Physician
Frost, Marc
Frost, Marc was paid $265K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 90% of everything it billed.
33Billing provider infoFROST, MARC
AMHERST, NY 14226
AMHERST, NY 14226
33aNPI1841256336assigned 04/24/2006
33bProvider typeNeurology Physician
28Total paid$265K
24GClaims8,381
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Neurology Physician providers in New York
Rank by total paid#77 of 623
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 | 842 | $18K | |
| 2019 | 942 | $23K | |
| 2020 | 1,310 | $30K | |
| 2021 | 1,170 | $32K | |
| 2022 | 1,132 | $39K | |
| 2023 | 1,620 | $63K | |
| 2024incomplete | 1,365 | $60K |
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 | 90% | 7,093 | 7,031 | $238K |
| 95816 | 5.8% | 198 | 198 | $16K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 292 | 287 | $6K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 84 | 84 | $3K |
| 99443 | <1% | 37 | 37 | $1K | |
| 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% | 12 | 12 | $702.60 |
| 95700 | <1% | 13 | 13 | $547.06 | |
| 95970 | <1% | 26 | 26 | $293.58 | |
| 99490 | Ccm add 20min | <1% | 12 | 12 | $160.19 |
| 93041 | 0% | 566 | 551 | $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% | 48 | 48 | $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.