Arsenio Medical, P.C.
Arsenio Medical, P.C. was paid $746K by Medicaid between Jan 2018 and Jun 2021, across 39 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoARSENIO MEDICAL, P.C.
LAWRENCE, NY 11559
LAWRENCE, NY 11559
33aNPI1689629032assigned 05/24/2006
33bProvider typeLegal Medicine
28Total paid$746K
24GClaims49,578
24DCodes billed39
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Legal Medicine providers in New York
Rank by total paid#22 of 126
Median peer was paid$98K
This provider vs. median7.6×
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 | 9,421 | $180K | |
| 2019 | 13,948 | $192K | |
| 2020 | 17,406 | $241K | |
| 2021 | 8,803 | $133K |
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 | 56% | 5,633 | 5,079 | $422K |
| 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% | 3,055 | 2,846 | $166K |
| 99401 | 5.7% | 2,436 | 2,165 | $42K | |
| 93000 | 2.9% | 1,552 | 1,544 | $22K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.5% | 211 | 211 | $19K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 2.0% | 1,196 | 1,138 | $15K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.5% | 138 | 136 | $11K |
| 90674 | 1.0% | 294 | 294 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 557 | 544 | $7K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,634 | 3,502 | $4K |
| 94760 | <1% | 8,998 | 7,915 | $4K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 397 | 397 | $3K |
27 more codes
| 3074F | <1% | 2,290 | $3K | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 161 | $2K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 98 | $2K |
| 3079F | <1% | 1,317 | $2K | |
| 0012A | <1% | 59 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $2K |
| 3078F | <1% | 1,455 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 108 | $1K |
| 90756 | <1% | 59 | $1K | |
| 0011A | <1% | 51 | $1K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 74 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | $977.67 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 117 | $866.22 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 67 | $771.40 |
| G0472 | Hepatitis c antibody screening, for individual at high risk and other covered indication(s) | <1% | 25 | $370.81 |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | <1% | 26 | $323.40 |
| 3075F | <1% | 151 | $227.50 | |
| 99406 | <1% | 15 | $128.97 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 16 | $96.62 |
| 3077F | <1% | 30 | $45.00 | |
| 99000 | <1% | 4,453 | $43.62 | |
| 3080F | <1% | 13 | $20.00 | |
| 3008F | <1% | 3,339 | $0.01 | |
| 3037F | 0% | 3,764 | $0.00 | |
| 3028F | 0% | 3,713 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 22 | $0.00 |
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 officialSTARK, VINCENT (PRACTICE MANAGER)