Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Cascella, Clair

Cascella, Clair was paid $231K by Medicaid between Jun 2018 and Oct 2024, across 14 billing codes. Its largest line is 95886, — 43% of everything it billed.

33Billing provider infoCASCELLA, CLAIR
NEW HYDE PARK, NY 11042
33aNPI1962777169assigned 03/20/2012
28Total paid$231K
24GClaims3,817
24DCodes billed14
24AFirst – last monthJun 2018 – Oct 2024
Compared with peers

Next to other Neuromusculoskeletal Medicine & OMM Physician providers in New York

Rank by total paid#6 of 26
Median peer was paid$28K
This provider vs. median8.2×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
201815$505.62
201994$3K
2020174$4K
2021210$7K
2022911$65K
20231,813$124K
2024incomplete600$27K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95886 43% 1,279 1,012 $99K
95912 20% 540 490 $47K
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 13% 889 873 $30K
95911 8.8% 233 213 $20K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.7% 506 498 $13K
95910 4.9% 118 111 $11K
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 2.7% 118 117 $6K
93890 <1% 36 30 $2K
93886 <1% 13 13 $917.84
92546 <1% 12 12 $417.36
92540 <1% 12 12 $359.94
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 25 13 $324.49
2 more codes
92537 <1% 12 $128.72
J3475 Injection, magnesium sulfate, per 500 mg <1% 24 $3.95

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.