Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Riverhead › NPI 1497103840
Physician

Capece, Gregory

Capece, Gregory was paid $32K by Medicaid between Oct 2020 and Nov 2024, across 2 billing codes. Its largest line is 99285, emergency room visit (most serious) — 73% of everything it billed.

33Billing provider infoCAPECE, GREGORY
RIVERHEAD, NY 11901
33aNPI1497103840assigned 05/26/2016
28Total paid$32K
24GClaims828
24DCodes billed2
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers

Next to other Emergency Medicine Physician providers in New York

Rank by total paid#277 of 2,113
Median peer was paid$5K
This provider vs. median7.1×

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

$0$1.0K$2.0K2018201920202021202220232024
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
202014$589.64
2021148$5K
2022284$11K
2023223$8K
2024incomplete159$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 73% 566 556 $24K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 27% 262 254 $9K

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.