Decena, Eric

Decena, Eric was paid $11K by Medicaid between May 2018 and Dec 2023, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 53% of everything it billed.

33Billing provider infoDECENA, ERIC
WEST ISLIP, NY 11795

33aNPI1699704007assigned 06/30/2006

33bProvider typeEmergency Medicine Physician

28Total paid$11K

24GClaims340

24DCodes billed3

24AFirst – last monthMay 2018 – Dec 2023

Compared with peers

Next to other Emergency Medicine Physician providers in New York

Rank by total paid#644 of 2,113

Median peer was paid$5K

This provider vs. median2.3×

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	71	$3K
2019	54	$1K
2020	55	$2K
2021	65	$2K
2022	64	$3K
2023	31	$971.89

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	53%	180	180	$6K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	46%	145	144	$5K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	1.6%	15	15	$169.19

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.