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.