Supplier
Mager & Gougelman, INC
Mager & Gougelman, INC was paid $1.24M by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is V2628, Fabrication and fitting of ocular conformer — 38% of everything it billed.
33Billing provider infoMAGER & GOUGELMAN, INC
NEW YORK, NY 10017
NEW YORK, NY 10017
33aNPI1609989797assigned 08/16/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$1.24M
24GClaims9,368
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in New York
Rank by total paid#110 of 479
Median peer was paid$138K
This provider vs. median9.0×
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 | 723 | $71K | |
| 2019 | 1,340 | $146K | |
| 2020 | 1,272 | $177K | |
| 2021 | 1,602 | $285K | |
| 2022 | 1,507 | $235K | |
| 2023 | 1,554 | $164K | |
| 2024incomplete | 1,370 | $161K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2628 | Fabrication and fitting of ocular conformer | 38% | 3,147 | 2,209 | $474K |
| V2623 | Prosthetic eye, plastic, custom | 32% | 407 | 369 | $399K |
| V2627 | Scleral cover shell | 15% | 159 | 145 | $191K |
| V2624 | Polishing/resurfacing of ocular prosthesis | 9.8% | 3,974 | 3,614 | $121K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.0% | 951 | 905 | $37K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 645 | 633 | $10K |
| V2625 | Enlargement of ocular prosthesis | <1% | 27 | 24 | $5K |
| 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% | 58 | 58 | $2K |
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 officialGOUGELMANN, DAVID (PRESIDENT)