Edward Condon Medical PC

Edward Condon Medical PC was paid $248K by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 99% of everything it billed.

33Billing provider infoEDWARD CONDON MEDICAL PC
COMMACK, NY 11725

33aNPI1811174519assigned 01/24/2008

33bProvider typeEndocrinology, Diabetes & Metabolism Physician

28Total paid$248K

24GClaims3,021

24DCodes billed2

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in New York

Rank by total paid#36 of 344

Median peer was paid$9K

This provider vs. median28×

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	327	$26K
2019	370	$28K
2020	430	$34K
2021	491	$39K
2022	469	$39K
2023	491	$39K
2024incomplete	443	$42K

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	99%	2,965	2,768	$245K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.2%	56	55	$3K

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 officialCONDON, EDWARD (PRESIDENT)