Muscarello, Paul

Muscarello, Paul was paid $26K by Medicaid between Oct 2019 and Oct 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 94% of everything it billed.

33Billing provider infoMUSCARELLO, PAUL
PLAINVIEW, NY 11803

33aNPI1497837793assigned 10/19/2006

33bProvider typePediatrics Physician

28Total paid$26K

24GClaims443

24DCodes billed5

24AFirst – last monthOct 2019 – Oct 2024

Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#927 of 1,983

Median peer was paid$17K

This provider vs. median1.6×

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	55	$395.53
2020	15	$360.15
2021	31	$2K
2022	50	$4K
2023	183	$12K
2024incomplete	109	$7K

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	94%	335	286	$25K
90460	Immunization administration through 18 years of age via any route, first or only component	5.4%	52	52	$1K
92551		<1%	14	14	$77.56
81000		<1%	28	27	$66.85
99173		<1%	14	14	$8.00

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.