Agency
Hicksville Family Medical Care, PLLC
Hicksville Family Medical Care, PLLC was paid $6.20M by Medicaid between Feb 2019 and Dec 2024, across 107 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoHICKSVILLE FAMILY MEDICAL CARE, PLLC
MINEOLA, NY 11501
MINEOLA, NY 11501
33aNPI1770813792assigned 01/14/2010
33bProvider typeHome Health Agency
28Total paid$6.20M
24GClaims150,270
24DCodes billed107
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in New York
Rank by total paid#543 of 851
Median peer was paid$15.00M
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2019 | 17 | $112.36 | |
| 2020 | 8,055 | $424K | |
| 2021 | 57,490 | $2.64M | |
| 2022 | 41,901 | $1.92M | |
| 2023 | 26,411 | $944K | |
| 2024incomplete | 16,396 | $279K |
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 | 23% | 19,449 | 15,434 | $1.46M |
| 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 | 18% | 12,604 | 10,727 | $1.14M |
| 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 | 15% | 14,306 | 13,229 | $928K |
| 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 | 11% | 5,152 | 5,144 | $710K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 11% | 20,867 | 18,100 | $701K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.3% | 6,565 | 6,541 | $577K |
| 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 | 5.0% | 14,243 | 13,179 | $308K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 287 | 286 | $34K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 695 | 659 | $33K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,432 | 1,329 | $27K |
| 99401 | <1% | 1,523 | 1,397 | $24K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 816 | 787 | $24K |
95 more codes
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 581 | $20K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 114 | $15K |
| 99490 | Ccm add 20min | <1% | 465 | $13K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 241 | $13K |
| 87522 | Neg quan hep c or qual rna | <1% | 365 | $12K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 807 | $11K |
| 99497 | <1% | 104 | $8K | |
| 80050 | General health panel | <1% | 352 | $8K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 210 | $8K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 2,159 | $7K |
| 0001A | <1% | 195 | $7K | |
| 82607 | <1% | 829 | $6K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 777 | $5K |
| 0002A | <1% | 164 | $5K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 943 | $5K |
| 96138 | <1% | 660 | $5K | |
| 83970 | <1% | 290 | $5K | |
| 86703 | <1% | 406 | $5K | |
| 0003A | <1% | 146 | $5K | |
| 82746 | <1% | 664 | $5K | |
| 80053 | Comprehensive metabolic panel | <1% | 1,160 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,391 | $4K |
| 0012A | <1% | 121 | $4K | |
| 97803 | <1% | 193 | $4K | |
| 0011A | <1% | 120 | $4K | |
| 80061 | Lipid panel | <1% | 870 | $3K |
| 87340 | <1% | 356 | $3K | |
| 97802 | <1% | 580 | $3K | |
| 84439 | <1% | 619 | $3K | |
| 0013A | <1% | 78 | $3K | |
| 86480 | <1% | 47 | $2K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 100 | $2K |
| 82627 | <1% | 241 | $2K | |
| 82728 | <1% | 345 | $2K | |
| 81002 | <1% | 1,177 | $2K | |
| 99441 | <1% | 32 | $2K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 699 | $2K |
| 84480 | <1% | 528 | $2K | |
| 96127 | <1% | 2,015 | $1K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,194 | $1K |
| S9470 | Nutritional counseling, dietitian visit | <1% | 676 | $1K |
| 81025 | <1% | 710 | $1K | |
| 99406 | <1% | 85 | $1K | |
| 82670 | <1% | 306 | $1K | |
| 85540 | <1% | 305 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 172 | $888.50 |
| 86780 | <1% | 62 | $752.84 | |
| 86592 | <1% | 272 | $735.11 | |
| 90688 | <1% | 34 | $731.82 | |
| 83540 | <1% | 352 | $711.31 | |
| 0071A | <1% | 21 | $700.35 | |
| 93000 | <1% | 47 | $646.65 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 30 | $643.22 |
| 83735 | <1% | 301 | $601.52 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 73 | $595.53 |
| 84100 | <1% | 305 | $573.97 | |
| 86704 | <1% | 76 | $529.85 | |
| 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% | 201 | $509.58 |
| 0072A | <1% | 15 | $496.20 | |
| 90674 | <1% | 17 | $490.00 | |
| 83550 | <1% | 232 | $464.59 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,086 | $344.98 |
| 90686 | <1% | 15 | $324.15 | |
| 99402 | <1% | 159 | $314.69 | |
| 99050 | <1% | 56 | $283.50 | |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 151 | $254.24 |
| 99408 | <1% | 733 | $216.72 | |
| 99051 | <1% | 66 | $197.27 | |
| 96160 | <1% | 76 | $112.70 | |
| 81001 | <1% | 28 | $51.32 | |
| 99000 | <1% | 3,301 | $0.30 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 365 | $0.17 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,066 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 14 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 1,898 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 12 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 43 | $0.00 |
| 1126F | 0% | 137 | $0.00 | |
| 1111F | 0% | 66 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 174 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 32 | $0.00 |
| 1036F | 0% | 44 | $0.00 | |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 14 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 643 | $0.00 |
| 1159F | 0% | 166 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 1,541 | $0.00 |
| 99072 | 0% | 10,472 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 31 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 64 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 70 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 27 | $0.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 58 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 14 | $0.00 |
| 87530 | 0% | 60 | $0.00 | |
| 1160F | 0% | 19 | $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 officialJAIN, SANDEEP (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Sandeep Jain MD PA | Plantation, FL | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.