MEDICAL ASSOCIATE OF WALL STREET, P.C.
NPI: 1912272592
· NEW YORK, NY 10038
· Internal Medicine Physician
· NPI assigned 03/15/2012
$172K
Total Medicaid Paid
Provider Details
| Authorized Official | GANDELMAN, GLENN (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 03/15/2012 |
Related Entities
Other providers sharing the same authorized official: GANDELMAN, GLENN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
106 |
$13K |
| 2020 |
306 |
$30K |
| 2021 |
81 |
$9K |
| 2022 |
561 |
$24K |
| 2023 |
3,689 |
$68K |
| 2024 |
2,888 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93880 |
|
395 |
394 |
$46K |
| 93923 |
|
240 |
239 |
$30K |
| 99490 |
Ccm add 20min |
4,976 |
4,940 |
$21K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
113 |
109 |
$16K |
| 93922 |
|
148 |
146 |
$14K |
| 93925 |
|
75 |
75 |
$13K |
| 93970 |
|
55 |
55 |
$7K |
| 93975 |
|
57 |
57 |
$7K |
| 93886 |
|
56 |
56 |
$6K |
| 93890 |
|
56 |
56 |
$6K |
| 93978 |
|
18 |
18 |
$2K |
| 99443 |
|
329 |
320 |
$2K |
| 99442 |
|
250 |
234 |
$1K |
| 93892 |
|
16 |
16 |
$664.40 |
| 99457 |
|
511 |
502 |
$620.33 |
| 99454 |
|
290 |
283 |
$473.27 |
| 99441 |
|
34 |
34 |
$11.44 |
| 99439 |
|
12 |
12 |
$0.00 |