M&M Medical PC

M&M Medical PC was paid $7K by Medicaid between Jan 2018 and Jun 2018, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.

33Billing provider infoM&M MEDICAL PC
CORONA, NY 11368

33aNPI1669614293assigned 03/27/2009

33bProvider typeInternal Medicine Physician

28Total paid$7K

24GClaims215

24DCodes billed4

24AFirst – last monthJan 2018 – Jun 2018

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#3,414 of 6,049

Median peer was paid$11K

This provider vs. median0.6×

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	215	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	81%	164	136	$6K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	13%	26	26	$936.58
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.2%	12	12	$449.35
36415	Collection of venous blood by venipuncture	<1%	13	13	$13.26

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 officialOSIPOV, VLADIMIR (PRESIDENT)