55 Sandalwood Enterprises INC
55 Sandalwood Enterprises INC was paid $1.69M by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is V5261, Hearing aid, digital, binaural, bte — 48% of everything it billed.
33Billing provider info55 SANDALWOOD ENTERPRISES INC
BRONX, NY 10467
BRONX, NY 10467
33aNPI1871798710assigned 06/20/2007
33bProvider typeAudiologist-Hearing Aid Fitter
28Total paid$1.69M
24GClaims10,182
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Audiologist-Hearing Aid Fitter providers in New York
Rank by total paid#3 of 17
Median peer was paid$24K
This provider vs. median69×
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 | 935 | $381K | |
| 2019 | 1,224 | $356K | |
| 2020 | 990 | $79K | |
| 2021 | 2,112 | $288K | |
| 2022 | 1,794 | $114K | |
| 2023 | 1,709 | $249K | |
| 2024incomplete | 1,418 | $219K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V5261 | Hearing aid, digital, binaural, bte | 48% | 488 | 483 | $812K |
| V5257 | Hearing aid, digital, monaural, bte | 18% | 88 | 86 | $297K |
| V5160 | Dispensing fee, binaural | 13% | 910 | 905 | $214K |
| V5011 | Fitting/orientation/checking of hearing aid | 6.3% | 2,727 | 2,632 | $106K |
| V5275 | Ear impression, each | 3.3% | 816 | 815 | $55K |
| V5014 | Repair/modification of a hearing aid | 2.7% | 259 | 215 | $46K |
| V5264 | Ear mold/insert, not disposable, any type | 2.4% | 815 | 634 | $40K |
| V5266 | Battery for use in hearing device | 2.1% | 2,977 | 2,972 | $36K |
| V5265 | Ear mold/insert, disposable, any type | 1.9% | 461 | 452 | $32K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 239 | 220 | $19K |
| V5260 | Hearing aid, digital, binaural, ite | 1.1% | 14 | 14 | $18K |
| 92557 | <1% | 207 | 207 | $6K |
4 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 officialCARR, DAVID (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Elitemed Laboratories, LLC | Addison, TX | $2.70M |
| City Testing Centers LLC | New York, NY | $353K |
| Carr Chiropractic and Wellness, LLC | Boyertown, PA | $28K |
| 51 Sandalwood Enterprises INC | Riverhead, NY | $25K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.