MMC Division of Neurology FPP

MMC Division of Neurology FPP was paid $160K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 32% of everything it billed.

33Billing provider infoMMC DIVISION OF NEUROLOGY FPP
BROOKLYN, NY 11220

33aNPI1497838114assigned 10/24/2006

33bProvider typeNeurology Physician

28Total paid$160K

24GClaims4,947

24DCodes billed21

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Neurology Physician providers in New York

Rank by total paid#104 of 623

Median peer was paid$9K

This provider vs. median17×

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	426	$11K
2019	831	$11K
2020	311	$6K
2021	113	$3K
2022	806	$41K
2023	1,223	$37K
2024incomplete	1,237	$51K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	32%	365	364	$51K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	22%	358	358	$35K
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	19%	301	295	$30K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	368	365	$25K
99205	Prolong outpt/office vis	6.4%	55	55	$10K
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)	2.3%	427	410	$4K
99222	Initial hospital care, per day, moderate complexity	1.1%	13	13	$2K
99442		<1%	25	25	$2K
99221		<1%	13	12	$572.38
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	25	13	$452.57
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	12	12	$219.87
99441		<1%	13	13	$186.65

9 more codes

1160F		0%	904	$0.00
1159F		0%	907	$0.00
3078F		0%	149	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	408	$0.00
3077F		0%	26	$0.00
G9534	Advanced brain imaging (cta, ct, mra or mri) was not ordered	0%	40	$0.00
3074F		0%	387	$0.00
3079F		0%	109	$0.00
G9535	Patients with a normal neurological examination	0%	42	$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 officialKEILSON, MARSHALL (DIRECTOR OF NEUROLOGY)