Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › BROOKLYN › CONEY ISLAND MEDICAL PRACTICE PLAN, P.C.

CONEY ISLAND MEDICAL PRACTICE PLAN, P.C.

NPI: 1386951762 · BROOKLYN, NY 11235 · General Practice Physician · NPI assigned 09/08/2010

$7.04M
Total Medicaid Paid
188,902
Total Claims
168,001
Beneficiaries
93
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialPENTYALA, SUDHA (DIRECTOR)
NPI Enumeration Date09/08/2010

Related Entities

Other providers sharing the same authorized official: PENTYALA, SUDHA

ProviderCityStateTotal Paid
HARLEM MEDICAL ASSOCIATES PC NEW YORK NY $8.11M
METROPOLITAN MEDICAL PRACTICE PLAN PC NEW YORK NY $4.54M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,804 $225K
2019 20,184 $507K
2020 20,749 $535K
2021 30,194 $1.02M
2022 38,518 $1.61M
2023 49,779 $2.31M
2024 19,674 $825K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 23,463 23,224 $2.12M
99283 Emergency department visit for the evaluation and management, moderate severity 34,357 33,786 $1.72M
99232 Subsequent hospital care, per day, moderate complexity 13,858 6,420 $657K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,105 5,981 $317K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,801 6,353 $252K
99282 Emergency department visit for the evaluation and management, low to moderate severity 8,311 8,012 $236K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 34,224 28,728 $216K
70450 Computed tomography, head or brain; without contrast material 5,780 5,551 $125K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,151 2,100 $116K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,795 1,741 $99K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,280 1,273 $76K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 92 92 $74K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,828 1,752 $67K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,612 1,601 $66K
71045 Radiologic examination, chest; single view 12,498 10,440 $66K
71046 Radiologic examination, chest; 2 views 8,091 8,034 $62K
88307 577 577 $60K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 400 326 $55K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 463 461 $50K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,116 1,390 $49K
74176 Computed tomography, abdomen and pelvis; without contrast material 947 933 $46K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,017 883 $45K
76820 2,445 1,809 $45K
99222 Initial hospital care, per day, moderate complexity 524 518 $42K
99460 539 539 $39K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 647 647 $34K
99238 Hospital discharge day management, 30 minutes or less 666 657 $34K
76819 Fetal biophysical profile; without non-stress testing 994 930 $34K
76818 710 473 $31K
72125 Computed tomography, cervical spine; without contrast material 964 923 $27K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,506 1,472 $25K
95816 533 504 $17K
70486 522 502 $14K
99233 Prolong inpt eval add15 m 167 66 $13K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 336 315 $10K
00170 Anesthesia for intraoral procedures, including biopsy 67 67 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 387 365 $7K
99442 143 143 $6K
99281 Emergency department visit for the evaluation and management, self-limited or minor 369 367 $6K
71275 Computed tomographic angiography, chest, with contrast material 112 111 $6K
73630 1,051 993 $5K
99443 67 67 $5K
99221 80 79 $4K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 50 50 $4K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 171 169 $4K
99223 Prolong inpt eval add15 m 28 27 $3K
73610 588 570 $3K
93970 165 163 $3K
74018 519 495 $3K
90853 Group psychotherapy (other than of a multiple-family group) 149 71 $3K
99462 80 67 $3K
76830 Ultrasound, transvaginal 137 135 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 44 44 $3K
73130 452 433 $2K
76641 82 79 $2K
73110 439 410 $2K
77067 Screening mammography, bilateral, including computer-aided detection 76 76 $2K
73030 286 273 $2K
73564 189 172 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 25 25 $1K
77063 Screening digital breast tomosynthesis, bilateral 63 63 $1K
88300 520 501 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 38 36 $1K
99218 16 16 $1K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,479 1,342 $1K
72100 140 140 $983.06
88304 42 42 $921.95
90832 Psychotherapy, 30 minutes with patient 39 27 $893.66
73090 183 168 $880.10
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $848.18
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 20 20 $827.60
96110 Developmental screening, with scoring and documentation, per standardized instrument 49 49 $623.03
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 13 13 $544.97
73562 73 66 $453.78
73080 82 77 $408.52
90935 Hemodialysis procedure with single evaluation by a physician 15 12 $408.45
71250 15 15 $406.10
73590 84 80 $399.03
99201 29 29 $322.17
73140 67 65 $266.61
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 13 $187.47
76775 13 13 $165.75
93308 14 14 $159.05
73060 28 28 $109.00
73502 14 14 $97.84
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 16 12 $83.96
73600 12 12 $67.64
93321 14 14 $46.61
93325 14 14 $18.99
96161 383 321 $4.94
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 291 278 $0.00
81025 14 14 $0.00
99024 22 17 $0.00