Enterprise Medical PC
Enterprise Medical PC was paid $96K by Medicaid between Jan 2018 and Mar 2023, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.
33Billing provider infoENTERPRISE MEDICAL PC
COLLEGE POINT, NY 11356
COLLEGE POINT, NY 11356
33aNPI1497119655assigned 04/13/2016
33bProvider typeSpecialist
28Total paid$96K
24GClaims1,415
24DCodes billed7
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#486 of 1,221
Median peer was paid$45K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2018 | 107 | $4K | |
| 2019 | 465 | $34K | |
| 2020 | 542 | $39K | |
| 2021 | 187 | $11K | |
| 2022 | 77 | $5K | |
| 2023 | 37 | $3K |
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% | 886 | 815 | $60K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 322 | 293 | $18K |
| 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 | 10% | 92 | 92 | $10K |
| 46930 | 6.9% | 42 | 40 | $7K | |
| 99305 | <1% | 29 | 29 | $485.16 | |
| 43762 | <1% | 14 | 14 | $354.40 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 30 | 28 | $229.18 |
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 officialGOLYAN, JOSEPH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| New York Individual Medical Care PC | Forest Hills, NY | $512.06 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.