Karlin, Daniel

Karlin, Daniel was paid $7.15M by Medicaid between Jan 2018 and Aug 2024, across 19 billing codes. Its largest line is S0109, Methadone, oral, 5 mg — 35% of everything it billed.

33Billing provider infoKARLIN, DANIEL
NEW YORK, NY 10007

33aNPI1942434311assigned 05/13/2009

33bProvider typeAddiction Medicine (Psychiatry & Neurology) Physician

28Total paid$7.15M

24GClaims62,808

24DCodes billed19

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Addiction Medicine (Psychiatry & Neurology) Physician providers in New York

Rank by total paid#1 of 15

Median peer was paid$32K

This provider vs. median226×

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	132	$10K
2020	5,008	$396K
2021	12,997	$1.23M
2022	30,782	$3.64M
2023	10,876	$1.53M
2024incomplete	3,013	$347K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S0109	Methadone, oral, 5 mg	35%	8,634	435	$2.53M
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	15%	10,925	7,071	$1.07M
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed	13%	7,917	4,530	$963K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	9.1%	4,920	3,077	$654K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	6.9%	10,889	7,053	$495K
G2067	Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program)	4.9%	1,856	601	$348K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed	4.1%	3,272	3,007	$292K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	3.2%	2,616	1,696	$229K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	3.0%	1,914	1,149	$217K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	1.2%	6,496	302	$86K
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed	1.1%	467	439	$75K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.0%	1,125	935	$73K

7 more codes

90832	Psychotherapy session, about 30 minutes	<1%	1,058	$46K
90791	Psychiatric diagnostic evaluation	<1%	291	$35K
99205	Prolong outpt/office vis	<1%	109	$16K
99204	Doctor's office visit, new patient (more involved)	<1%	123	$15K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	41	$747.43
99406		<1%	76	$712.89
81025		<1%	79	$477.08

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.