Cutting Edge Medical P.C

Cutting Edge Medical P.C was paid $1.46M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.

33Billing provider infoCUTTING EDGE MEDICAL P.C
FAR ROCKAWAY, NY 11691

33aNPI1558319277assigned 05/05/2006

33bProvider typeInternal Medicine Physician

28Total paid$1.46M

24GClaims23,120

24DCodes billed31

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#196 of 6,049

Median peer was paid$11K

This provider vs. median129×

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	2,487	$121K
2019	2,887	$166K
2020	3,024	$201K
2021	3,347	$257K
2022	3,411	$242K
2023	3,995	$266K
2024incomplete	3,969	$202K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	53%	7,590	7,196	$770K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	29%	5,773	5,220	$418K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	9.0%	1,318	1,314	$130K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	4.9%	756	752	$72K
94060		<1%	246	246	$12K
93000		<1%	722	721	$11K
99442		<1%	149	144	$10K
90688		<1%	443	443	$7K
99401		<1%	324	320	$7K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	307	305	$5K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	352	348	$5K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	112	108	$4K

19 more codes

36415	Collection of venous blood by venipuncture	<1%	3,881	$3K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	12	$518.16
G0446	Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	<1%	44	$429.09
3075F		<1%	241	$321.76
G0008	Administration of influenza virus vaccine	<1%	44	$298.64
90658		<1%	17	$272.72
3079F		<1%	256	$246.75
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	12	$135.92
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	15	$112.41
G0444	Annual depression screening, 5 to 15 minutes	<1%	61	$40.37
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	<1%	74	$3.45
G8433	Screening for depression not completed, documented patient or medical reason	<1%	71	$3.29
G8432	Depression screening not documented, reason not given	<1%	71	$3.29
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	29	$0.06
3353F		0%	36	$0.00
3351F		0%	36	$0.00
3354F		0%	36	$0.00
G8511	Screening for depression documented as positive, follow-up plan not documented, reason not given	0%	57	$0.00
3725F		0%	35	$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 officialVAYSMAN, ALEXANDER (PRESIDENT)