Physicians Private Practice, PLLC

Physicians Private Practice, PLLC was paid $184K by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.

33Billing provider infoPHYSICIANS PRIVATE PRACTICE, PLLC
SMITHTOWN, NY 11787

33aNPI1730408923assigned 05/27/2010

33bProvider typeInternal Medicine Physician

28Total paid$184K

24GClaims3,069

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#906 of 6,049

Median peer was paid$11K

This provider vs. median16×

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	129	$6K
2019	101	$5K
2020	617	$26K
2021	724	$37K
2022	765	$51K
2023	459	$36K
2024incomplete	274	$22K

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	65%	2,244	1,485	$119K
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	35%	795	533	$64K
94060		<1%	30	26	$1K

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 officialTSARKALIS, MARTHA (PHYSICIAN)