Sugrue, William

Sugrue, William was paid $3K by Medicaid between Aug 2020 and Oct 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.

33Billing provider infoSUGRUE, WILLIAM
BRONX, NY 10467

33aNPI1356737258assigned 04/08/2015

33bProvider typeClinical Neurophysiology Physician

28Total paid$3K

24GClaims139

24DCodes billed4

24AFirst – last monthAug 2020 – Oct 2024

Compared with peers

Next to other Clinical Neurophysiology Physician providers in New York

Rank by total paid#26 of 36

Median peer was paid$7K

This provider vs. median0.4×

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
2020	30	$1K
2023	13	$771.84
2024incomplete	96	$578.30

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	54%	25	25	$1K
95720		35%	17	12	$870.38
95816		11%	13	13	$288.46
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)	0%	84	84	$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.