NY Arthritis PC

NY Arthritis PC was paid $2.69M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 96401, — 36% of everything it billed.

33Billing provider infoNY ARTHRITIS PC
BROOKLYN, NY 11229

33aNPI1346288255assigned 06/03/2006

33bProvider typeRheumatology Physician

28Total paid$2.69M

24GClaims67,753

24DCodes billed53

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Rheumatology Physician providers in New York

Rank by total paid#1 of 199

Median peer was paid$15K

This provider vs. median177×

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	8,397	$332K
2019	10,197	$377K
2020	8,985	$404K
2021	14,042	$669K
2022	9,748	$403K
2023	9,979	$337K
2024incomplete	6,405	$172K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
96401		36%	14,436	4,893	$974K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21%	7,522	6,309	$554K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	16%	8,063	3,537	$418K
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	8.6%	2,424	2,258	$232K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	7.9%	1,641	1,566	$214K
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	3.5%	648	645	$95K
97530	Therapeutic activities, direct patient contact, each 15 minutes	1.6%	543	210	$44K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.5%	3,065	1,356	$41K
99490	Ccm add 20min	1.1%	835	821	$29K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	1.0%	384	379	$28K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	168	89	$12K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	301	123	$8K

41 more codes

20611		<1%	109	$7K
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	<1%	133	$7K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	259	$6K
96415		<1%	215	$6K
11901		<1%	50	$3K
36415	Collection of venous blood by venipuncture	<1%	3,982	$3K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	995	$1K
80053	Comprehensive metabolic panel	<1%	144	$1K
J9260	Injection, methotrexate sodium, 50 mg	<1%	1,134	$978.92
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	58	$936.64
83690		<1%	185	$773.71
80061	Lipid panel	<1%	118	$693.96
81002		<1%	449	$652.36
83735		<1%	180	$617.04
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	191	$608.46
82150		<1%	172	$570.73
82550		<1%	142	$552.59
84100		<1%	168	$520.38
84550		<1%	143	$483.36
86140		<1%	138	$461.64
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	433	$420.28
J7040	Infusion, normal saline solution, sterile (500 ml = 1 unit)	<1%	426	$401.22
86160		<1%	26	$354.74
86431		<1%	84	$341.38
86060		<1%	66	$286.26
85651		<1%	154	$278.43
1111F		<1%	2,130	$228.43
1159F		<1%	2,080	$151.98
1160F		<1%	2,069	$107.27
J1200	Injection, diphenhydramine hcl, up to 50 mg	<1%	165	$76.34
J3475	Injection, magnesium sulfate, per 500 mg	<1%	121	$50.45
J7050	Infusion, normal saline solution, 250 cc	<1%	73	$41.73
J9250	Methotrexate sodium, 5 mg	<1%	8,616	$25.15
76981		<1%	12	$19.73
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	13	$1.36
J0135	Injection, adalimumab, 20 mg	0%	748	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	479	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	13	$0.00
G8730	Pain assessment documented as positive using a standardized tool and a follow-up plan is documented	0%	137	$0.00
J0490	Injection, belimumab, 10 mg	0%	881	$0.00
J1438	Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	0%	32	$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.

From NPPES

Who's on the registration

Authorized officialKATZ, VICTORIA (OWNER)