Sagaponack Medical PC

Sagaponack Medical PC was paid $99K by Medicaid between Oct 2018 and Nov 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider infoSAGAPONACK MEDICAL PC
SAG HARBOR, NY 11963

33aNPI1407351646assigned 03/29/2018

33bProvider typeMedical Specialty Clinic/Center

28Total paid$99K

24GClaims1,062

24DCodes billed6

24AFirst – last monthOct 2018 – Nov 2024

Compared with peers

Next to other Medical Specialty Clinic/Center providers in New York

Rank by total paid#46 of 86

Median peer was paid$113K

This provider vs. median0.9×

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	29	$3K
2019	214	$17K
2020	369	$30K
2021	257	$28K
2022	128	$13K
2023	25	$3K
2024incomplete	40	$5K

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%	653	633	$53K
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	23%	182	181	$23K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	17%	156	154	$17K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	3.3%	43	43	$3K
17110		1.6%	14	14	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	14	14	$644.97

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 officialHALSEY, MARK (PRESIDENT)