Physician
54 Main Street Medical Practice PC
54 Main Street Medical Practice PC was paid $308K by Medicaid between Jan 2018 and Jun 2023, across 20 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 33% of everything it billed.
33Billing provider info54 MAIN STREET MEDICAL PRACTICE PC
HEMPSTEAD, NY 11550
HEMPSTEAD, NY 11550
33aNPI1386711497assigned 11/30/2006
33bProvider typeFamily Medicine Physician
28Total paid$308K
24GClaims13,972
24DCodes billed20
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#306 of 2,605
Median peer was paid$10K
This provider vs. median31×
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 | 1,719 | $73K | |
| 2019 | 2,887 | $74K | |
| 2020 | 2,926 | $31K | |
| 2021 | 3,115 | $32K | |
| 2022 | 2,028 | $52K | |
| 2023 | 1,297 | $46K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 33% | 3,689 | 3,446 | $102K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 1,465 | 1,387 | $74K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 18% | 803 | 803 | $55K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 16% | 717 | 716 | $49K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.0% | 167 | 167 | $9K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 122 | 122 | $5K |
| 92583 | 1.4% | 547 | 547 | $4K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.4% | 281 | 280 | $4K |
| 0011A | <1% | 89 | 88 | $2K | |
| 0012A | <1% | 64 | 64 | $1K | |
| 90688 | <1% | 48 | 48 | $863.89 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 97 | 97 | $812.31 |
8 more codes
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 officialADDES, RICHARD (OWNER)