Physician
Allen, Marc
Allen, Marc was paid $1.45M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoALLEN, MARC
COMMACK, NY 11725
COMMACK, NY 11725
33aNPI1356309892assigned 05/03/2006
33bProvider typeInternal Medicine Physician
28Total paid$1.45M
24GClaims47,684
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#197 of 6,049
Median peer was paid$11K
This provider vs. median129×
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 | 1,677 | $38K | |
| 2019 | 3,641 | $65K | |
| 2020 | 8,269 | $185K | |
| 2021 | 11,463 | $327K | |
| 2022 | 8,443 | $316K | |
| 2023 | 8,647 | $322K | |
| 2024incomplete | 5,544 | $202K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 9,858 | 6,646 | $528K |
| 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 | 32% | 6,002 | 4,909 | $465K |
| 94010 | 4.6% | 2,573 | 2,465 | $66K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 3.3% | 517 | 513 | $49K |
| 92552 | 2.9% | 1,683 | 1,661 | $42K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.7% | 1,125 | 989 | $40K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.7% | 545 | 540 | $39K |
| 99401 | 2.4% | 2,695 | 2,395 | $36K | |
| 93000 | 2.1% | 2,213 | 2,141 | $30K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.7% | 376 | 368 | $25K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 991 | 931 | $15K |
| 92550 | <1% | 1,768 | 1,733 | $14K |
32 more codes
| 99490 | Ccm add 20min | <1% | 1,475 | $13K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 142 | $13K |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | <1% | 62 | $12K |
| 99407 | <1% | 630 | $10K | |
| 99051 | <1% | 2,803 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 297 | $6K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 1,263 | $6K |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 453 | $5K |
| 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% | 140 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,243 | $4K |
| 90686 | <1% | 223 | $4K | |
| 94690 | <1% | 84 | $3K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,291 | $2K |
| 90756 | <1% | 112 | $2K | |
| 0012A | <1% | 45 | $2K | |
| 0013A | <1% | 46 | $2K | |
| 90674 | <1% | 89 | $2K | |
| 90750 | <1% | 12 | $2K | |
| 93923 | <1% | 12 | $1K | |
| 0011A | <1% | 42 | $1K | |
| 99058 | <1% | 1,961 | $967.51 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 29 | $854.73 |
| G9920 | Screening performed and negative | <1% | 195 | $655.56 |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 47 | $640.00 |
| 0031A | <1% | 22 | $560.28 | |
| 99072 | <1% | 830 | $428.90 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 133 | $258.07 |
| 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) | <1% | 77 | $89.40 |
| 81002 | <1% | 13 | $21.51 | |
| 94760 | <1% | 424 | $14.81 | |
| 99429 | 0% | 91 | $0.00 | |
| 91301 | 0% | 52 | $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.