Physician
South Island Medical Associates PC
South Island Medical Associates PC was paid $318K by Medicaid between Jan 2018 and Nov 2020, across 59 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoSOUTH ISLAND MEDICAL ASSOCIATES PC
FAR ROCKAWAY, NY 11691
FAR ROCKAWAY, NY 11691
33aNPI1386702165assigned 12/05/2006
33bProvider typeAdult Medicine Physician
28Total paid$318K
24GClaims20,479
24DCodes billed59
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other Adult Medicine Physician providers in New York
Rank by total paid#6 of 54
Median peer was paid$23K
This provider vs. median14×
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 | 3,744 | $150K | |
| 2019 | 10,217 | $128K | |
| 2020 | 6,518 | $39K |
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 | 50% | 2,746 | 2,478 | $159K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 2,003 | 1,796 | $74K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 8.4% | 110 | 12 | $27K |
| 99401 | 3.2% | 752 | 679 | $10K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.5% | 42 | 42 | $8K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.3% | 166 | 165 | $7K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.5% | 18 | 18 | $5K |
| 99497 | 1.2% | 67 | 67 | $4K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 1.2% | 558 | 546 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.1% | 203 | 196 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 82 | 75 | $3K |
| 93880 | <1% | 13 | 13 | $2K |
47 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 17 | $2K |
| 93000 | <1% | 123 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,324 | $1K |
| 96127 | <1% | 482 | $1K | |
| 99406 | <1% | 221 | $1K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 14 | $1K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $1K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 94 | $782.70 |
| 99385 | <1% | 13 | $743.50 | |
| 96161 | <1% | 211 | $558.69 | |
| 94760 | <1% | 684 | $551.30 | |
| 99408 | <1% | 40 | $507.91 | |
| 96160 | <1% | 481 | $500.42 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 839 | $115.86 |
| 3044F | <1% | 703 | $100.02 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 29 | $27.99 |
| 3078F | <1% | 493 | $24.00 | |
| 99000 | <1% | 540 | $21.43 | |
| 1170F | <1% | 362 | $16.05 | |
| 3074F | <1% | 479 | $16.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | <1% | 445 | $12.50 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | <1% | 159 | $10.50 |
| 1126F | <1% | 209 | $8.05 | |
| 1160F | <1% | 1,342 | $8.01 | |
| 1159F | <1% | 1,353 | $8.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | <1% | 305 | $8.00 |
| 3008F | <1% | 1,126 | $0.09 | |
| 0521F | <1% | 74 | $0.02 | |
| 1125F | <1% | 61 | $0.01 | |
| 3079F | 0% | 97 | $0.00 | |
| 2000F | 0% | 141 | $0.00 | |
| 1101F | 0% | 81 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 52 | $0.00 |
| 3080F | 0% | 98 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 37 | $0.00 |
| G8732 | No documentation of pain assessment, reason not given | 0% | 17 | $0.00 |
| 1157F | 0% | 14 | $0.00 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 19 | $0.00 |
| 3075F | 0% | 26 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 30 | $0.00 |
| 3077F | 0% | 181 | $0.00 | |
| 1494F | 0% | 364 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 218 | $0.00 |
| G9905 | Patient not screened for tobacco use | 0% | 20 | $0.00 |
| 3725F | 0% | 14 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 55 | $0.00 |
| 92015 | Determination of refractive state | 0% | 19 | $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 officialSINHA, LALENDRA (OWNER)