Calenda, Phillip

Calenda, Phillip was paid $52K by Medicaid between Jan 2018 and May 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoCALENDA, PHILLIP
CORTLANDT MANOR, NY 10567

33aNPI1336168624assigned 07/18/2006

33bProvider typeOphthalmology Physician

28Total paid$52K

24GClaims2,764

24DCodes billed8

24AFirst – last monthJan 2018 – May 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#483 of 1,085

Median peer was paid$34K

This provider vs. median1.5×

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

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	217	$3K
2019	435	$4K
2020	360	$5K
2021	388	$7K
2022	409	$9K
2023	681	$14K
2024incomplete	274	$10K

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	60%	1,015	897	$31K
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%	712	613	$10K
92025		12%	715	709	$6K
92250		3.8%	121	121	$2K
92083		3.8%	76	76	$2K
92133		1.3%	69	68	$658.96
92020		<1%	41	40	$259.71
92202		<1%	15	15	$32.02

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.