Clinic
Stony Brook Urology, University Faculty Practice Corporation
Stony Brook Urology, University Faculty Practice Corporation was paid $746K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoSTONY BROOK UROLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION
EAST SETAUKET, NY 11733
EAST SETAUKET, NY 11733
33aNPI1538114707assigned 05/24/2006
33bProvider typeClinic/Center
28Total paid$746K
24GClaims6,387
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in New York
Rank by total paid#111 of 235
Median peer was paid$630K
This provider vs. median1.2×
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 | 354 | $47K | |
| 2019 | 704 | $85K | |
| 2020 | 636 | $66K | |
| 2021 | 612 | $76K | |
| 2022 | 1,082 | $140K | |
| 2023 | 1,853 | $216K | |
| 2024incomplete | 1,146 | $116K |
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 | 28% | 2,070 | 2,031 | $209K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 27% | 1,488 | 1,488 | $202K |
| 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 | 24% | 1,426 | 1,352 | $182K |
| 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 | 18% | 685 | 684 | $133K |
| 99243 | <1% | 38 | 38 | $6K | |
| 51798 | <1% | 402 | 399 | $6K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 42 | 38 | $4K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 236 | 227 | $4K |
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 officialWALTZER, WAYNE (CHAIR PERSON)