Maimonides Medical Center - Division of Endocrinology FPP
Maimonides Medical Center - Division of Endocrinology FPP was paid $335K by Medicaid between May 2018 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.
BROOKLYN, NY 11219
Next to other Endocrinology, Diabetes & Metabolism Physician providers in New York
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 99 | $4K | |
| 2019 | 166 | $8K | |
| 2020 | 75 | $4K | |
| 2021 | 281 | $27K | |
| 2022 | 1,398 | $78K | |
| 2023 | 2,477 | $131K | |
| 2024incomplete | 1,857 | $85K |
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 | 74% | 2,310 | 2,299 | $249K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 715 | 710 | $48K |
| 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 | 8.2% | 173 | 173 | $27K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 3.2% | 242 | 233 | $11K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 27 | 14 | $130.01 |
| 1159F | <1% | 1,189 | 1,184 | $21.29 | |
| 1160F | <1% | 1,159 | 1,154 | $15.35 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 68 | 67 | $0.00 |
| 3078F | 0% | 166 | 166 | $0.00 | |
| 3074F | 0% | 304 | 304 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Maimonides Medical Center Orthopaedic FPP | Brooklyn, NY | $7.49M |
| Maimonides Cardiology FPP | Brooklyn, NY | $3.46M |
| MMC University Vascular Surgeons | Brooklyn, NY | $797K |
| Maimonides Medical Center - Rheumatology FPP | Brooklyn, NY | $728K |
| Maimonides Medical Center General Surgery FPP | Brooklyn, NY | $416K |
| Maimonides Urology FPP | Brooklyn, NY | $321K |
| Maimonides Community Physician Practice FPP | Brooklyn, NY | $117K |
| MMC Gynecology Oncology FPP | Brooklyn, NY | $41K |
| MMC Nutrition Center FPP | Brooklyn, NY | $27K |
| Maimonides Pain Management FPP | Brooklyn, NY | $21K |
| Maimonides Medical Center - Brooklyn Breast Program | Brooklyn, NY | $2K |
| MMC Surgical Oncology Associates | Brooklyn, NY | $565.15 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.