Physician
ST Josephs Medical PC
ST Josephs Medical PC was paid $16.21M by Medicaid between Jan 2018 and Dec 2024, across 108 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoST JOSEPHS MEDICAL PC
LIVERPOOL, NY 13088
LIVERPOOL, NY 13088
33aNPI1942501747assigned 11/10/2010
33bProvider typeEmergency Medicine Physician
28Total paid$16.21M
24GClaims342,529
24DCodes billed108
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in New York
Rank by total paid#14 of 2,113
Median peer was paid$5K
This provider vs. median3,574×
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 | 42,199 | $1.96M | |
| 2019 | 58,123 | $2.44M | |
| 2020 | 59,709 | $2.37M | |
| 2021 | 58,693 | $2.78M | |
| 2022 | 50,343 | $2.81M | |
| 2023 | 45,453 | $2.47M | |
| 2024incomplete | 28,009 | $1.37M |
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 | 52% | 83,642 | 81,566 | $8.36M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 64,480 | 62,866 | $4.48M |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.9% | 6,154 | 6,135 | $627K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.4% | 3,940 | 3,940 | $384K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.2% | 52,466 | 46,831 | $357K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.2% | 3,833 | 1,613 | $201K |
| 80053 | Comprehensive metabolic panel | 1.0% | 16,213 | 16,085 | $164K |
| 99223 | Prolong inpt eval add15 m | <1% | 1,276 | 1,259 | $146K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 939 | 939 | $102K |
| 80061 | Lipid panel | <1% | 11,598 | 11,577 | $101K |
| 31231 | <1% | 648 | 644 | $98K | |
| 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 | <1% | 665 | 665 | $97K |
96 more codes
| 93000 | <1% | 5,832 | $77K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 6,611 | $75K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 15,025 | $75K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 4,686 | $74K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 932 | $67K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 809 | $60K |
| 90686 | <1% | 3,910 | $54K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 525 | $54K |
| 93458 | <1% | 228 | $51K | |
| 99406 | <1% | 2,707 | $35K | |
| 94010 | <1% | 1,537 | $34K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 1,115 | $34K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,673 | $29K |
| 84439 | <1% | 2,973 | $26K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,429 | $23K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 474 | $23K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 81 | $22K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 481 | $22K |
| 99051 | <1% | 8,146 | $16K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 79 | $15K |
| 92567 | <1% | 989 | $14K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,206 | $14K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 138 | $13K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 838 | $13K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 59 | $10K |
| 81001 | <1% | 2,570 | $9K | |
| 87070 | <1% | 920 | $8K | |
| 99441 | <1% | 198 | $7K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 50 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 403 | $7K |
| 99217 | <1% | 134 | $7K | |
| 87088 | <1% | 710 | $6K | |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 27 | $6K |
| 0012A | <1% | 164 | $6K | |
| 0011A | <1% | 172 | $6K | |
| 93015 | <1% | 105 | $6K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 59 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 20,401 | $5K |
| 96127 | <1% | 1,078 | $4K | |
| 94726 | <1% | 116 | $4K | |
| 99442 | <1% | 82 | $4K | |
| 99443 | <1% | 39 | $4K | |
| 31575 | <1% | 37 | $4K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 27 | $4K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 13 | $4K |
| 94729 | <1% | 84 | $3K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 12 | $3K |
| 99221 | <1% | 41 | $3K | |
| 93308 | <1% | 98 | $3K | |
| 81025 | <1% | 384 | $2K | |
| 93295 | <1% | 73 | $2K | |
| 92557 | <1% | 91 | $2K | |
| 71250 | <1% | 18 | $2K | |
| 82550 | <1% | 366 | $2K | |
| 93298 | <1% | 84 | $2K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 193 | $2K |
| 83735 | <1% | 294 | $2K | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 227 | $1K |
| 93018 | <1% | 133 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 33 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $1K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 28 | $1K |
| 84153 | <1% | 59 | $995.71 | |
| 93297 | <1% | 52 | $985.83 | |
| 80050 | General health panel | <1% | 39 | $938.48 |
| 93296 | <1% | 228 | $919.38 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 59 | $912.71 |
| 82607 | <1% | 69 | $912.05 | |
| 82728 | <1% | 68 | $892.93 | |
| 92553 | <1% | 40 | $888.57 | |
| 94060 | <1% | 26 | $885.87 | |
| 93325 | <1% | 136 | $831.17 | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 47 | $767.71 |
| 93321 | <1% | 93 | $734.77 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 14 | $574.52 |
| 93294 | <1% | 27 | $497.25 | |
| 85027 | <1% | 124 | $491.79 | |
| 69210 | <1% | 12 | $444.76 | |
| 90656 | <1% | 49 | $396.99 | |
| 93227 | <1% | 12 | $345.84 | |
| 83550 | <1% | 54 | $332.62 | |
| 80076 | <1% | 40 | $320.20 | |
| 82044 | <1% | 56 | $318.69 | |
| 83540 | <1% | 54 | $294.87 | |
| 92551 | <1% | 27 | $201.42 | |
| 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) | <1% | 16 | $172.04 |
| 99152 | <1% | 12 | $167.67 | |
| 86141 | <1% | 14 | $140.33 | |
| 81002 | <1% | 51 | $103.92 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 12 | $84.13 |
| 82977 | <1% | 12 | $69.86 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 58 | $61.49 |
| 85652 | <1% | 13 | $26.28 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 15 | $25.53 |
| 99173 | <1% | 112 | $23.52 |
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 officialSULIK, SANDRA (PRESIDENT)