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

Island Pain Specialist, PC

Island Pain Specialist, PC was paid $1.18M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.

33Billing provider infoISLAND PAIN SPECIALIST, PC
FARMINGDALE, NY 11735
33aNPI1972774529assigned 03/21/2008
28Total paid$1.18M
24GClaims30,927
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Interventional Pain Medicine Physician providers in New York

Rank by total paid#5 of 58
Median peer was paid$24K
This provider vs. median48×

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$20K$30K2018201920202021202220232024
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
20182,010$89K
20192,563$102K
20203,920$172K
20216,520$228K
20226,114$207K
20236,283$240K
2024incomplete3,517$145K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40% 6,429 5,550 $469K
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 37% 4,903 4,249 $436K
76942 9.3% 1,748 1,570 $110K
J3490 Unclassified drugs 3.7% 663 561 $44K
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 2.1% 2,720 2,329 $24K
20553 1.9% 648 584 $22K
80305 1.9% 4,350 3,762 $22K
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 1.8% 159 159 $21K
20552 <1% 287 271 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 116 111 $5K
G0480 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; 1-7 drug class(es), including metabolite(s) if performed <1% 234 216 $4K
72275 <1% 47 46 $3K
14 more codes
G0659 Drug test(s), definitive, utilizing 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), excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase), performed without method or drug-specific calibration, without matrix-matched quality control material, or without use of stable isotope or other universally recognized internal standard(s) for each drug, drug metabolite or drug class per specimen; qualitative or quantitative, all sources, includes specimen validity testing, per day, any number of drug classes <1% 359 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 229 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,736 $2K
80377 <1% 112 $2K
96138 <1% 91 $998.40
99072 <1% 3,614 $504.32
96132 <1% 16 $328.07
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 537 $265.76
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 <1% 552 $125.28
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 19 $109.16
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 1,067 $54.08
97803 <1% 218 $25.01
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml <1% 26 $18.97
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 47 $0.00

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.

From NPPES

Who's on the registration

Authorized officialSARIJ, HASIB (OWNER)