Skope Medical Care P.C.

Skope Medical Care P.C. was paid $162K by Medicaid between Jan 2018 and May 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.

33Billing provider infoSKOPE MEDICAL CARE P.C.
WYANDANCH, NY 11798

33aNPI1356420715assigned 11/04/2006

33bProvider typeInternal Medicine Physician

28Total paid$162K

24GClaims4,788

24DCodes billed10

24AFirst – last monthJan 2018 – May 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#982 of 6,049

Median peer was paid$11K

This provider vs. median14×

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	591	$26K
2019	1,008	$31K
2020	1,051	$28K
2021	958	$34K
2022	387	$20K
2023	678	$20K
2024incomplete	115	$3K

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	42%	1,253	1,194	$68K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	41%	1,645	1,517	$67K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	9.6%	201	192	$16K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	3.8%	99	99	$6K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.0%	126	124	$2K
90688		<1%	106	106	$2K
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	773	754	$1K
96127		<1%	349	345	$759.32
3078F		<1%	146	141	$180.00
3074F		<1%	90	88	$110.00

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 officialLONGJOHN, DATA (PRESIDENT)