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

True North Medical Group PC

True North Medical Group PC was paid $862K by Medicaid between Mar 2018 and Jun 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.

33Billing provider infoTRUE NORTH MEDICAL GROUP PC
BAYSIDE, NY 11361
33aNPI1669762258assigned 04/15/2011
28Total paid$862K
24GClaims7,805
24DCodes billed18
24AFirst – last monthMar 2018 – Jun 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in New York

Rank by total paid#71 of 1,564
Median peer was paid$13K
This provider vs. median66×

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

$0$20K$40K2018201920202021202220232024
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
2018117$9K
2019348$40K
2020774$91K
20212,392$197K
20221,650$209K
20231,715$224K
2024incomplete809$93K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 2,222 2,067 $220K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 24% 878 850 $210K
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 20% 1,210 1,111 $175K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 11% 691 690 $91K
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 7.6% 354 354 $65K
73221 4.8% 168 160 $41K
20610 2.0% 240 208 $17K
73562 1.7% 267 247 $15K
73630 <1% 138 127 $6K
73610 <1% 123 114 $6K
99072 <1% 1,119 952 $5K
73030 <1% 78 73 $4K
6 more codes
73564 <1% 33 $2K
73010 <1% 55 $2K
72100 <1% 24 $1K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 68 $767.85
J1040 Injection, methylprednisolone acetate, 80 mg <1% 37 $467.56
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 100 $121.40

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 (SR VP & CFO)
Same official

Other billing entities under CUSACK, MICHELE

Full network →
ProviderLocationPaid
Long Island Jewish Medical CenterNew Hyde Park, NY$370.91M
North Shore University HospitalNew Hyde Park, NY$166.53M
Staten Island University HospitalStaten Island, NY$118.12M
Regioncare INC.Garden City, NY$96.55M
North Shore University HospitalManhasset, NY$87.68M
Lenox Hill HospitalNew York, NY$63.17M
South Shore University HospitalBay Shore, NY$47.45M
John T. Mather Memorial HospitalPort Jefferson, NY$20.34M
Phelps Memorial Hospital AssociationSleepy Hollow, NY$20.17M
North Shore University HospitalWestbury, NY$17.90M
True North Medical Group PCMerrick, NY$12.56M
Huntington Hospital AssociationHuntington, NY$9.83M
The Long Island HomeAmityville, NY$9.49M
Regioncare INC.Great Neck, NY$9.43M
Long Island Jewish Medical CenterValley Stream, NY$8.41M
Huntington Hospital Dolan Family Health CenterGreenlawn, NY$8.03M
Glen Cove HospitalGlen Cove, NY$7.72M
Central Suffolk HospitalRiverhead, NY$7.66M
Northern Westchester Hospital AssociationMount Kisco, NY$7.58M
Plainview HospitalPlainview, NY$6.39M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.