Fusco, Michael

Fusco, Michael was paid $14K by Medicaid between Jan 2018 and Aug 2022, across 7 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 46% of everything it billed.

33Billing provider infoFUSCO, MICHAEL
PORT CHESTER, NY 10573

33aNPI1972516482assigned 08/14/2006

33bProvider typeInternal Medicine Physician

28Total paid$14K

24GClaims1,716

24DCodes billed7

24AFirst – last monthJan 2018 – Aug 2022

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#2,821 of 6,049

Median peer was paid$11K

This provider vs. median1.2×

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

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	944	$7K
2019	410	$4K
2020	318	$2K
2021	26	$613.20
2022	18	$306.60

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	46%	715	691	$7K
99306	Prolong nursin fac eval 15m	39%	466	432	$5K
99308	Subsequent nursing facility care, per day, straightforward	9.1%	241	226	$1K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.8%	234	40	$390.32
99223	Prolong inpt eval add15 m	1.5%	19	18	$213.30
99238	Hospital discharge day management, 30 minutes or less	<1%	17	13	$122.49
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	<1%	24	24	$64.99

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.