Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Sutton, Nicole

Sutton, Nicole was paid $2K by Medicaid between Jan 2021 and Jan 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 94% of everything it billed.

33Billing provider infoSUTTON, NICOLE
BRONX, NY 10467
33aNPI1659457505assigned 10/31/2006
28Total paid$2K
24GClaims26
24DCodes billed2
24AFirst – last monthJan 2021 – Jan 2024
Compared with peers

Next to other Pediatric Cardiology Physician providers in New York

Rank by total paid#58 of 89
Median peer was paid$3K
This provider vs. median0.5×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
202112$2K
2024incomplete14$98.54
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 94% 12 12 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5.9% 14 12 $98.54

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.