Epelbaum, Alexander

Epelbaum, Alexander was paid $613.36 by Medicaid between Mar 2019 and Sep 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.

33Billing provider infoEPELBAUM, ALEXANDER
SMITHTOWN, NY 11787

33aNPI1487673612assigned 07/19/2006

33bProvider typeUrology Physician

28Total paid$613.36

24GClaims270

24DCodes billed5

24AFirst – last monthMar 2019 – Sep 2024

Compared with peers

Next to other Urology Physician providers in New York

Rank by total paid#378 of 461

Median peer was paid$6K

This provider vs. median0.1×

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	31	$0.00
2020	12	$0.00
2021	12	$0.60
2022	50	$166.32
2023	39	$56.34
2024incomplete	126	$390.10

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	62%	26	24	$377.87
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	36%	25	25	$219.32
81003		2.2%	59	52	$13.77
81002		<1%	104	98	$2.40
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	0%	56	55	$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.