Physician
South Nassau Medical Group, PC
South Nassau Medical Group, PC was paid $6K by Medicaid between Jan 2018 and Jan 2019, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 94% of everything it billed.
33Billing provider infoSOUTH NASSAU MEDICAL GROUP, PC
LYNBROOK, NY 11563
LYNBROOK, NY 11563
33aNPI1801153051assigned 04/12/2012
33bProvider typeFamily Medicine Physician
28Total paid$6K
24GClaims353
24DCodes billed4
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#1,488 of 2,605
Median peer was paid$10K
This provider vs. median0.6×
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 | 283 | $6K | |
| 2019 | 70 | $695.68 |
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 | 94% | 147 | 135 | $6K |
| 81002 | 3.5% | 145 | 127 | $220.90 | |
| 81025 | 1.4% | 24 | 24 | $92.29 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 37 | 37 | $43.92 |
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 officialEFFEREN, LINDA (PRESIDENT)