Physician
Spera, Dominic
Spera, Dominic was paid $31K by Medicaid between Jan 2018 and Sep 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 95% of everything it billed.
33Billing provider infoSPERA, DOMINIC
LAWRENCE, NY 11559
LAWRENCE, NY 11559
33aNPI1578544276assigned 11/09/2005
33bProvider typeInternal Medicine Physician
28Total paid$31K
24GClaims7,393
24DCodes billed19
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#2,096 of 6,049
Median peer was paid$11K
This provider vs. median2.7×
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 | 2,288 | $6K | |
| 2019 | 2,731 | $9K | |
| 2020 | 2,027 | $12K | |
| 2021 | 215 | $203.71 | |
| 2022 | 17 | $266.93 | |
| 2023 | 47 | $2K | |
| 2024incomplete | 68 | $2K |
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 | 95% | 926 | 839 | $29K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 32 | 30 | $882.90 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 13 | 12 | $459.88 |
| 93000 | <1% | 12 | 12 | $117.13 | |
| 94760 | <1% | 1,231 | 1,077 | $63.32 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 169 | 159 | $36.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 70 | 66 | $16.00 |
| 3074F | <1% | 516 | 473 | $10.00 | |
| 99000 | <1% | 420 | 391 | $10.00 | |
| 3078F | <1% | 231 | 218 | $5.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 17 | 15 | $4.50 |
| 3075F | <1% | 68 | 66 | $2.50 |
7 more codes
| 3028F | 0% | 1,079 | $0.00 | |
| 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) | 0% | 26 | $0.00 |
| 3077F | 0% | 27 | $0.00 | |
| 99401 | 0% | 77 | $0.00 | |
| 3037F | 0% | 1,060 | $0.00 | |
| 3079F | 0% | 358 | $0.00 | |
| 3008F | 0% | 1,061 | $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.