Catalone, Andrew

Catalone, Andrew was paid $655K by Medicaid between Jan 2018 and Nov 2021, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoCATALONE, ANDREW
OSWEGO, NY 13126

33aNPI1871698498assigned 09/14/2006

33bProvider typeAdult Health Nurse Practitioner

28Total paid$655K

24GClaims17,244

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2021

Compared with peers

Next to other Adult Health Nurse Practitioner providers in New York

Rank by total paid#2 of 559

Median peer was paid$4K

This provider vs. median182×

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	4,478	$166K
2019	4,933	$173K
2020	4,284	$163K
2021	3,549	$152K

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	56%	11,276	9,783	$364K
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	37%	4,759	3,933	$242K
90792	Psychiatric diagnostic evaluation with medical services	4.5%	292	291	$29K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.6%	847	833	$17K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	37	33	$2K
99442		<1%	33	31	$693.38

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.