Managed care
M,bastawros,physician,p.C.
M,bastawros,physician,p.C. was paid $13K by Medicaid between Sep 2019 and Aug 2021, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.
33Billing provider infoM,BASTAWROS,PHYSICIAN,P.C.
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
33aNPI1720495328assigned 07/15/2014
33bProvider typeExclusive Provider Organization
28Total paid$13K
24GClaims283
24DCodes billed5
24AFirst – last monthSep 2019 – Aug 2021
Compared with peers
Next to other Exclusive Provider Organization providers in New York
Rank by total paid#21 of 24
Median peer was paid$123K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2019 | 92 | $6K | |
| 2020 | 153 | $6K | |
| 2021 | 38 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 73% | 145 | 135 | $9K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 55 | 55 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.4% | 31 | 26 | $1K |
| 92551 | 2.4% | 26 | 26 | $311.12 | |
| 99173 | <1% | 26 | 26 | $85.98 |
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 officialBASTAWROS, MARY (PRESIDENT)