Pflaster, Norman

Pflaster, Norman was paid $30K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 65% of everything it billed.

33Billing provider infoPFLASTER, NORMAN
ISLIP, NY 11751

33aNPI1548234768assigned 02/14/2006

33bProvider typeNeurology Physician

28Total paid$30K

24GClaims1,557

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Neurology Physician providers in New York

Rank by total paid#208 of 623

Median peer was paid$9K

This provider vs. median3.2×

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	184	$3K
2019	315	$5K
2020	242	$4K
2021	284	$3K
2022	326	$7K
2023	95	$4K
2024incomplete	111	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	65%	720	717	$20K
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	34%	312	312	$10K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	12	12	$156.60
99072		0%	38	38	$0.00
1036F		0%	475	472	$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.