Physician
Diaz, Raymond
Diaz, Raymond was paid $717K by Medicaid between Feb 2018 and Nov 2024, across 34 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 50% of everything it billed.
33Billing provider infoDIAZ, RAYMOND
GREAT NECK, NY 11023
GREAT NECK, NY 11023
33aNPI1346250024assigned 08/08/2006
33bProvider typeGastroenterology Physician
28Total paid$717K
24GClaims9,148
24DCodes billed34
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in New York
Rank by total paid#61 of 656
Median peer was paid$12K
This provider vs. median59×
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 | 125 | $16K | |
| 2020 | 237 | $11K | |
| 2021 | 1,712 | $97K | |
| 2022 | 2,372 | $167K | |
| 2023 | 2,748 | $246K | |
| 2024incomplete | 1,954 | $181K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 50% | 2,012 | 2,010 | $356K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 24% | 775 | 772 | $173K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 1,516 | 1,435 | $101K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 7.1% | 406 | 406 | $51K |
| 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 | 2.0% | 184 | 179 | $14K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 1.1% | 41 | 41 | $8K |
| 93000 | <1% | 482 | 481 | $6K | |
| 91200 | <1% | 131 | 129 | $3K | |
| 99243 | <1% | 17 | 17 | $2K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 14 | 14 | $998.65 |
| 36415 | Collection of venous blood by venipuncture | <1% | 541 | 529 | $871.49 |
| 99072 | <1% | 46 | 45 | $787.50 |
22 more codes
| 99441 | <1% | 14 | $581.16 | |
| 99051 | <1% | 614 | $183.73 | |
| 43235 | <1% | 26 | $123.30 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 14 | $31.99 |
| 3074F | 0% | 234 | $0.00 | |
| 2000F | 0% | 601 | $0.00 | |
| 1036F | 0% | 25 | $0.00 | |
| 3017F | 0% | 150 | $0.00 | |
| 3008F | 0% | 492 | $0.00 | |
| 3079F | 0% | 110 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 12 | $0.00 |
| 3080F | 0% | 27 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 52 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 13 | $0.00 |
| 3075F | 0% | 27 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 39 | $0.00 |
| 3077F | 0% | 137 | $0.00 | |
| 3078F | 0% | 232 | $0.00 | |
| 99080 | 0% | 110 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 14 | $0.00 |
| 1160F | 0% | 14 | $0.00 | |
| 1159F | 0% | 26 | $0.00 |
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.