Physician
Coney Island Medical Practice Plan, P.C.
Coney Island Medical Practice Plan, P.C. was paid $7.04M by Medicaid between Jan 2018 and Jun 2024, across 93 billing codes. Its largest line is 99284, emergency room visit (serious) — 30% of everything it billed.
33Billing provider infoCONEY ISLAND MEDICAL PRACTICE PLAN, P.C.
BROOKLYN, NY 11235
BROOKLYN, NY 11235
33aNPI1386951762assigned 09/08/2010
33bProvider typeGeneral Practice Physician
28Total paid$7.04M
24GClaims188,902
24DCodes billed93
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other General Practice Physician providers in New York
Rank by total paid#7 of 178
Median peer was paid$27K
This provider vs. median262×
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 | 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 | |
| 2024incomplete | 19,674 | $825K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 30% | 23,463 | 23,224 | $2.12M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 24% | 34,357 | 33,786 | $1.72M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.3% | 13,858 | 6,420 | $657K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.5% | 7,105 | 5,981 | $317K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 6,801 | 6,353 | $252K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 3.3% | 8,311 | 8,012 | $236K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.1% | 34,224 | 28,728 | $216K |
| 70450 | Computed tomography, head or brain; without contrast material | 1.8% | 5,780 | 5,551 | $125K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.7% | 2,151 | 2,100 | $116K |
| 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 | 1.4% | 1,795 | 1,741 | $99K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 1,280 | 1,273 | $76K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 1.0% | 92 | 92 | $74K |
81 more codes
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 1,828 | $67K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 1,612 | $66K |
| 71045 | Radiologic examination, chest; single view | <1% | 12,498 | $66K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 8,091 | $62K |
| 88307 | <1% | 577 | $60K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 400 | $55K |
| 99285 | Emergency room visit (most serious) | <1% | 463 | $50K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 2,116 | $49K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 947 | $46K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 1,017 | $45K |
| 76820 | <1% | 2,445 | $45K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 524 | $42K |
| 99460 | <1% | 539 | $39K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 647 | $34K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 666 | $34K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 994 | $34K |
| 76818 | <1% | 710 | $31K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 964 | $27K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 1,506 | $25K |
| 95816 | <1% | 533 | $17K | |
| 70486 | <1% | 522 | $14K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 167 | $13K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 336 | $10K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 67 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 387 | $7K |
| 99442 | <1% | 143 | $6K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 369 | $6K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 112 | $6K |
| 73630 | <1% | 1,051 | $5K | |
| 99443 | <1% | 67 | $5K | |
| 99221 | <1% | 80 | $4K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 50 | $4K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 171 | $4K |
| 99223 | Prolong inpt eval add15 m | <1% | 28 | $3K |
| 73610 | <1% | 588 | $3K | |
| 93970 | <1% | 165 | $3K | |
| 74018 | <1% | 519 | $3K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 149 | $3K |
| 99462 | <1% | 80 | $3K | |
| 76830 | Ultrasound, transvaginal | <1% | 137 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 44 | $3K |
| 73130 | <1% | 452 | $2K | |
| 76641 | <1% | 82 | $2K | |
| 73110 | <1% | 439 | $2K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 76 | $2K |
| 73030 | <1% | 286 | $2K | |
| 73564 | <1% | 189 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 25 | $1K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 63 | $1K |
| 88300 | <1% | 520 | $1K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 38 | $1K |
| 99218 | <1% | 16 | $1K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,479 | $1K |
| 72100 | <1% | 140 | $983.06 | |
| 88304 | <1% | 42 | $921.95 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 39 | $893.66 |
| 73090 | <1% | 183 | $880.10 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $848.18 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 20 | $827.60 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 49 | $623.03 |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 13 | $544.97 |
| 73562 | <1% | 73 | $453.78 | |
| 73080 | <1% | 82 | $408.52 | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 15 | $408.45 |
| 71250 | <1% | 15 | $406.10 | |
| 73590 | <1% | 84 | $399.03 | |
| 99201 | <1% | 29 | $322.17 | |
| 73140 | <1% | 67 | $266.61 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $187.47 |
| 76775 | <1% | 13 | $165.75 | |
| 93308 | <1% | 14 | $159.05 | |
| 73060 | <1% | 28 | $109.00 | |
| 73502 | <1% | 14 | $97.84 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | $83.96 |
| 73600 | <1% | 12 | $67.64 | |
| 93321 | <1% | 14 | $46.61 | |
| 93325 | <1% | 14 | $18.99 | |
| 96161 | <1% | 383 | $4.94 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 291 | $0.00 |
| 81025 | 0% | 14 | $0.00 | |
| 99024 | 0% | 22 | $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 officialPENTYALA, SUDHA (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Harlem Medical Associates PC | New York, NY | $8.11M |
| Metropolitan Medical Practice Plan PC | New York, NY | $4.54M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.