Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTH ISLAND MEDICAL ASSOCIATES PC

NPI: 1386702165 · FAR ROCKAWAY, NY 11691 · Adult Medicine Physician · NPI assigned 12/05/2006

$318K
Total Medicaid Paid
20,479
Total Claims
18,588
Beneficiaries
59
Codes Billed
2018-01
First Month
2020-11
Last Month

Provider Details

Authorized OfficialSINHA, LALENDRA (OWNER)
NPI Enumeration Date12/05/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,744 $150K
2019 10,217 $128K
2020 6,518 $39K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,746 2,478 $159K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,003 1,796 $74K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 110 12 $27K
99401 752 679 $10K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 42 42 $8K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 166 165 $7K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 18 18 $5K
99497 67 67 $4K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 558 546 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 203 196 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 82 75 $3K
93880 13 13 $2K
99215 Prolong outpt/office vis 17 16 $2K
93000 123 121 $1K
36415 Collection of venous blood by venipuncture 1,324 1,282 $1K
96127 482 470 $1K
99406 221 210 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete 14 14 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $1K
G0444 Annual depression screening, 5 to 15 minutes 94 94 $782.70
99385 13 13 $743.50
96161 211 210 $558.69
94760 684 604 $551.30
99408 40 39 $507.91
96160 481 468 $500.42
G9903 Patient screened for tobacco use and identified as a tobacco non-user 839 721 $115.86
3044F 703 603 $100.02
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 29 23 $27.99
3078F 493 438 $24.00
99000 540 524 $21.43
1170F 362 358 $16.05
3074F 479 419 $16.00
G9744 Patient not eligible due to active diagnosis of hypertension 445 400 $12.50
G9902 Patient screened for tobacco use and identified as a tobacco user 159 147 $10.50
1126F 209 208 $8.05
1160F 1,342 1,166 $8.01
1159F 1,353 1,174 $8.00
G8783 Normal blood pressure reading documented, follow-up not required 305 262 $8.00
3008F 1,126 983 $0.09
0521F 74 73 $0.02
1125F 61 61 $0.01
3079F 97 92 $0.00
2000F 141 134 $0.00
1101F 81 81 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 52 48 $0.00
3080F 98 89 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 37 33 $0.00
G8732 No documentation of pain assessment, reason not given 17 14 $0.00
1157F 14 13 $0.00
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 19 19 $0.00
3075F 26 26 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 30 28 $0.00
3077F 181 165 $0.00
1494F 364 360 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 218 185 $0.00
G9905 Patient not screened for tobacco use 20 19 $0.00
3725F 14 12 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 55 50 $0.00
92015 Determination of refractive state 19 19 $0.00