Fpa Hospital Based

Fpa Hospital Based was paid $71.08M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99285, emergency room visit (most serious) — 42% of everything it billed.

33Billing provider infoFPA HOSPITAL BASED
NEW YORK, NY 10029

33aNPI1427398676assigned 02/26/2013

33bProvider typeEmergency Medicine Physician

28Total paid$71.08M

24GClaims727,101

24DCodes billed30

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Emergency Medicine Physician providers in New York

Rank by total paid#1 of 2,113

Median peer was paid$5K

This provider vs. median15,670×

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	102,679	$10.11M
2019	105,251	$10.50M
2020	84,930	$8.66M
2021	127,380	$12.75M
2022	128,428	$12.55M
2023	118,172	$10.94M
2024incomplete	60,261	$5.57M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	42%	181,029	176,379	$29.56M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	39%	243,237	238,314	$27.96M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	16%	172,910	167,994	$11.47M
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	1.5%	5,306	5,161	$1.06M
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	110,948	102,876	$619K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	1,407	1,373	$83K
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%	1,026	1,011	$82K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	1,681	1,606	$59K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	1,622	1,528	$55K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	657	651	$31K
10060		<1%	309	308	$30K
88305	Level IV - Surgical pathology, gross and microscopic examination	<1%	378	362	$23K

18 more codes

76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	494	$15K
12001		<1%	260	$15K
12011		<1%	181	$12K
99497		<1%	38	$3K
88307		<1%	26	$2K
99204	Doctor's office visit, new patient (more involved)	<1%	13	$1K
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	<1%	13	$1K
99217		<1%	15	$1K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	71	$1K
88304		<1%	66	$991.69
76604		<1%	37	$970.77
99292		<1%	13	$832.51
99203	Doctor's office visit, new patient (routine)	<1%	16	$622.08
99053		<1%	3,764	$219.58
99051		<1%	15	$14.14
99499		0%	166	$0.00
99080		0%	232	$0.00
99429		0%	1,171	$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 officialNAGENGAST, RICHARD (VICE PRESIDENT CBO BILLING)