Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Lipelis, Konstantin

Lipelis, Konstantin was paid $424K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.

33Billing provider infoLIPELIS, KONSTANTIN
ROCK HILL, NY 12775
33aNPI1548423809assigned 07/08/2008
28Total paid$424K
24GClaims5,537
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in New York

Rank by total paid#52 of 465
Median peer was paid$12K
This provider vs. median35×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2018530$24K
2019791$53K
2020777$61K
20211,013$106K
20221,462$137K
2023522$28K
2024incomplete442$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 70% 3,577 3,527 $298K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 1,104 1,095 $64K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 5.2% 199 199 $22K
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 3.9% 116 116 $16K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3.8% 262 262 $16K
99442 1.4% 98 98 $6K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 181 180 $943.42

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.