MLP NP in Adult Health Group, P.C

MLP NP in Adult Health Group, P.C was paid $972K by Medicaid between Feb 2018 and Dec 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.

33Billing provider infoMLP NP IN ADULT HEALTH GROUP, P.C
WEST HEMPSTEAD, NY 11552

33aNPI1861927022assigned 04/25/2017

33bProvider typeAdult Health Nurse Practitioner

28Total paid$972K

24GClaims21,376

24DCodes billed30

24AFirst – last monthFeb 2018 – Dec 2024

Compared with peers

Next to other Adult Health Nurse Practitioner providers in New York

Rank by total paid#1 of 559

Median peer was paid$4K

This provider vs. median270×

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	38	$1K
2019	214	$11K
2020	3,572	$142K
2021	5,899	$234K
2022	6,696	$338K
2023	2,640	$146K
2024incomplete	2,317	$99K

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	48%	5,893	4,803	$465K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	22%	3,535	2,980	$211K
99401		5.2%	2,243	1,909	$50K
99443		4.5%	490	453	$44K
99402		4.3%	1,392	1,164	$42K
99490	Ccm add 20min	3.8%	855	855	$37K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	3.1%	737	569	$30K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	3.1%	2,184	1,797	$30K
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	2.1%	203	203	$20K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	115	115	$9K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	100	100	$7K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	89	89	$6K

18 more codes

99403		<1%	105	$5K
93000		<1%	423	$5K
99215	Doctor's office visit, returning patient (complex)	<1%	31	$4K
96160		<1%	1,037	$2K
99385		<1%	25	$2K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	31	$1K
81002		<1%	662	$633.95
81025		<1%	51	$192.46
36415	Collection of venous blood by venipuncture	<1%	590	$104.99
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)	<1%	119	$101.16
3077F		<1%	15	$31.80
3080F		<1%	13	$27.56
3079F		<1%	12	$25.44
99000		0%	106	$0.00
0001F		0%	85	$0.00
1159F		0%	122	$0.00
1160F		0%	98	$0.00
91300		0%	15	$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.

From NPPES

Who's on the registration

Authorized officialOTUGH, MICHAEL (NURSE PRACTITIONER)