Modern Physician Services PC

Modern Physician Services PC was paid $50.41M by Medicaid between Jan 2018 and Dec 2024, across 74 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.

33Billing provider infoMODERN PHYSICIAN SERVICES PC
BROOKLYN, NY 11206

33aNPI1932590601assigned 02/16/2015

33bProvider typeEmergency Care Clinic/Center

28Total paid$50.41M

24GClaims744,593

24DCodes billed74

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Emergency Care Clinic/Center providers in New York

Rank by total paid#1 of 8

Median peer was paid$180K

This provider vs. median280×

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	40,260	$3.20M
2019	67,516	$5.06M
2020	102,584	$7.24M
2021	153,999	$10.32M
2022	146,034	$9.43M
2023	134,153	$8.51M
2024incomplete	100,047	$6.65M

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	28%	135,131	125,831	$14.06M
S9083	Global fee urgent care centers	23%	97,497	87,208	$11.37M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	66,518	62,259	$6.59M
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	8.6%	41,022	40,928	$4.31M
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	7.4%	39,373	35,463	$3.75M
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.5%	35,725	35,631	$3.28M
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	6.1%	35,277	35,147	$3.06M
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	3.5%	113,121	103,213	$1.77M
99201		<1%	4,636	4,626	$491K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	47,044	45,979	$468K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	29,166	28,759	$241K
36415	Collection of venous blood by venipuncture	<1%	14,951	14,757	$123K

62 more codes

81025		<1%	18,331	$123K
81002		<1%	17,467	$117K
99215	Doctor's office visit, returning patient (complex)	<1%	1,080	$113K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	5,946	$54K
99205	Prolong outpt/office vis	<1%	505	$50K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	455	$47K
99051		<1%	5,067	$35K
0011A		<1%	994	$32K
0012A		<1%	922	$31K
71046	Radiologic examination, chest; 2 views	<1%	2,260	$28K
93000		<1%	2,954	$27K
87807		<1%	4,155	$25K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	3,156	$23K
0013A		<1%	585	$22K
J7620	Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	<1%	2,145	$16K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	905	$15K
73630		<1%	1,043	$14K
97602		<1%	1,278	$12K
69209		<1%	1,511	$11K
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	953	$11K
73130		<1%	697	$9K
0002A		<1%	224	$9K
82962		<1%	1,031	$9K
73610		<1%	701	$8K
0004A		<1%	191	$7K
0001A		<1%	174	$7K
10060		<1%	169	$6K
90715		<1%	442	$5K
29125		<1%	220	$4K
73564		<1%	194	$4K
73110		<1%	277	$4K
73140		<1%	230	$3K
73030		<1%	224	$3K
29130		<1%	183	$3K
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	3,437	$2K
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	<1%	325	$2K
73562		<1%	155	$2K
29540		<1%	229	$2K
A6449	Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard	<1%	617	$2K
0071A		<1%	40	$2K
0072A		<1%	40	$2K
90656		<1%	177	$1K
87428		<1%	19	$693.62
0003A		<1%	18	$680.00
72100		<1%	56	$624.07
16020		<1%	16	$560.62
0064A		<1%	13	$480.00
73080		<1%	37	$473.24
73600		<1%	39	$454.70
73120		<1%	24	$370.34
29580		<1%	12	$262.16
J7512	Prednisone, immediate release or delayed release, oral, 1 mg	<1%	108	$143.10
29530		<1%	12	$112.81
12001		<1%	13	$87.51
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	93	$41.52
87802		<1%	93	$14.80
91307		<1%	174	$1.10
91300		<1%	628	$1.07
91306		<1%	18	$0.08
99024		<1%	27	$0.05
91301		<1%	1,516	$0.05
99080		0%	527	$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 officialSHULMAN, ANDREW (CEO)