North Shore Digestive Medicine PC

North Shore Digestive Medicine PC was paid $26K by Medicaid between Jan 2021 and Jul 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider infoNORTH SHORE DIGESTIVE MEDICINE PC
SMITHTOWN, NY 11787

33aNPI1407114960assigned 05/02/2012

33bProvider typeGastroenterology Physician

28Total paid$26K

24GClaims346

24DCodes billed6

24AFirst – last monthJan 2021 – Jul 2024

Compared with peers

Next to other Gastroenterology Physician providers in New York

Rank by total paid#261 of 656

Median peer was paid$12K

This provider vs. median2.1×

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
2021	50	$4K
2022	117	$6K
2023	72	$5K
2024incomplete	107	$11K

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	54%	218	214	$14K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	19%	40	40	$5K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	14%	13	13	$4K
88305	Level IV - Surgical pathology, gross and microscopic examination	6.0%	13	13	$2K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	4.7%	29	29	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	2.3%	33	33	$606.41

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 officialFOROHAR, FARZAD (MEMBER)