Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TRUE NORTH MEDICAL GROUP PC

NPI: 1659883486 · MERRICK, NY 11566 · Orthopaedic Hand Surgery Physician · NPI assigned 11/02/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CUSACK, MICHELE controls 20+ related entities in our dataset. Read more

$12.56M
Total Medicaid Paid
122,325
Total Claims
113,749
Beneficiaries
89
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCUSACK, MICHELE (CFO)
NPI Enumeration Date11/02/2017

Related Entities

Other providers sharing the same authorized official: CUSACK, MICHELE

ProviderCityStateTotal Paid
LONG ISLAND JEWISH MEDICAL CENTER NEW HYDE PARK NY $370.91M
NORTH SHORE UNIVERSITY HOSPITAL NEW HYDE PARK NY $166.53M
STATEN ISLAND UNIVERSITY HOSPITAL STATEN ISLAND NY $118.12M
REGIONCARE INC. GARDEN CITY NY $96.55M
NORTH SHORE UNIVERSITY HOSPITAL MANHASSET NY $87.68M
LENOX HILL HOSPITAL NEW YORK NY $63.17M
SOUTH SHORE UNIVERSITY HOSPITAL BAY SHORE NY $47.45M
JOHN T. MATHER MEMORIAL HOSPITAL PORT JEFFERSON NY $20.34M
PHELPS MEMORIAL HOSPITAL ASSOCIATION SLEEPY HOLLOW NY $20.17M
NORTH SHORE UNIVERSITY HOSPITAL WESTBURY NY $17.90M
HUNTINGTON HOSPITAL ASSOCIATION HUNTINGTON NY $9.83M
THE LONG ISLAND HOME AMITYVILLE NY $9.49M
REGIONCARE INC. GREAT NECK NY $9.43M
LONG ISLAND JEWISH MEDICAL CENTER VALLEY STREAM NY $8.41M
HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH CENTER GREENLAWN NY $8.03M
GLEN COVE HOSPITAL GLEN COVE NY $7.72M
CENTRAL SUFFOLK HOSPITAL RIVERHEAD NY $7.66M
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION MOUNT KISCO NY $7.58M
PLAINVIEW HOSPITAL PLAINVIEW NY $6.39M
NORTH SHORE - LIJ ANESTHESIOLOGY, PC CHAPPAQUA NY $6.07M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,195 $119K
2019 6,811 $452K
2020 18,293 $1.45M
2021 34,501 $3.02M
2022 21,683 $2.66M
2023 21,824 $2.62M
2024 18,018 $2.24M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32,322 30,727 $2.81M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,949 19,268 $2.58M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 10,232 10,206 $1.88M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14,219 14,182 $1.56M
95816 1,825 1,821 $799K
90834 Psychotherapy, 45 minutes with patient 4,991 1,955 $506K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,442 1,404 $320K
95886 1,428 1,257 $318K
70551 Magnetic resonance imaging, brain; without contrast material 1,270 1,266 $304K
73110 3,344 2,874 $154K
96112 760 759 $106K
95822 200 200 $99K
95911 407 392 $93K
95819 202 202 $91K
95912 336 321 $89K
73610 1,857 1,679 $74K
20610 1,263 967 $74K
73140 1,655 1,427 $71K
73630 1,703 1,484 $65K
99215 Prolong outpt/office vis 312 307 $60K
73130 857 738 $40K
73221 169 165 $38K
72110 626 626 $38K
73564 691 582 $36K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 148 148 $35K
73562 713 652 $34K
20611 226 200 $22K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 332 332 $22K
80363 296 289 $16K
99072 6,388 5,770 $16K
73030 392 351 $15K
99223 Prolong inpt eval add15 m 105 101 $14K
J1040 Injection, methylprednisolone acetate, 80 mg 1,099 1,060 $14K
72170 385 385 $13K
64483 49 49 $13K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 1,778 1,683 $12K
62323 40 40 $12K
80305 1,114 1,090 $11K
00630 48 46 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 132 127 $9K
90791 Psychiatric diagnostic evaluation 39 39 $7K
25600 13 12 $6K
73010 166 145 $5K
72141 24 24 $5K
92653 68 68 $4K
80323 327 319 $4K
20550 61 56 $4K
72100 90 81 $4K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 45 40 $3K
93040 303 271 $3K
73560 68 67 $3K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 13 12 $3K
20552 74 63 $3K
83789 336 328 $2K
80358 286 280 $2K
80349 292 286 $2K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 147 144 $2K
99443 14 14 $2K
95719 12 12 $2K
80324 232 212 $1K
29075 13 12 $1K
80346 207 188 $1K
J3490 Unclassified drugs 446 419 $1K
93770 336 302 $973.50
99442 14 14 $971.65
82948 174 167 $875.27
99441 14 14 $870.82
96136 55 55 $829.59
J2250 Injection, midazolam hydrochloride, per 1 mg 621 577 $757.13
73502 13 13 $664.93
72040 13 13 $581.45
80355 52 52 $567.50
J1100 Injection, dexamethasone sodium phosphate, 1 mg 365 353 $550.08
36415 Collection of venous blood by venipuncture 43 43 $545.30
99152 14 13 $529.22
73080 12 12 $511.43
73090 13 12 $424.96
29540 26 26 $410.64
29260 14 13 $400.17
J1010 Injection, methylprednisolone acetate, 1 mg 50 50 $298.74
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 178 174 $240.81
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 953 911 $222.06
J3010 Injection, fentanyl citrate, 0.1 mg 331 300 $159.32
J1030 Injection, methylprednisolone acetate, 40 mg 31 27 $156.71
94761 267 236 $142.92
80353 46 43 $134.26
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass 13 12 $110.14
80345 56 53 $103.80
83992 40 40 $94.19