Physician
Peconic Bay Primary Medical Care
Peconic Bay Primary Medical Care was paid $3.39M by Medicaid between Jan 2018 and Nov 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoPECONIC BAY PRIMARY MEDICAL CARE
MATTITUCK, NY 11952
MATTITUCK, NY 11952
33aNPI1487620613assigned 02/27/2006
33bProvider typeInternal Medicine Physician
28Total paid$3.39M
24GClaims45,952
24DCodes billed42
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#77 of 6,049
Median peer was paid$11K
This provider vs. median300×
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 | |
|---|---|---|---|
| 2018 | 2,596 | $172K | |
| 2019 | 4,348 | $255K | |
| 2020 | 6,511 | $342K | |
| 2021 | 10,307 | $630K | |
| 2022 | 8,678 | $746K | |
| 2023 | 8,450 | $764K | |
| 2024incomplete | 5,062 | $484K |
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 | 48% | 21,465 | 20,092 | $1.64M |
| 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% | 12,944 | 12,263 | $1.29M |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.0% | 1,114 | 1,114 | $171K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.2% | 1,189 | 1,161 | $40K |
| 87428 | <1% | 754 | 725 | $32K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 745 | 726 | $31K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,544 | 1,497 | $18K |
| 86328 | <1% | 560 | 538 | $14K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 797 | 789 | $13K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 102 | 101 | $13K |
| 99460 | <1% | 140 | 140 | $13K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 98 | 96 | $12K |
30 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 149 | $12K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 926 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 73 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 67 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 564 | $7K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 81 | $6K |
| 90686 | <1% | 366 | $6K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 129 | $5K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 25 | $5K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 38 | $4K |
| 73110 | <1% | 92 | $4K | |
| 20610 | <1% | 43 | $3K | |
| 90461 | <1% | 157 | $3K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 12 | $3K |
| 93000 | <1% | 195 | $3K | |
| 73030 | <1% | 71 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,160 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14 | $2K |
| 73130 | <1% | 29 | $1K | |
| 73564 | <1% | 24 | $1K | |
| 99243 | <1% | 12 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 12 | $1K |
| 73502 | <1% | 27 | $811.29 | |
| 90682 | <1% | 12 | $784.09 | |
| 20553 | <1% | 13 | $538.20 | |
| 92551 | <1% | 43 | $516.49 | |
| 81003 | <1% | 108 | $178.56 | |
| 86318 | <1% | 14 | $146.72 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 24 | $77.92 |
| 90656 | 0% | 20 | $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 officialO'DONNELL, MICHAEL (CFO)
| Provider | Location | Paid |
|---|---|---|
| Great Florida Smiles & Orthodontics PCB, PLLC | Panama City Beach, FL | $9K |
| Michael T. O'donnell, D.M.D, P.A. | Santa Rosa Beach, FL | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.