Behavioral
Monsey Medical, P.C.
Monsey Medical, P.C. was paid $2.54M by Medicaid between Jun 2021 and Jul 2024, across 5 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 75% of everything it billed.
33Billing provider infoMONSEY MEDICAL, P.C.
MONSEY, NY 10952
MONSEY, NY 10952
33aNPI1336663558assigned 07/30/2017
33bProvider typeClinical Social Worker
28Total paid$2.54M
24GClaims13,195
24DCodes billed5
24AFirst – last monthJun 2021 – Jul 2024
Compared with peers
Next to other Clinical Social Worker providers in New York
Rank by total paid#32 of 882
Median peer was paid$53K
This provider vs. median48×
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 | |
|---|---|---|---|
| 2021 | 32 | $93.44 | |
| 2023 | 7,207 | $1.38M | |
| 2024incomplete | 5,956 | $1.16M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 75% | 8,557 | 853 | $1.89M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 15% | 2,666 | 779 | $374K |
| 97151 | 8.2% | 1,070 | 494 | $208K | |
| 97156 | 2.5% | 870 | 484 | $62K | |
| 90785 | <1% | 32 | 14 | $93.44 |
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 officialESKAROUS, MAKAR (OWNER)