ST. NICHOLAS MEDICAL PC
NPI: 1912192394
· BROOKLYN, NY 11237
· 174400000X
$2.27M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
5,109 |
$248K |
| 2019 |
6,034 |
$280K |
| 2020 |
5,335 |
$298K |
| 2021 |
6,973 |
$401K |
| 2022 |
6,556 |
$443K |
| 2023 |
5,178 |
$353K |
| 2024 |
3,383 |
$246K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
14,101 |
11,252 |
$991K |
| 99214 |
|
9,288 |
8,822 |
$919K |
| 99212 |
|
1,705 |
1,485 |
$79K |
| 99396 |
|
547 |
545 |
$61K |
| 93306 |
|
289 |
288 |
$52K |
| 93000 |
|
3,517 |
3,463 |
$43K |
| 93880 |
|
200 |
200 |
$26K |
| 93307 |
|
117 |
117 |
$14K |
| 90746 |
|
142 |
141 |
$10K |
| 20610 |
|
169 |
158 |
$9K |
| 90674 |
|
262 |
261 |
$8K |
| 90471 |
|
896 |
874 |
$7K |
| 99203 |
|
69 |
69 |
$6K |
| 99204 |
|
48 |
46 |
$6K |
| 90656 |
|
285 |
281 |
$6K |
| G0447 |
Behavior counsel obesity 15m |
348 |
348 |
$5K |
| 94060 |
|
124 |
121 |
$5K |
| 99395 |
|
43 |
43 |
$5K |
| 76700 |
|
41 |
41 |
$3K |
| 99442 |
|
64 |
54 |
$3K |
| 81002 |
|
1,669 |
1,634 |
$3K |
| 99443 |
|
30 |
30 |
$2K |
| 90686 |
|
95 |
95 |
$2K |
| 36415 |
|
3,154 |
2,995 |
$2K |
| 0012A |
|
38 |
38 |
$1K |
| G0008 |
Admin influenza virus vac |
271 |
268 |
$899.54 |
| 0011A |
|
38 |
38 |
$712.73 |
| G8510 |
Scr dep neg, no plan reqd |
69 |
69 |
$651.30 |
| 3074F |
|
74 |
71 |
$283.00 |
| 3079F |
|
56 |
56 |
$260.00 |
| J3301 |
Triamcinolone acet inj nos |
169 |
158 |
$206.06 |
| G0444 |
Depression screen annual |
13 |
13 |
$183.38 |
| 36591 |
|
49 |
48 |
$15.02 |
| G0010 |
Admin hepatitis b vaccine |
65 |
64 |
$5.00 |
| G8419 |
Calc bmi out nrm param nof/u |
407 |
405 |
$0.00 |
| 91301 |
|
48 |
39 |
$0.00 |
| G9275 |
Doc of non tobacco user |
27 |
25 |
$0.00 |
| 1125F |
|
16 |
14 |
$0.00 |
| 76770 |
|
25 |
25 |
$0.00 |