Physician
South Nassau Physician Group PC
South Nassau Physician Group PC was paid $1.82M by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99284, emergency room visit (serious) — 50% of everything it billed.
33Billing provider infoSOUTH NASSAU PHYSICIAN GROUP PC
OCEANSIDE, NY 11572
OCEANSIDE, NY 11572
33aNPI1922460542assigned 03/23/2016
33bProvider typeEmergency Medicine Physician
28Total paid$1.82M
24GClaims45,383
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Emergency Medicine Physician providers in New York
Rank by total paid#51 of 2,113
Median peer was paid$5K
This provider vs. median401×
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 | 3,322 | $155K | |
| 2019 | 8,265 | $274K | |
| 2020 | 8,600 | $247K | |
| 2021 | 6,105 | $287K | |
| 2022 | 6,884 | $316K | |
| 2023 | 7,218 | $308K | |
| 2024incomplete | 4,989 | $230K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 50% | 20,366 | 20,085 | $913K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 38% | 10,377 | 10,208 | $688K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 12% | 8,846 | 8,731 | $215K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 12 | 12 | $1K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 30 | 29 | $461.15 |
| 99053 | <1% | 475 | 464 | $13.88 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 534 | 504 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 972 | 936 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 711 | 655 | $0.00 |
| 99080 | 0% | 207 | 112 | $0.00 | |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 2,659 | 2,571 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 154 | 149 | $0.00 |
1 more codes
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 40 | $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.
From NPPES
Who's on the registration
Authorized officialBOGEN, MARK (CFO)
Parent organizationSOUTH NASSAU COMMUNITIES HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| South Nassau Communities Hospital | Oceanside, NY | $29K |
| South Nassau Urology, PC | Freeport, NY | $883.65 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.