Seth Benkel, MD, PLLC

Seth Benkel, MD, PLLC was paid $597K by Medicaid between Feb 2018 and Nov 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoSETH BENKEL, MD, PLLC
FAR ROCKAWAY, NY 11691

33aNPI1518313188assigned 05/12/2016

33bProvider typeInternal Medicine Physician

28Total paid$597K

24GClaims15,242

24DCodes billed28

24AFirst – last monthFeb 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#409 of 6,049

Median peer was paid$11K

This provider vs. median53×

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	782	$45K
2019	1,850	$91K
2020	2,572	$100K
2021	2,868	$106K
2022	2,663	$85K
2023	2,510	$98K
2024incomplete	1,997	$72K

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	59%	6,582	5,438	$352K
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	25%	2,083	1,824	$150K
99441		2.6%	520	504	$16K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	2.5%	174	171	$15K
90756		1.8%	383	383	$11K
93000		1.4%	621	617	$8K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	70	70	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	171	160	$5K
99442		<1%	91	88	$5K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	760	748	$4K
99406		<1%	386	358	$4K
G0444	Annual depression screening, 5 to 15 minutes	<1%	735	725	$3K

16 more codes

90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	262	$3K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	220	$3K
G0008	Administration of influenza virus vaccine	<1%	322	$3K
99385		<1%	26	$2K
99401		<1%	67	$2K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	43	$2K
90674		<1%	50	$1K
90688		<1%	64	$1K
36415	Collection of venous blood by venipuncture	<1%	1,101	$897.45
90658		<1%	37	$636.02
99072		<1%	288	$461.25
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	<1%	13	$449.76
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	132	$220.77
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	15	$84.44
G0446	Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	<1%	14	$74.09
G0445	High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes	<1%	12	$22.31

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 officialBENKEL, LORI (OFFICE MANAGER)