Physician
Suffolk Medical PC
Suffolk Medical PC was paid $198K by Medicaid between Jan 2018 and Oct 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoSUFFOLK MEDICAL PC
CENTRAL ISLIP, NY 11722
CENTRAL ISLIP, NY 11722
33aNPI1588094288assigned 11/15/2013
33bProvider typeFamily Medicine Physician
28Total paid$198K
24GClaims27,709
24DCodes billed43
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#406 of 2,605
Median peer was paid$10K
This provider vs. median20×
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 | 2,033 | $8K | |
| 2019 | 2,561 | $12K | |
| 2020 | 1,253 | $12K | |
| 2021 | 1,332 | $20K | |
| 2022 | 5,619 | $38K | |
| 2023 | 9,431 | $73K | |
| 2024incomplete | 5,480 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 49% | 5,592 | 5,218 | $97K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 13% | 1,136 | 1,136 | $25K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.9% | 1,919 | 1,904 | $20K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.5% | 847 | 844 | $9K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.0% | 140 | 140 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.4% | 588 | 588 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.3% | 526 | 512 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.3% | 103 | 103 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 519 | 519 | $4K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 2.1% | 829 | 829 | $4K |
| G0444 | Annual depression screening, 5 to 15 minutes | 2.0% | 804 | 804 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.6% | 470 | 428 | $3K |
31 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 917 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.2% | 462 | $2K |
| 81002 | <1% | 4,033 | $2K | |
| 90619 | <1% | 56 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 100 | $2K |
| H0001 | Alcohol and/or drug assessment | <1% | 843 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,679 | $301.49 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 13 | $153.44 |
| 96127 | <1% | 825 | $97.60 | |
| 90686 | <1% | 304 | $43.04 | |
| 99173 | <1% | 223 | $26.67 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | $24.12 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 13 | $3.00 |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | <1% | 13 | $2.86 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 13 | $2.08 |
| 90651 | 0% | 97 | $0.00 | |
| 90647 | 0% | 28 | $0.00 | |
| 90674 | 0% | 164 | $0.00 | |
| 90680 | 0% | 92 | $0.00 | |
| 90697 | 0% | 77 | $0.00 | |
| 90723 | 0% | 27 | $0.00 | |
| 90715 | 0% | 15 | $0.00 | |
| 90671 | 0% | 121 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 738 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 48 | $0.00 |
| 90670 | 0% | 184 | $0.00 | |
| 90621 | 0% | 50 | $0.00 | |
| 90685 | 0% | 15 | $0.00 | |
| 90681 | 0% | 13 | $0.00 | |
| 90655 | 0% | 44 | $0.00 | |
| 90633 | 0% | 14 | $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 officialSANCHEZ, DAVID (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Suffolk Pediatric, PC | Central Islip, NY | $1.50M |
| Alpine Medical Center PLLC | Alpine, TX | $5K |
| Galbraith Sanchez Podiatry Group | Wichita, KS | $344.21 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.