Physician
Nuvance Health Medical Practice, PC
Nuvance Health Medical Practice, PC was paid $15.31M by Medicaid between Jan 2018 and Dec 2024, across 91 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoNUVANCE HEALTH MEDICAL PRACTICE, PC
POUGHKEEPSIE, NY 12601
POUGHKEEPSIE, NY 12601
33aNPI1437358033assigned 07/13/2007
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$15.31M
24GClaims188,787
24DCodes billed91
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in New York
Rank by total paid#1 of 278
Median peer was paid$4K
This provider vs. median3,591×
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 | 9,891 | $819K | |
| 2019 | 17,124 | $1.23M | |
| 2020 | 21,964 | $1.54M | |
| 2021 | 34,549 | $2.94M | |
| 2022 | 41,767 | $3.46M | |
| 2023 | 42,301 | $3.59M | |
| 2024incomplete | 21,191 | $1.73M |
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 | 41% | 58,140 | 54,343 | $6.21M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 43,429 | 39,616 | $3.14M |
| S9083 | Global fee urgent care centers | 7.7% | 8,019 | 7,890 | $1.18M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.9% | 6,710 | 2,332 | $446K |
| 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 | 2.6% | 2,554 | 2,522 | $401K |
| 99223 | Prolong inpt eval add15 m | 2.2% | 1,936 | 1,653 | $330K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.1% | 3,477 | 3,200 | $324K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.9% | 7,266 | 5,657 | $287K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.8% | 2,597 | 968 | $275K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.6% | 5,972 | 3,262 | $249K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.4% | 1,245 | 1,206 | $212K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.3% | 1,892 | 1,798 | $200K |
79 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 3,030 | $171K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.1% | 1,871 | $167K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 3,875 | $140K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,042 | $138K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,141 | $134K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 1,496 | $116K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 966 | $115K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 895 | $110K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,160 | $91K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 154 | $87K |
| 99460 | <1% | 923 | $87K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 2,181 | $82K |
| 95816 | <1% | 469 | $69K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,014 | $57K |
| 64400 | <1% | 332 | $46K | |
| 99205 | Prolong outpt/office vis | <1% | 189 | $41K |
| 76830 | Ultrasound, transvaginal | <1% | 364 | $37K |
| 88307 | <1% | 505 | $37K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 409 | $31K |
| 99462 | <1% | 496 | $21K | |
| 99442 | <1% | 315 | $19K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,673 | $18K |
| 76801 | <1% | 357 | $15K | |
| 99385 | <1% | 106 | $14K | |
| 90686 | <1% | 938 | $13K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 54 | $12K |
| 64405 | <1% | 178 | $11K | |
| 64615 | <1% | 65 | $10K | |
| 64450 | <1% | 178 | $10K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 681 | $10K |
| 59025 | Fetal non-stress test | <1% | 193 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,107 | $9K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 68 | $9K |
| 88304 | <1% | 788 | $8K | |
| 20553 | <1% | 249 | $8K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 66 | $8K |
| 97802 | <1% | 215 | $7K | |
| 76813 | <1% | 139 | $7K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 90 | $7K |
| 97803 | <1% | 456 | $7K | |
| G0008 | Administration of influenza virus vaccine | <1% | 348 | $6K |
| 20610 | <1% | 208 | $5K | |
| 99201 | <1% | 111 | $5K | |
| 99443 | <1% | 38 | $4K | |
| 77427 | <1% | 23 | $4K | |
| 99217 | <1% | 51 | $4K | |
| 90715 | <1% | 79 | $4K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 114 | $3K |
| 99464 | <1% | 39 | $3K | |
| 81025 | <1% | 501 | $3K | |
| 99220 | <1% | 17 | $3K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 12 | $2K |
| 99386 | <1% | 14 | $2K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 14 | $2K |
| 88342 | <1% | 67 | $2K | |
| 76641 | <1% | 14 | $2K | |
| 93000 | <1% | 148 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 141 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 130 | $2K |
| 95886 | <1% | 12 | $2K | |
| 99219 | <1% | 12 | $2K | |
| 94726 | <1% | 141 | $1K | |
| 94060 | <1% | 140 | $1K | |
| 90656 | <1% | 67 | $1K | |
| 99221 | <1% | 12 | $1K | |
| 11721 | <1% | 37 | $1K | |
| 94729 | <1% | 126 | $972.55 | |
| 81002 | <1% | 992 | $627.88 | |
| 93923 | <1% | 14 | $527.71 | |
| 95806 | <1% | 13 | $428.44 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 56 | $411.81 |
| 73630 | <1% | 16 | $391.03 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 75 | $322.27 |
| 85018 | <1% | 164 | $311.04 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | $185.10 |
| 99441 | <1% | 123 | $164.43 | |
| 51798 | <1% | 14 | $108.04 | |
| 96160 | <1% | 14 | $22.58 | |
| 99173 | 0% | 12 | $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 officialDEBARBA, DANIEL (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Danbury Hospital | Danbury, CT | $123.87M |
| Norwalk Hospital Association | Norwalk, CT | $77.51M |
| Danbury Hospital | New Milford, CT | $15.34M |
| Hudson Valley Cardiovascular Practice, PC | Poughkeepsie, NY | $2.15M |
| Norwalk Hospital Association | Norwalk, CT | $1.93M |
| Western Connecticut Health Network Affiliates, INC. | Danbury, CT | $321K |
| Health Quest Home Care, INC. (Certified) | Poughkeepsie, NY | $200K |
| Western Connecticut Health Network Affiliates, INC. | Ridgefield, CT | $76K |
| Norwalk Hospital Association | Norwalk, CT | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.