Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › East Setauket › NPI 1467430157
Physician

Urmaza, Benedict

Urmaza, Benedict was paid $28K by Medicaid between Jan 2019 and Nov 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.

33Billing provider infoURMAZA, BENEDICT
EAST SETAUKET, NY 11733
33aNPI1467430157assigned 01/04/2006
33bProvider typeOphthalmology Physician
28Total paid$28K
24GClaims1,575
24DCodes billed6
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#563 of 1,085
Median peer was paid$34K
This provider vs. median0.8×

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$4.0K2018201920202021202220232024
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
201913$2K
2020167$3K
2021513$10K
2022381$10K
2023248$2K
2024incomplete253$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 53% 566 561 $15K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 23% 480 480 $6K
92250 19% 342 342 $5K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 3.1% 139 136 $875.27
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2.0% 24 24 $572.44
92133 <1% 24 24 $128.01

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.