Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Total Medical NY P.C.

Total Medical NY P.C. was paid $168K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 90% of everything it billed.

33Billing provider infoTOTAL MEDICAL NY P.C.
REGO PARK, NY 11374
33aNPI1437449212assigned 04/13/2011
33bProvider typeLegal Medicine
28Total paid$168K
24GClaims3,282
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Legal Medicine providers in New York

Rank by total paid#53 of 126
Median peer was paid$98K
This provider vs. median1.7×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018265$15K
2019267$16K
2020552$27K
2021762$41K
2022609$30K
2023646$32K
2024incomplete181$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 90% 2,210 2,002 $152K
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 5.3% 87 85 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2.4% 41 40 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 31 31 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 12 12 $1K
36415 Collection of venous blood by venipuncture <1% 901 888 $561.79

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 officialGOLDBERG, ERIC (MD)