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

Garnet Health Doctors PC

Garnet Health Doctors PC was paid $387K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.

33Billing provider infoGARNET HEALTH DOCTORS PC
MIDDLETOWN, NY 10940
33aNPI1548686918assigned 03/10/2014
28Total paid$387K
24GClaims8,789
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other General Practice Physician providers in New York

Rank by total paid#38 of 178
Median peer was paid$27K
This provider vs. median14×

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
2018163$16K
2019907$18K
20201,764$48K
20212,069$83K
20222,238$97K
20231,225$84K
2024incomplete423$40K
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 41% 1,199 1,147 $157K
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% 1,134 1,059 $108K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 17% 820 819 $65K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 9.4% 4,632 3,912 $36K
93000 2.5% 622 608 $10K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.1% 40 40 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 66 64 $4K
99460 <1% 12 12 $1K
90686 <1% 40 40 $634.17
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 54 54 $307.42
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 12 12 $76.02
36415 Collection of venous blood by venipuncture <1% 145 135 $68.87
1 more codes
91301 0% 13 $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 officialMURPHY, PAMELA (PRESIDENT)
Same official

Other billing entities under MURPHY, PAMELA

Full network →
ProviderLocationPaid
Garnet Health Urgent Care PCMiddletown, NY$7.40M
Garnet Health Doctors PCMiddletown, NY$4.14M
Garnet Health Doctors PCHarris, NY$263K
P.A.M. Care INC.Orlando, FL$40K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.