Nistico, Justin

Nistico, Justin was paid $2K by Medicaid between Apr 2019 and Feb 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.

33Billing provider infoNISTICO, JUSTIN
ELMIRA, NY 14905

33aNPI1477819951assigned 04/09/2012

33bProvider typeInternal Medicine Physician

28Total paid$2K

24GClaims423

24DCodes billed5

24AFirst – last monthApr 2019 – Feb 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#4,510 of 6,049

Median peer was paid$11K

This provider vs. median0.2×

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
2019	223	$354.83
2020	165	$855.45
2021	19	$195.21
2024incomplete	16	$534.60

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	43%	173	141	$838.51
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	38%	35	28	$729.81
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	13%	54	20	$260.10
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	3.3%	148	89	$63.60
99222	Initial hospital care, per day, moderate complexity	2.5%	13	13	$48.07

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.