Physician
Brighton Medical Care NY PLLC
Brighton Medical Care NY PLLC was paid $1.74M by Medicaid between Dec 2018 and Dec 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoBRIGHTON MEDICAL CARE NY PLLC
BROOKLYN, NY 11235
BROOKLYN, NY 11235
33aNPI1528471828assigned 06/04/2014
33bProvider typeGeneral Practice Physician
28Total paid$1.74M
24GClaims35,943
24DCodes billed39
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in New York
Rank by total paid#18 of 178
Median peer was paid$27K
This provider vs. median65×
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 | 116 | $5K | |
| 2019 | 4,165 | $188K | |
| 2020 | 4,102 | $190K | |
| 2021 | 5,115 | $266K | |
| 2022 | 5,680 | $308K | |
| 2023 | 8,765 | $432K | |
| 2024incomplete | 8,000 | $351K |
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 | 40% | 10,773 | 9,750 | $702K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 23% | 5,881 | 1,229 | $395K |
| 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% | 1,878 | 1,788 | $192K |
| 94060 | 3.8% | 1,572 | 1,562 | $66K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.9% | 2,670 | 2,593 | $50K |
| 94729 | 2.7% | 1,377 | 1,375 | $47K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 440 | 440 | $40K |
| 94727 | 2.0% | 1,378 | 1,376 | $36K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.9% | 164 | 164 | $33K |
| 76536 | 1.8% | 402 | 401 | $31K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 1.5% | 485 | 366 | $26K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 1.4% | 318 | 318 | $25K |
27 more codes
| 93000 | 1.3% | 1,689 | $23K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.0% | 126 | $18K |
| 97161 | <1% | 328 | $12K | |
| 99490 | Ccm add 20min | <1% | 464 | $9K |
| 93922 | <1% | 73 | $6K | |
| 95923 | <1% | 58 | $5K | |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | <1% | 267 | $5K |
| 99439 | <1% | 295 | $4K | |
| 95921 | <1% | 71 | $4K | |
| 93880 | <1% | 12 | $2K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 142 | $1K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 42 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,590 | $1K |
| 99051 | <1% | 175 | $977.58 | |
| 82947 | <1% | 229 | $824.76 | |
| 90688 | <1% | 47 | $768.98 | |
| 99401 | <1% | 27 | $728.70 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 16 | $669.55 |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 487 | $398.30 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 80 | $389.79 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 54 | $341.40 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 23 | $331.50 |
| 82948 | <1% | 148 | $279.75 | |
| 90658 | <1% | 17 | $251.46 | |
| J3411 | Injection, thiamine hcl, 100 mg | <1% | 46 | $61.39 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 54 | $48.74 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 0% | 45 | $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 officialSHILIMOVA, YELENA (OWENER)
| Provider | Location | Paid |
|---|---|---|
| Ys Medical PC | Brooklyn, NY | $31K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.