Pronesti, James
Pronesti, James was paid $28K by Medicaid between Jan 2018 and May 2024, across 10 billing codes. Its largest line is 92587, — 42% of everything it billed.
33Billing provider infoPRONESTI, JAMES
BROOKLYN, NY 11212
BROOKLYN, NY 11212
33aNPI1942472535assigned 03/24/2008
33bProvider typeAudiologist
28Total paid$28K
24GClaims1,176
24DCodes billed10
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Audiologist providers in New York
Rank by total paid#26 of 77
Median peer was paid$4K
This provider vs. median8.1×
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 | 308 | $6K | |
| 2019 | 238 | $4K | |
| 2020 | 91 | $5K | |
| 2021 | 81 | $1K | |
| 2022 | 98 | $2K | |
| 2023 | 218 | $7K | |
| 2024incomplete | 142 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92587 | 42% | 391 | 368 | $12K | |
| V5160 | Dispensing fee, binaural | 23% | 24 | 24 | $7K |
| 92550 | 12% | 391 | 368 | $3K | |
| V5010 | Assessment for hearing aid | 10% | 139 | 127 | $3K |
| 92583 | 3.1% | 41 | 40 | $874.00 | |
| V5266 | Battery for use in hearing device | 2.8% | 70 | 64 | $801.28 |
| 92579 | 2.8% | 41 | 40 | $781.66 | |
| 92557 | 1.6% | 14 | 14 | $450.20 | |
| 92555 | 1.4% | 41 | 40 | $398.24 | |
| V5267 | Hearing aid or assistive listening device/supplies/accessories, not otherwise specified | 1.4% | 24 | 24 | $390.00 |
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.