Physician
Westchester Health Medical, P.C.
Westchester Health Medical, P.C. was paid $2.26M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoWESTCHESTER HEALTH MEDICAL, P.C.
KATONAH, NY 10536
KATONAH, NY 10536
33aNPI1386188647assigned 12/06/2016
33bProvider typeFamily Medicine Physician
28Total paid$2.26M
24GClaims40,552
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#64 of 2,605
Median peer was paid$10K
This provider vs. median223×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official CUSAK, MICHELE controls 12+ related entities in our dataset. Read more
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 | 817 | $24K | |
| 2019 | 2,864 | $91K | |
| 2020 | 4,453 | $138K | |
| 2021 | 5,865 | $347K | |
| 2022 | 8,678 | $589K | |
| 2023 | 10,222 | $629K | |
| 2024incomplete | 7,653 | $436K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 45% | 11,210 | 10,253 | $1.03M |
| 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 | 15% | 5,229 | 4,098 | $344K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 7.8% | 1,268 | 1,207 | $176K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.6% | 7,178 | 7,083 | $127K |
| 76819 | Fetal biophysical profile; without non-stress testing | 4.0% | 1,308 | 963 | $91K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 4.0% | 1,138 | 1,024 | $91K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 820 | 808 | $81K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.7% | 584 | 584 | $60K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.0% | 378 | 376 | $46K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 369 | 369 | $45K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.5% | 269 | 267 | $33K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 641 | 624 | $22K |
35 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 188 | $19K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 130 | $19K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 120 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 91 | $10K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 89 | $10K |
| 92551 | <1% | 899 | $7K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,460 | $6K |
| 76830 | Ultrasound, transvaginal | <1% | 41 | $5K |
| 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% | 486 | $5K |
| 69210 | <1% | 95 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 40 | $4K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 65 | $4K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 58 | $4K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 12 | $1K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 13 | $1K |
| 96127 | <1% | 178 | $962.07 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 49 | $867.46 |
| 90686 | <1% | 1,525 | $675.14 | |
| 93000 | <1% | 24 | $418.05 | |
| 99173 | <1% | 568 | $385.52 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 39 | $337.79 |
| V2020 | Frames, purchases | <1% | 31 | $310.50 |
| 90461 | <1% | 36 | $251.81 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $137.46 |
| 81003 | <1% | 3,014 | $52.29 | |
| 90656 | <1% | 209 | $44.70 | |
| 94760 | <1% | 12 | $4.37 | |
| 90707 | 0% | 26 | $0.00 | |
| 90633 | 0% | 29 | $0.00 | |
| 90670 | 0% | 192 | $0.00 | |
| 81002 | 0% | 38 | $0.00 | |
| 90698 | 0% | 227 | $0.00 | |
| 90677 | 0% | 51 | $0.00 | |
| 90680 | 0% | 51 | $0.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 62 | $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 officialCUSAK, MICHELE (CFO)
| Provider | Location | Paid |
|---|---|---|
| North Shore - Lij Pediatrics of Suffolk County, P.C. | Islandia, NY | $4.60M |
| North Shore Lij Ob Gyn PC | Islandia, NY | $1.04M |
| North Shore - Lij Cardiology at Deer Park PC | Deer Park, NY | $624K |
| North Shore - Lij Medical Group at Syosset PC | Syosset, NY | $321K |
| North Shore Lij Internal Medicine at New Hyde Park PC | New Hyde Park, NY | $284K |
| North Shore Lij Medical Group at North Nassau, PC | Glen Cove, NY | $64K |
| The Long Island Home | Amityville, NY | $62K |
| North Shore Lij Heart Surgery PC | Brooklyn, NY | $61K |
| Lenox Hill Pathology, PC | New York, NY | $30K |
| North Shore - Lij Internal Medicine at Lynbrook PC | Lynbrook, NY | $6K |
| North Shore - Lij Radiology Services, PC | Great Neck, NY | $6K |
| North Shore-Lij Medical Group P.C. | Manhasset, NY | $518.65 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.