Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LENOX HILL HOSPITAL MEDICAL, PC

NPI: 1326328188 · WESTBURY, NY 11590 · Allergy & Immunology Physician · NPI assigned 08/25/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CUSACK, MICHELE controls 20+ related entities in our dataset. Read more

$1.36M
Total Medicaid Paid
11,061
Total Claims
10,691
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCUSACK, MICHELE (CFO)
NPI Enumeration Date08/25/2011

Related Entities

Other providers sharing the same authorized official: CUSACK, MICHELE

ProviderCityStateTotal Paid
LONG ISLAND JEWISH MEDICAL CENTER NEW HYDE PARK NY $370.91M
NORTH SHORE UNIVERSITY HOSPITAL NEW HYDE PARK NY $166.53M
STATEN ISLAND UNIVERSITY HOSPITAL STATEN ISLAND NY $118.12M
REGIONCARE INC. GARDEN CITY NY $96.55M
NORTH SHORE UNIVERSITY HOSPITAL MANHASSET NY $87.68M
LENOX HILL HOSPITAL NEW YORK NY $63.17M
SOUTH SHORE UNIVERSITY HOSPITAL BAY SHORE NY $47.45M
JOHN T. MATHER MEMORIAL HOSPITAL PORT JEFFERSON NY $20.34M
PHELPS MEMORIAL HOSPITAL ASSOCIATION SLEEPY HOLLOW NY $20.17M
NORTH SHORE UNIVERSITY HOSPITAL WESTBURY NY $17.90M
TRUE NORTH MEDICAL GROUP PC MERRICK NY $12.56M
HUNTINGTON HOSPITAL ASSOCIATION HUNTINGTON NY $9.83M
THE LONG ISLAND HOME AMITYVILLE NY $9.49M
REGIONCARE INC. GREAT NECK NY $9.43M
LONG ISLAND JEWISH MEDICAL CENTER VALLEY STREAM NY $8.41M
HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH CENTER GREENLAWN NY $8.03M
GLEN COVE HOSPITAL GLEN COVE NY $7.72M
CENTRAL SUFFOLK HOSPITAL RIVERHEAD NY $7.66M
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION MOUNT KISCO NY $7.58M
PLAINVIEW HOSPITAL PLAINVIEW NY $6.39M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 231 $30K
2019 876 $79K
2020 1,097 $96K
2021 2,498 $226K
2022 1,787 $258K
2023 2,687 $394K
2024 1,885 $274K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
31231 1,740 1,701 $372K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,056 2,055 $367K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,573 2,403 $309K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 755 721 $71K
31575 409 401 $59K
99215 Prolong outpt/office vis 303 295 $52K
31579 243 228 $48K
92557 783 772 $27K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 163 163 $20K
92550 687 677 $13K
92504 205 197 $6K
99072 1,010 945 $6K
69210 121 120 $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) 13 13 $4.74