Physician
Halper, Todd
Halper, Todd was paid $197K by Medicaid between Jan 2018 and Nov 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoHALPER, TODD
ROCKVILLE CENTRE, NY 11570
ROCKVILLE CENTRE, NY 11570
33aNPI1518126655assigned 06/04/2008
33bProvider typeFamily Medicine Physician
28Total paid$197K
24GClaims21,180
24DCodes billed40
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#409 of 2,605
Median peer was paid$10K
This provider vs. median19×
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 | 594 | $12K | |
| 2019 | 748 | $14K | |
| 2020 | 1,831 | $26K | |
| 2021 | 5,725 | $38K | |
| 2022 | 5,950 | $38K | |
| 2023 | 4,484 | $45K | |
| 2024incomplete | 1,848 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 54% | 3,595 | 2,982 | $107K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 12% | 851 | 746 | $23K |
| 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 | 11% | 660 | 614 | $21K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.6% | 298 | 281 | $5K |
| 99401 | 2.6% | 578 | 521 | $5K | |
| 81002 | 1.9% | 1,828 | 1,618 | $4K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 104 | 103 | $4K |
| 93000 | 1.8% | 411 | 404 | $4K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 1.5% | 460 | 428 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.5% | 155 | 137 | $3K |
| 36415 | Collection of venous blood by venipuncture | 1.3% | 1,138 | 1,088 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.3% | 73 | 67 | $3K |
28 more codes
| 92557 | 1.3% | 156 | $2K | |
| 92570 | 1.1% | 166 | $2K | |
| 94010 | <1% | 198 | $2K | |
| 92587 | <1% | 155 | $2K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 529 | $2K |
| 99497 | <1% | 88 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 55 | $742.72 |
| 86328 | <1% | 48 | $243.96 | |
| 96127 | <1% | 109 | $161.86 | |
| 3074F | <1% | 1,879 | $102.49 | |
| 3078F | <1% | 1,507 | $87.49 | |
| 81000 | <1% | 17 | $61.71 | |
| 99173 | <1% | 115 | $49.63 | |
| 3079F | <1% | 850 | $37.50 | |
| 3075F | <1% | 225 | $10.00 | |
| 1160F | 0% | 865 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,018 | $0.00 |
| 3077F | 0% | 30 | $0.00 | |
| 1159F | 0% | 915 | $0.00 | |
| 3288F | 0% | 14 | $0.00 | |
| 4004F | 0% | 87 | $0.00 | |
| 3008F | 0% | 1,321 | $0.00 | |
| 1036F | 0% | 591 | $0.00 | |
| 3044F | 0% | 14 | $0.00 | |
| 82784 | 0% | 15 | $0.00 | |
| 99070 | 0% | 23 | $0.00 | |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 16 | $0.00 |
| 99000 | 0% | 23 | $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.