Potenza, Matthew

Potenza, Matthew was paid $15K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 93% of everything it billed.

33Billing provider infoPOTENZA, MATTHEW
WEST NYACK, NY 10994

33aNPI1356509855assigned 05/30/2008

33bProvider typeEndocrinology, Diabetes & Metabolism Physician

28Total paid$15K

24GClaims1,104

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in New York

Rank by total paid#147 of 344

Median peer was paid$9K

This provider vs. median1.7×

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	224	$3K
2019	241	$3K
2020	147	$2K
2021	136	$1K
2022	120	$1K
2023	160	$3K
2024incomplete	76	$1K

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	93%	964	949	$14K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.4%	49	49	$1K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	12	12	$3.17
36415	Collection of venous blood by venipuncture	<1%	79	77	$3.10

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.