Physician
Theodore C.Docu MD, PC
Theodore C.Docu MD, PC was paid $3.02M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoTHEODORE C.DOCU MD, PC
NEW YORK,NY, NY 10033
NEW YORK,NY, NY 10033
33aNPI1730304270assigned 04/17/2007
33bProvider typeInternal Medicine Physician
28Total paid$3.02M
24GClaims133,216
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#92 of 6,049
Median peer was paid$11K
This provider vs. median267×
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 | 9,148 | $287K | |
| 2019 | 13,001 | $331K | |
| 2020 | 20,224 | $460K | |
| 2021 | 26,100 | $537K | |
| 2022 | 27,034 | $595K | |
| 2023 | 23,634 | $491K | |
| 2024incomplete | 14,075 | $315K |
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 | 45% | 13,894 | 11,914 | $1.35M |
| 99402 | 16% | 15,669 | 11,589 | $488K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 6,875 | 5,524 | $457K |
| 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 | 5.7% | 1,264 | 1,261 | $171K |
| 99490 | Ccm add 20min | 4.9% | 3,842 | 3,832 | $148K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 2.9% | 2,495 | 2,050 | $87K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1.9% | 527 | 520 | $58K |
| 99354 | 1.7% | 1,138 | 875 | $53K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 2,118 | 1,780 | $24K |
| 93000 | <1% | 1,645 | 1,603 | $23K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 549 | 500 | $23K |
| 99403 | <1% | 484 | 380 | $19K |
34 more codes
| 99496 | <1% | 139 | $16K | |
| 81000 | <1% | 5,610 | $16K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 149 | $13K |
| 3074F | <1% | 8,497 | $12K | |
| 3078F | <1% | 7,947 | $11K | |
| 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% | 889 | $9K |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,178 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 434 | $6K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 69 | $6K |
| 3079F | <1% | 3,492 | $5K | |
| 3077F | <1% | 1,391 | $3K | |
| 90686 | <1% | 148 | $3K | |
| 3075F | <1% | 1,562 | $3K | |
| 3080F | <1% | 411 | $1K | |
| 90688 | <1% | 57 | $1K | |
| 1159F | <1% | 6,455 | $250.00 | |
| 99407 | <1% | 15 | $249.61 | |
| 1160F | <1% | 14,096 | $237.00 | |
| 3044F | <1% | 2,333 | $232.00 | |
| 96127 | <1% | 92 | $113.23 | |
| 99051 | <1% | 13 | $111.00 | |
| 1125F | <1% | 518 | $36.00 | |
| G9228 | Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings) | <1% | 1,564 | $9.02 |
| 3008F | <1% | 14,762 | $1.63 | |
| 3011F | 0% | 2,329 | $0.00 | |
| 4010F | 0% | 963 | $0.00 | |
| 3049F | 0% | 89 | $0.00 | |
| 3048F | 0% | 205 | $0.00 | |
| 4054F | 0% | 12 | $0.00 | |
| G0432 | Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening | 0% | 14 | $0.00 |
| 3050F | 0% | 95 | $0.00 | |
| 93923 | 0% | 12 | $0.00 | |
| 3288F | 0% | 137 | $0.00 | |
| 4551F | 0% | 39 | $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 officialDOCU, THEODORE (PRESIDENT)