Physician
Calogero C. Tumminello, M.D., P.C.
Calogero C. Tumminello, M.D., P.C. was paid $234K by Medicaid between Jun 2019 and Nov 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoCALOGERO C. TUMMINELLO, M.D., P.C.
MIDDLE VILLAGE, NY 11379
MIDDLE VILLAGE, NY 11379
33aNPI1578552105assigned 10/17/2005
33bProvider typeGeneral Practice Physician
28Total paid$234K
24GClaims5,145
24DCodes billed13
24AFirst – last monthJun 2019 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in New York
Rank by total paid#50 of 178
Median peer was paid$27K
This provider vs. median8.7×
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 | |
|---|---|---|---|
| 2019 | 108 | $6K | |
| 2020 | 523 | $25K | |
| 2021 | 761 | $37K | |
| 2022 | 974 | $53K | |
| 2023 | 1,242 | $61K | |
| 2024incomplete | 1,537 | $52K |
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 | 50% | 1,121 | 1,051 | $117K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 1,408 | 1,258 | $100K |
| 99051 | 3.5% | 1,395 | 1,228 | $8K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.9% | 251 | 222 | $4K |
| 99497 | <1% | 12 | 12 | $866.69 | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 31 | 29 | $667.45 |
| 99401 | <1% | 14 | 14 | $485.42 | |
| 3078F | <1% | 286 | 259 | $400.00 | |
| 3074F | <1% | 287 | 260 | $400.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 34 | 34 | $387.78 |
| 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) | <1% | 126 | 107 | $189.06 |
| 1159F | 0% | 90 | 85 | $0.00 |
1 more codes
| 1160F | 0% | 90 | $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 officialTUMMINELLO, CALOGERO (CEO/PRESIDENT)
Parent organizationCALOGERO C. TUMMINELLO, MD, PC