Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Roland Nyein MD PC

Roland Nyein MD PC was paid $6.99M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99396, Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years — 23% of everything it billed.

33Billing provider infoROLAND NYEIN MD PC
NEW YORK, NY 10013
33aNPI1457540056assigned 10/18/2007
28Total paid$6.99M
24GClaims73,476
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in New York

Rank by total paid#11 of 762
Median peer was paid$22K
This provider vs. median323×

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$50K$100K$150K2018201920202021202220232024
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
20184,914$439K
20197,274$706K
20209,365$850K
202112,655$1.21M
202215,057$1.46M
202314,487$1.41M
2024incomplete9,724$926K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 23% 12,399 12,399 $1.63M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 14,233 13,402 $1.34M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18% 10,479 7,506 $1.25M
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 11% 6,061 6,060 $745K
76830 Ultrasound, transvaginal 9.0% 5,683 5,668 $629K
90651 5.1% 1,260 1,260 $359K
99386 4.2% 1,856 1,856 $295K
99385 2.0% 1,001 1,001 $137K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1.5% 1,043 913 $105K
58100 1.3% 842 839 $92K
58558 1.2% 61 61 $86K
76818 1.1% 615 389 $77K
18 more codes
81025 1.1% 11,167 $77K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 3,169 $56K
57454 <1% 231 $42K
99203 Doctor's office visit, new patient (routine) <1% 203 $25K
99214 Doctor's office visit, returning patient (more involved) <1% 173 $22K
90674 <1% 327 $10K
99215 Doctor's office visit, returning patient (complex) <1% 25 $4K
87210 <1% 770 $4K
90686 <1% 176 $4K
99205 Prolong outpt/office vis <1% 13 $3K
90715 <1% 68 $2K
58301 <1% 14 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 13 $2K
81002 <1% 344 $941.73
36415 Collection of venous blood by venipuncture <1% 1,208 $811.66
90661 <1% 12 $446.08
99051 <1% 16 $113.76
99000 0% 14 $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 officialNYEIN, ROLAND (PRESIDENT)