Physician
Maimonides Medical Center - MMC Gastroenterology FPP
Maimonides Medical Center - MMC Gastroenterology FPP was paid $52K by Medicaid between Apr 2018 and Oct 2024, across 12 billing codes. Its largest line is 99222, Initial hospital care, per day, moderate complexity — 32% of everything it billed.
33Billing provider infoMAIMONIDES MEDICAL CENTER - MMC GASTROENTEROLOGY FPP
BROOKLYN, NY 11219
BROOKLYN, NY 11219
33aNPI1932216660assigned 08/25/2006
33bProvider typeGastroenterology Physician
28Total paid$52K
24GClaims728
24DCodes billed12
24AFirst – last monthApr 2018 – Oct 2024
Compared with peers
Next to other Gastroenterology Physician providers in New York
Rank by total paid#215 of 656
Median peer was paid$12K
This provider vs. median4.3×
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 | 71 | $5K | |
| 2019 | 27 | $2K | |
| 2020 | 12 | $737.57 | |
| 2021 | 158 | $9K | |
| 2022 | 116 | $9K | |
| 2023 | 176 | $14K | |
| 2024incomplete | 168 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99222 | Initial hospital care, per day, moderate complexity | 32% | 183 | 183 | $17K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 24% | 186 | 186 | $12K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 122 | 121 | $8K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.2% | 44 | 44 | $5K |
| 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 | 5.9% | 31 | 30 | $3K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.4% | 15 | 15 | $2K |
| 43259 | 4.4% | 12 | 12 | $2K | |
| 99221 | 2.0% | 12 | 12 | $1K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.5% | 22 | 13 | $789.06 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 37 | 36 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 35 | 33 | $0.00 |
| 1170F | 0% | 29 | 27 | $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 officialLICHSTEIN, EDGAR (DEPARTMENT CHAIR)
| Provider | Location | Paid |
|---|---|---|
| Maimonides Medical Center Maimonides Primary Care FPP | Brooklyn, NY | $812K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.