Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Marcus, Sergiu

Marcus, Sergiu was paid $706K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 67210, — 48% of everything it billed.

33Billing provider infoMARCUS, SERGIU
NEW YORK, NY 10075
33aNPI1922087766assigned 01/11/2006
28Total paid$706K
24GClaims24,950
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Retina Specialist (Ophthalmology) Physician providers in New York

Rank by total paid#6 of 60
Median peer was paid$52K
This provider vs. median14×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20182,778$50K
20194,770$102K
20202,943$95K
20213,223$85K
20224,087$145K
20234,028$132K
2024incomplete3,121$99K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
67210 48% 3,957 3,490 $338K
92235 14% 4,218 4,159 $102K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 13% 4,205 3,885 $93K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 7.9% 2,379 2,336 $56K
92134 7.3% 5,938 5,653 $52K
67028 Intravitreal injection of a pharmacologic agent 4.0% 843 798 $28K
92250 3.6% 1,990 1,878 $25K
92226 1.1% 1,239 749 $8K
92242 <1% 169 165 $4K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 12 12 $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.