Physician
Kipnis, James
Kipnis, James was paid $5K by Medicaid between Dec 2021 and Aug 2024, across 2 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 79% of everything it billed.
33Billing provider infoKIPNIS, JAMES
GREAT NECK, NY 11021
GREAT NECK, NY 11021
33aNPI1386615532assigned 01/27/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$5K
24GClaims57
24DCodes billed2
24AFirst – last monthDec 2021 – Aug 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in New York
Rank by total paid#203 of 429
Median peer was paid$4K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2021 | 14 | $1K | |
| 2022 | 13 | $905.03 | |
| 2023 | 15 | $1K | |
| 2024incomplete | 15 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 79% | 42 | 42 | $4K |
| 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 | 21% | 15 | 15 | $1K |
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.