Physician
Optimum Health and Wellness
Optimum Health and Wellness was paid $174K by Medicaid between Jan 2021 and Oct 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoOPTIMUM HEALTH AND WELLNESS
MINEOLA, NY 11501
MINEOLA, NY 11501
33aNPI1427614734assigned 05/13/2019
33bProvider typeFamily Medicine Physician
28Total paid$174K
24GClaims10,212
24DCodes billed20
24AFirst – last monthJan 2021 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#437 of 2,605
Median peer was paid$10K
This provider vs. median17×
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 | 956 | $24K | |
| 2022 | 2,379 | $62K | |
| 2023 | 3,486 | $34K | |
| 2024incomplete | 3,391 | $54K |
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 | 49% | 1,149 | 1,084 | $85K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 1,035 | 947 | $53K |
| 99401 | 20% | 2,347 | 2,028 | $35K | |
| 3074F | <1% | 579 | 537 | $714.48 | |
| 3078F | <1% | 536 | 501 | $706.00 | |
| 99051 | <1% | 151 | 128 | $409.71 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,140 | 1,110 | $100.33 |
| 1160F | <1% | 891 | 794 | $17.00 | |
| 1159F | <1% | 815 | 741 | $12.75 | |
| 3028F | 0% | 201 | 191 | $0.00 | |
| 98960 | 0% | 200 | 177 | $0.00 | |
| 99072 | 0% | 49 | 44 | $0.00 |
8 more codes
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 officialDOS SANTOS, MONICA (OWNER)