Physician
Nici, Anthony
Nici, Anthony was paid $43K by Medicaid between Mar 2018 and May 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoNICI, ANTHONY
WEST NYACK, NY 10994
WEST NYACK, NY 10994
33aNPI1750606711assigned 04/02/2010
33bProvider typeGastroenterology Physician
28Total paid$43K
24GClaims461
24DCodes billed7
24AFirst – last monthMar 2018 – May 2024
Compared with peers
Next to other Gastroenterology Physician providers in New York
Rank by total paid#230 of 656
Median peer was paid$12K
This provider vs. median3.5×
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 | 15 | $534.77 | |
| 2019 | 27 | $2K | |
| 2020 | 25 | $2K | |
| 2021 | 137 | $21K | |
| 2022 | 141 | $11K | |
| 2023 | 51 | $3K | |
| 2024incomplete | 65 | $4K |
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 | 42% | 201 | 199 | $18K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 174 | 163 | $9K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 15% | 24 | 24 | $7K |
| A4550 | Surgical trays | 13% | 12 | 12 | $5K |
| 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 | 4.8% | 13 | 13 | $2K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 2.1% | 12 | 12 | $900.00 |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | 1.2% | 25 | 24 | $525.00 |
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.