Managed care
Midtown Reproductive Medicine PC.
Midtown Reproductive Medicine PC. was paid $396K by Medicaid between Dec 2020 and Aug 2023, across 14 billing codes. Its largest line is 93975, — 35% of everything it billed.
33Billing provider infoMIDTOWN REPRODUCTIVE MEDICINE PC.
NEW YORK, NY 10016
NEW YORK, NY 10016
33aNPI1861812190assigned 04/25/2014
33bProvider typePreferred Provider Organization
28Total paid$396K
24GClaims5,181
24DCodes billed14
24AFirst – last monthDec 2020 – Aug 2023
Compared with peers
Next to other Preferred Provider Organization providers in New York
Rank by total paid#6 of 27
Median peer was paid$60K
This provider vs. median6.6×
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 | |
|---|---|---|---|
| 2020 | 30 | $249.44 | |
| 2021 | 1,203 | $101K | |
| 2022 | 3,541 | $259K | |
| 2023 | 407 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93975 | 35% | 825 | 638 | $138K | |
| 76830 | Ultrasound, transvaginal | 27% | 1,298 | 1,065 | $107K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 994 | 861 | $68K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 12% | 816 | 743 | $46K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.4% | 142 | 140 | $13K |
| 99386 | 2.6% | 94 | 94 | $10K | |
| 99385 | 1.2% | 47 | 47 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 82 | 64 | $4K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 25 | 25 | $3K |
| 96127 | <1% | 302 | 302 | $1K | |
| 88141 | <1% | 13 | 13 | $129.48 | |
| 81002 | <1% | 140 | 139 | $33.45 |
2 more codes
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 officialESSIG, MITCHELL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Midtown Reproductive Medicine,pc | New York, NY | $21K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.