Physician
Pinehurst Medical PC
Pinehurst Medical PC was paid $958K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoPINEHURST MEDICAL PC
NEW YORK, NY 10013
NEW YORK, NY 10013
33aNPI1770802324assigned 05/21/2010
33bProvider typePulmonary Disease Physician
28Total paid$958K
24GClaims13,063
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in New York
Rank by total paid#14 of 413
Median peer was paid$8K
This provider vs. median122×
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 | 2,221 | $138K | |
| 2019 | 2,573 | $168K | |
| 2020 | 1,526 | $106K | |
| 2021 | 2,058 | $175K | |
| 2022 | 1,637 | $138K | |
| 2023 | 1,773 | $136K | |
| 2024incomplete | 1,275 | $96K |
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 | 39% | 3,115 | 3,109 | $373K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 4,195 | 4,006 | $346K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.1% | 602 | 601 | $68K |
| 99442 | 5.3% | 619 | 604 | $50K | |
| 94729 | 2.5% | 429 | 429 | $24K | |
| 94726 | 2.2% | 446 | 446 | $21K | |
| 94014 | 1.8% | 386 | 386 | $18K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.7% | 130 | 130 | $17K |
| 94664 | 1.2% | 814 | 811 | $12K | |
| 94010 | <1% | 222 | 222 | $6K | |
| 90756 | <1% | 215 | 215 | $6K | |
| 95012 | <1% | 181 | 178 | $4K |
9 more codes
| 99051 | <1% | 506 | $3K | |
| 99406 | <1% | 207 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 107 | $2K |
| 93000 | <1% | 90 | $1K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 69 | $1K |
| G0008 | Administration of influenza virus vaccine | <1% | 71 | $1K |
| 90661 | <1% | 35 | $969.42 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 547 | $667.96 |
| A4617 | Mouth piece | <1% | 77 | $12.88 |
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 officialFENG, ANDREA (PRESIDENT)