Mark J Coronel MD PC

Mark J Coronel MD PC was paid $417K by Medicaid between Feb 2018 and Nov 2024, across 9 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 39% of everything it billed.

33Billing provider infoMARK J CORONEL MD PC
RIVERHEAD, NY 11901

33aNPI1639445869assigned 04/02/2012

33bProvider typeGastroenterology Physician

28Total paid$417K

24GClaims3,622

24DCodes billed9

24AFirst – last monthFeb 2018 – Nov 2024

Compared with peers

Next to other Gastroenterology Physician providers in New York

Rank by total paid#94 of 656

Median peer was paid$12K

This provider vs. median34×

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	143	$20K
2019	662	$84K
2020	606	$47K
2021	747	$88K
2022	377	$41K
2023	617	$87K
2024incomplete	470	$50K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	39%	1,373	1,372	$165K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	22%	245	156	$90K
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	19%	989	971	$81K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	11%	129	76	$45K
88305	Level IV - Surgical pathology, gross and microscopic examination	6.5%	565	547	$27K
88342		<1%	110	110	$4K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	174	167	$3K
00731		<1%	25	25	$2K
00812		<1%	12	12	$575.92

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 officialCORONEL, MARK (PHYSICIAN)