Garfield, Robert

Garfield, Robert was paid $27K by Medicaid between Apr 2018 and Sep 2024, across 4 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 50% of everything it billed.

33Billing provider infoGARFIELD, ROBERT
WORCESTER, NY 12197

33aNPI1528052362assigned 09/08/2005

33bProvider typeFamily Medicine Physician

28Total paid$27K

24GClaims1,608

24DCodes billed4

24AFirst – last monthApr 2018 – Sep 2024

Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#961 of 2,605

Median peer was paid$10K

This provider vs. median2.7×

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	57	$689.60
2019	258	$2K
2020	415	$7K
2021	306	$6K
2022	263	$5K
2023	186	$3K
2024incomplete	123	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	50%	996	955	$14K
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	42%	474	464	$11K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.2%	122	118	$2K
99308	Subsequent nursing facility care, per day, straightforward	<1%	16	16	$24.14

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.