Physician
LA, Daniel
LA, Daniel was paid $15K by Medicaid between Apr 2020 and Mar 2021, across 7 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 60% of everything it billed.
33Billing provider infoLA, DANIEL
NEW HYDE PARK, NY 11040
NEW HYDE PARK, NY 11040
33aNPI1457621500assigned 01/06/2012
33bProvider typeFamily Medicine Physician
28Total paid$15K
24GClaims488
24DCodes billed7
24AFirst – last monthApr 2020 – Mar 2021
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#1,163 of 2,605
Median peer was paid$10K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2020 | 273 | $7K | |
| 2021 | 215 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 60% | 186 | 171 | $9K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 13% | 50 | 46 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 52 | 47 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 9.2% | 51 | 31 | $1K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 5.8% | 21 | 19 | $868.98 |
| 99000 | <1% | 102 | 102 | $8.98 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 26 | 26 | $4.20 |
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.