Physician
Ospina Medical PLLC
Ospina Medical PLLC was paid $73K by Medicaid between Jun 2020 and Aug 2023, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 78% of everything it billed.
33Billing provider infoOSPINA MEDICAL PLLC
NEW YORK, NY 10022
NEW YORK, NY 10022
33aNPI1386129179assigned 09/27/2018
33bProvider typePain Medicine Physician
28Total paid$73K
24GClaims1,016
24DCodes billed7
24AFirst – last monthJun 2020 – Aug 2023
Compared with peers
Next to other Pain Medicine Physician providers in New York
Rank by total paid#14 of 47
Median peer was paid$12K
This provider vs. median6.1×
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 | 55 | $4K | |
| 2021 | 319 | $27K | |
| 2022 | 567 | $36K | |
| 2023 | 75 | $5K |
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 | 78% | 623 | 537 | $56K |
| 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 | 11% | 61 | 61 | $8K |
| J3300 | Injection, triamcinolone acetonide, preservative free, 1 mg | 8.8% | 132 | 113 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.1% | 59 | 51 | $2K |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | <1% | 31 | 26 | $49.16 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 13 | 12 | $5.02 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 97 | 82 | $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.
From NPPES
Who's on the registration
Authorized officialKOHLER, MATTHEW (OWNER)