Managed care
Network Solutions Ipa
Network Solutions Ipa was paid $12.29M by Medicaid between Feb 2018 and Dec 2024, across 114 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoNETWORK SOLUTIONS IPA
BROOKLYN, NY 11219
BROOKLYN, NY 11219
33aNPI1609206010assigned 11/21/2013
33bProvider typeHealth Maintenance Organization
28Total paid$12.29M
24GClaims185,844
24DCodes billed114
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Health Maintenance Organization providers in New York
Rank by total paid#4 of 28
Median peer was paid$159K
This provider vs. median77×
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 | 1,576 | $65K | |
| 2019 | 8,036 | $497K | |
| 2020 | 16,318 | $1.07M | |
| 2021 | 25,477 | $1.73M | |
| 2022 | 40,714 | $2.69M | |
| 2023 | 52,458 | $3.54M | |
| 2024incomplete | 41,265 | $2.70M |
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 | 31% | 53,506 | 48,872 | $3.79M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 23% | 28,788 | 28,760 | $2.80M |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 9.7% | 18,141 | 18,132 | $1.19M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.2% | 18,679 | 17,932 | $882K |
| 99442 | 4.4% | 8,905 | 8,654 | $535K | |
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 2.8% | 1,597 | 1,088 | $342K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.4% | 2,076 | 2,052 | $290K |
| 10060 | 1.4% | 1,574 | 1,544 | $177K | |
| 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 | 1.3% | 1,868 | 1,823 | $161K |
| 99385 | 1.3% | 1,473 | 1,472 | $160K | |
| 11721 | 1.2% | 4,762 | 4,710 | $146K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.1% | 1,154 | 1,153 | $131K |
102 more codes
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.1% | 2,979 | $129K |
| 93880 | <1% | 1,124 | $118K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 3,382 | $116K |
| 99386 | <1% | 894 | $110K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 623 | $85K |
| 17110 | <1% | 1,120 | $82K | |
| 99441 | <1% | 2,290 | $77K | |
| 10061 | <1% | 402 | $76K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 1,518 | $61K |
| 11043 | <1% | 275 | $58K | |
| L1970 | Ankle foot orthosis, plastic with ankle joint, custom fabricated | <1% | 109 | $58K |
| 11056 | <1% | 1,306 | $57K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 659 | $52K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 1,858 | $52K |
| 17111 | <1% | 474 | $51K | |
| 93978 | <1% | 381 | $41K | |
| 11730 | <1% | 391 | $39K | |
| 93922 | <1% | 583 | $35K | |
| 11755 | <1% | 314 | $31K | |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | <1% | 2,423 | $30K |
| L2275 | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined | <1% | 410 | $27K |
| 93000 | <1% | 2,485 | $25K | |
| 29540 | <1% | 1,315 | $25K | |
| 76536 | <1% | 387 | $24K | |
| L1907 | Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated | <1% | 76 | $23K |
| L2820 | Addition to lower extremity orthosis, soft interface for molded plastic, below knee section | <1% | 300 | $17K |
| 99401 | <1% | 550 | $15K | |
| 73630 | <1% | 452 | $12K | |
| 99443 | <1% | 138 | $11K | |
| 11720 | <1% | 655 | $11K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 29 | $11K |
| 92553 | <1% | 673 | $11K | |
| 11306 | <1% | 118 | $10K | |
| L3030 | Foot, insert, removable, formed to patient foot, each | <1% | 127 | $8K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 79 | $8K |
| 97597 | <1% | 91 | $6K | |
| 11057 | <1% | 105 | $6K | |
| 94060 | <1% | 199 | $6K | |
| L3332 | Lift, elevation, inside shoe, tapered, up to one-half inch | <1% | 149 | $6K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 50 | $5K |
| 99347 | <1% | 228 | $5K | |
| 93975 | <1% | 26 | $5K | |
| 97035 | <1% | 345 | $4K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 33 | $4K |
| L3010 | Foot, insert, removable, molded to patient model, longitudinal arch support, each | <1% | 37 | $4K |
| 99492 | <1% | 73 | $3K | |
| 99493 | <1% | 29 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,183 | $3K |
| L3215 | Orthopedic footwear, ladies shoe, oxford, each | <1% | 29 | $3K |
| L3001 | Foot, insert, removable, molded to patient model, spenco, each | <1% | 34 | $3K |
| 92100 | <1% | 33 | $3K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 15 | $3K |
| 99484 | <1% | 52 | $2K | |
| 97124 | <1% | 102 | $2K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 97 | $2K |
| 81000 | <1% | 741 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 199 | $2K |
| L3060 | Foot, arch support, removable, premolded, longitudinal/ metatarsal, each | <1% | 54 | $2K |
| 11750 | <1% | 13 | $2K | |
| 73620 | <1% | 108 | $1K | |
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | <1% | 13 | $1K |
| 97162 | <1% | 12 | $900.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 18 | $814.14 |
| 99051 | <1% | 246 | $806.75 | |
| L3202 | Orthopedic shoe, oxford with supinator or pronator, child | <1% | 16 | $792.00 |
| 76881 | <1% | 14 | $743.12 | |
| 99490 | Ccm add 20min | <1% | 38 | $705.37 |
| 97164 | <1% | 15 | $659.44 | |
| 99406 | <1% | 55 | $589.59 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 19 | $571.83 |
| 29550 | <1% | 26 | $537.84 | |
| A5512 | For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each | <1% | 13 | $495.30 |
| 77077 | <1% | 15 | $476.46 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 53 | $400.00 |
| 99348 | <1% | 28 | $333.46 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,752 | $331.50 |
| 92587 | <1% | 12 | $319.32 | |
| 96131 | <1% | 212 | $142.54 | |
| 96130 | <1% | 716 | $101.36 | |
| 90845 | <1% | 21 | $79.28 | |
| 87070 | <1% | 13 | $74.88 | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 29 | $69.30 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 13 | $66.10 |
| 87184 | <1% | 13 | $60.58 | |
| 96127 | <1% | 12 | $55.08 | |
| 88312 | <1% | 28 | $49.54 | |
| 99407 | <1% | 585 | $24.39 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 25 | $23.26 |
| 97022 | <1% | 12 | $17.31 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,160 | $12.76 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 51 | $4.18 |
| 94760 | <1% | 210 | $0.55 | |
| 99408 | 0% | 37 | $0.00 | |
| G0127 | Trimming of dystrophic nails, any number | 0% | 13 | $0.00 |
| 99072 | 0% | 59 | $0.00 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 418 | $0.00 |
| 97802 | 0% | 106 | $0.00 | |
| 99000 | 0% | 185 | $0.00 | |
| 99422 | 0% | 32 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 68 | $0.00 |
| 90686 | 0% | 16 | $0.00 | |
| 90688 | 0% | 18 | $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 officialKOHL, SHELDON (CFO)