Physician
Midtown Neurology, P.C.
Midtown Neurology, P.C. was paid $75K by Medicaid between Jan 2018 and Jul 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoMIDTOWN NEUROLOGY, P.C.
ATLANTA, GA 30312
ATLANTA, GA 30312
33aNPI1407869407assigned 08/14/2006
33bProvider typeNeurology Physician
28Total paid$75K
24GClaims4,869
24DCodes billed11
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Neurology Physician providers in Georgia
Rank by total paid#3 of 11
Median peer was paid$15K
This provider vs. median5.1×
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 | |
|---|---|---|---|
| 2018 | 842 | $18K | |
| 2019 | 531 | $6K | |
| 2020 | 558 | $7K | |
| 2021 | 718 | $10K | |
| 2022 | 1,142 | $15K | |
| 2023 | 966 | $17K | |
| 2024incomplete | 112 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 39% | 2,186 | 1,639 | $29K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 29% | 1,133 | 665 | $22K |
| 92548 | 21% | 1,241 | 799 | $16K | |
| 95861 | 3.0% | 62 | 51 | $2K | |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 3.0% | 29 | 28 | $2K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.0% | 44 | 44 | $2K |
| 95938 | 1.4% | 60 | 53 | $1K | |
| 99205 | Prolong outpt/office vis | <1% | 14 | 12 | $137.12 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 12 | 12 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 14 | 14 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 74 | 68 | $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 officialMISHU, HUSHAM (OWNER)