Clinic
F Themistocle MD PC
F Themistocle MD PC was paid $433K by Medicaid between Jan 2018 and Jan 2021, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoF THEMISTOCLE MD PC
BRONX, NY 10458
BRONX, NY 10458
33aNPI1780811141assigned 06/12/2009
33bProvider typePain Clinic/Center
28Total paid$433K
24GClaims9,652
24DCodes billed20
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers
Next to other Pain Clinic/Center providers in New York
Rank by total paid#6 of 9
Median peer was paid$453K
This provider vs. median1.0×
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 | 5,477 | $256K | |
| 2019 | 3,669 | $149K | |
| 2020 | 489 | $26K | |
| 2021 | 17 | $1K |
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 | 52% | 3,961 | 3,759 | $227K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 13% | 1,673 | 1,641 | $55K |
| 64483 | 7.4% | 193 | 192 | $32K | |
| 62323 | 5.9% | 146 | 146 | $25K | |
| 99152 | 3.5% | 353 | 353 | $15K | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 3.3% | 1,059 | 930 | $14K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.3% | 95 | 95 | $14K |
| 64484 | 3.0% | 193 | 192 | $13K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 2.0% | 834 | 831 | $8K |
| 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 | 1.8% | 57 | 57 | $8K |
| 20552 | 1.5% | 155 | 152 | $6K | |
| 64493 | 1.2% | 46 | 45 | $5K |
8 more codes
| 64494 | <1% | 46 | $3K | |
| A4550 | Surgical trays | <1% | 135 | $2K |
| 80305 | <1% | 283 | $1K | |
| 64495 | <1% | 26 | $1K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 175 | $923.29 |
| A4246 | Betadine or phisohex solution, per pint | <1% | 139 | $246.84 |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | <1% | 37 | $59.10 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 46 | $0.36 |
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 officialTHEMOSTOCLE, FENAR (OWNER)