Physician
Highland Medical P.C.
Highland Medical P.C. was paid $2.44M by Medicaid between Jan 2018 and Nov 2024, across 34 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoHIGHLAND MEDICAL P.C.
NYACK, NY 10960
NYACK, NY 10960
33aNPI1376600304assigned 01/02/2007
33bProvider typeFamily Medicine Physician
28Total paid$2.44M
24GClaims36,319
24DCodes billed34
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#60 of 2,605
Median peer was paid$10K
This provider vs. median242×
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 | 2,889 | $165K | |
| 2019 | 4,509 | $322K | |
| 2020 | 8,043 | $562K | |
| 2021 | 10,399 | $743K | |
| 2022 | 8,445 | $571K | |
| 2023 | 1,106 | $53K | |
| 2024incomplete | 928 | $27K |
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 | 53% | 10,824 | 9,880 | $1.28M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 7,555 | 7,086 | $699K |
| 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 | 3.6% | 441 | 440 | $87K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.4% | 498 | 496 | $83K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.8% | 520 | 519 | $69K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.7% | 285 | 285 | $40K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.4% | 341 | 131 | $35K |
| 96127 | 1.1% | 4,105 | 4,102 | $26K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 295 | 281 | $18K |
| 93000 | <1% | 857 | 856 | $16K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,323 | 1,227 | $13K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 173 | 55 | $12K |
22 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 6,994 | $12K |
| 99385 | <1% | 45 | $7K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 53 | $7K |
| 90682 | <1% | 102 | $6K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 288 | $4K |
| 99223 | Prolong inpt eval add15 m | <1% | 14 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 24 | $3K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 31 | $3K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 27 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 249 | $2K |
| 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% | 132 | $2K |
| 81002 | <1% | 598 | $2K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 13 | $1K |
| 81000 | <1% | 324 | $1K | |
| 90686 | <1% | 42 | $875.18 | |
| 94060 | <1% | 13 | $711.40 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 56 | $703.36 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 45 | $689.94 |
| 0012A | <1% | 13 | $478.22 | |
| 99442 | <1% | 14 | $447.72 | |
| 0011A | <1% | 13 | $373.50 | |
| 90756 | <1% | 12 | $199.73 |
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 officialRADER, MICHAEL (PC OWNER/PRESIDENT)