Physician
True North Medical Group PC
True North Medical Group PC was paid $12.56M by Medicaid between Feb 2018 and Dec 2024, across 89 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoTRUE NORTH MEDICAL GROUP PC
MERRICK, NY 11566
MERRICK, NY 11566
33aNPI1659883486assigned 11/02/2017
33bProvider typeOrthopaedic Hand Surgery Physician
28Total paid$12.56M
24GClaims122,325
24DCodes billed89
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Orthopaedic Hand Surgery Physician providers in New York
Rank by total paid#1 of 37
Median peer was paid$4K
This provider vs. median3,492×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official CUSACK, MICHELE controls 20+ related entities in our dataset. Read more
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 | 1,195 | $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 | |
| 2024incomplete | 18,018 | $2.24M |
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 | 22% | 32,322 | 30,727 | $2.81M |
| 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 | 21% | 19,949 | 19,268 | $2.58M |
| 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 | 15% | 10,232 | 10,206 | $1.88M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 14,219 | 14,182 | $1.56M |
| 95816 | 6.4% | 1,825 | 1,821 | $799K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.0% | 4,991 | 1,955 | $506K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | 2.5% | 1,442 | 1,404 | $320K |
| 95886 | 2.5% | 1,428 | 1,257 | $318K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | 2.4% | 1,270 | 1,266 | $304K |
| 73110 | 1.2% | 3,344 | 2,874 | $154K | |
| 96112 | <1% | 760 | 759 | $106K | |
| 95822 | <1% | 200 | 200 | $99K |
77 more codes
| 95911 | <1% | 407 | $93K | |
| 95819 | <1% | 202 | $91K | |
| 95912 | <1% | 336 | $89K | |
| 73610 | <1% | 1,857 | $74K | |
| 20610 | <1% | 1,263 | $74K | |
| 73140 | <1% | 1,655 | $71K | |
| 73630 | <1% | 1,703 | $65K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 312 | $60K |
| 73130 | <1% | 857 | $40K | |
| 73221 | <1% | 169 | $38K | |
| 72110 | <1% | 626 | $38K | |
| 73564 | <1% | 691 | $36K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 148 | $35K |
| 73562 | <1% | 713 | $34K | |
| 20611 | <1% | 226 | $22K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 332 | $22K |
| 80363 | <1% | 296 | $16K | |
| 99072 | <1% | 6,388 | $16K | |
| 73030 | <1% | 392 | $15K | |
| 99223 | Prolong inpt eval add15 m | <1% | 105 | $14K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 1,099 | $14K |
| 72170 | <1% | 385 | $13K | |
| 64483 | <1% | 49 | $13K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 1,778 | $12K |
| 62323 | <1% | 40 | $12K | |
| 80305 | <1% | 1,114 | $11K | |
| 00630 | <1% | 48 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 132 | $9K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 39 | $7K |
| 25600 | <1% | 13 | $6K | |
| 73010 | <1% | 166 | $5K | |
| 72141 | <1% | 24 | $5K | |
| 92653 | <1% | 68 | $4K | |
| 80323 | <1% | 327 | $4K | |
| 20550 | <1% | 61 | $4K | |
| 72100 | <1% | 90 | $4K | |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 45 | $3K |
| 93040 | <1% | 303 | $3K | |
| 73560 | <1% | 68 | $3K | |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | <1% | 13 | $3K |
| 20552 | <1% | 74 | $3K | |
| 83789 | <1% | 336 | $2K | |
| 80358 | <1% | 286 | $2K | |
| 80349 | <1% | 292 | $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 | <1% | 147 | $2K |
| 99443 | <1% | 14 | $2K | |
| 95719 | <1% | 12 | $2K | |
| 80324 | <1% | 232 | $1K | |
| 29075 | <1% | 13 | $1K | |
| 80346 | <1% | 207 | $1K | |
| J3490 | Unclassified drugs | <1% | 446 | $1K |
| 93770 | <1% | 336 | $973.50 | |
| 99442 | <1% | 14 | $971.65 | |
| 82948 | <1% | 174 | $875.27 | |
| 99441 | <1% | 14 | $870.82 | |
| 96136 | <1% | 55 | $829.59 | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 621 | $757.13 |
| 73502 | <1% | 13 | $664.93 | |
| 72040 | <1% | 13 | $581.45 | |
| 80355 | <1% | 52 | $567.50 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 365 | $550.08 |
| 36415 | Collection of venous blood by venipuncture | <1% | 43 | $545.30 |
| 99152 | <1% | 14 | $529.22 | |
| 73080 | <1% | 12 | $511.43 | |
| 73090 | <1% | 13 | $424.96 | |
| 29540 | <1% | 26 | $410.64 | |
| 29260 | <1% | 14 | $400.17 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 50 | $298.74 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 178 | $240.81 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 953 | $222.06 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 331 | $159.32 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 31 | $156.71 |
| 94761 | <1% | 267 | $142.92 | |
| 80353 | <1% | 46 | $134.26 | |
| Q4010 | Cast supplies, short arm cast, adult (11 years +), fiberglass | <1% | 13 | $110.14 |
| 80345 | <1% | 56 | $103.80 | |
| 83992 | <1% | 40 | $94.19 |
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 officialCUSACK, MICHELE (CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.