Nicoleau, Carl

Nicoleau, Carl was paid $196K by Medicaid between Feb 2018 and Dec 2023, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.

33Billing provider infoNICOLEAU, CARL
FAR ROCKAWAY, NY 11691

33aNPI1396792867assigned 05/28/2006

33bProvider typeSleep Medicine (Internal Medicine) Physician

28Total paid$196K

24GClaims3,678

24DCodes billed14

24AFirst – last monthFeb 2018 – Dec 2023

Compared with peers

Next to other Sleep Medicine (Internal Medicine) Physician providers in New York

Rank by total paid#9 of 41

Median peer was paid$15K

This provider vs. median13×

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	267	$13K
2019	461	$18K
2020	670	$29K
2021	1,197	$67K
2022	232	$16K
2023	851	$53K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	57%	1,843	1,541	$112K
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	30%	633	569	$59K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.8%	101	100	$7K
99385		2.4%	57	57	$5K
93923		2.2%	39	24	$4K
93000		1.3%	222	220	$2K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	1.1%	14	14	$2K
95924		<1%	12	12	$1K
95923		<1%	12	12	$1K
96132		<1%	13	13	$810.06
36415	Collection of venous blood by venipuncture	<1%	680	648	$666.80
96138		<1%	13	13	$261.28

2 more codes

93040		<1%	24	$197.06
G0444	Annual depression screening, 5 to 15 minutes	<1%	15	$74.45

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.