Avella, Thomas

Avella, Thomas was paid $143K by Medicaid between Jan 2018 and Jul 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoAVELLA, THOMAS
STONY POINT, NY 10980

33aNPI1932105541assigned 06/28/2005

33bProvider typeInternal Medicine Physician

28Total paid$143K

24GClaims1,914

24DCodes billed9

24AFirst – last monthJan 2018 – Jul 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#1,051 of 6,049

Median peer was paid$11K

This provider vs. median13×

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	114	$6K
2019	324	$21K
2020	245	$17K
2021	438	$38K
2022	572	$43K
2023	147	$12K
2024incomplete	74	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	60%	1,008	965	$86K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	38%	777	722	$55K
99443		<1%	12	12	$1K
90686		<1%	25	25	$357.46
80061	Lipid panel	<1%	25	25	$253.61
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	14	14	$152.92
96127		<1%	17	17	$77.21
36415	Collection of venous blood by venipuncture	<1%	24	24	$24.95
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	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.