Grundfast, Steven

Grundfast, Steven was paid $103K by Medicaid between Mar 2018 and Nov 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 95% of everything it billed.

33Billing provider infoGRUNDFAST, STEVEN
MIDDLETOWN, NY 10941

33aNPI1710971049assigned 09/01/2005

33bProvider typeCritical Care Medicine (Internal Medicine) Physician

28Total paid$103K

24GClaims1,665

24DCodes billed4

24AFirst – last monthMar 2018 – Nov 2024

Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in New York

Rank by total paid#28 of 278

Median peer was paid$4K

This provider vs. median24×

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	38	$1K
2019	199	$12K
2020	156	$10K
2021	312	$27K
2022	349	$34K
2023	275	$12K
2024incomplete	336	$6K

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	95%	1,491	1,466	$98K
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	4.1%	37	37	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	12	12	$448.39
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	0%	125	123	$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.