Managed care
New York Medical Care for Nephrology P.C
New York Medical Care for Nephrology P.C was paid $14K by Medicaid between Nov 2020 and Oct 2023, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.
33Billing provider infoNEW YORK MEDICAL CARE FOR NEPHROLOGY P.C
SOUTH RICHMOND HILL, NY 11419
SOUTH RICHMOND HILL, NY 11419
33aNPI1730504655assigned 02/28/2014
33bProvider typeExclusive Provider Organization
28Total paid$14K
24GClaims198
24DCodes billed3
24AFirst – last monthNov 2020 – Oct 2023
Compared with peers
Next to other Exclusive Provider Organization providers in New York
Rank by total paid#20 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 | |
|---|---|---|---|
| 2020 | 44 | $3K | |
| 2021 | 110 | $8K | |
| 2023 | 44 | $3K |
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 | 72% | 142 | 108 | $10K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 19% | 44 | 12 | $3K |
| 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 | 8.6% | 12 | 12 | $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 officialAL-WAILI, NOORI (OWNER)