Physician
Lenox Hill Hospital Medical, PC
Lenox Hill Hospital Medical, PC was paid $1.36M by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 31231, — 27% of everything it billed.
33Billing provider infoLENOX HILL HOSPITAL MEDICAL, PC
WESTBURY, NY 11590
WESTBURY, NY 11590
33aNPI1326328188assigned 08/25/2011
33bProvider typeAllergy & Immunology Physician
28Total paid$1.36M
24GClaims11,061
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Allergy & Immunology Physician providers in New York
Rank by total paid#12 of 135
Median peer was paid$34K
This provider vs. median40×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official CUSACK, MICHELE controls 20+ related entities in our dataset. Read more
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 | 231 | $30K | |
| 2019 | 876 | $79K | |
| 2020 | 1,097 | $96K | |
| 2021 | 2,498 | $226K | |
| 2022 | 1,787 | $258K | |
| 2023 | 2,687 | $394K | |
| 2024incomplete | 1,885 | $274K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 31231 | 27% | 1,740 | 1,701 | $372K | |
| 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 | 27% | 2,056 | 2,055 | $367K |
| 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 | 23% | 2,573 | 2,403 | $309K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 755 | 721 | $71K |
| 31575 | 4.3% | 409 | 401 | $59K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.9% | 303 | 295 | $52K |
| 31579 | 3.5% | 243 | 228 | $48K | |
| 92557 | 2.0% | 783 | 772 | $27K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 163 | 163 | $20K |
| 92550 | <1% | 687 | 677 | $13K | |
| 92504 | <1% | 205 | 197 | $6K | |
| 99072 | <1% | 1,010 | 945 | $6K |
2 more codes
| 69210 | <1% | 121 | $6K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 13 | $4.74 |
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 officialCUSACK, MICHELE (CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.