Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Mount Kisco › NPI 1982643003
Physician

Optum Medical Care, P.C.

Optum Medical Care, P.C. was paid $105.26M by Medicaid between Jan 2018 and Dec 2024, across 368 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.

33Billing provider infoOPTUM MEDICAL CARE, P.C.
MOUNT KISCO, NY 10549
33aNPI1982643003assigned 06/05/2006
28Total paid$105.26M
24GClaims1,342,057
24DCodes billed368
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Hematology & Oncology Physician providers in New York

Rank by total paid#1 of 441
Median peer was paid$9K
This provider vs. median11,116×

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$2.0M$4.0M2018201920202021202220232024
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
201836,615$2.79M
201972,455$4.89M
2020107,499$7.26M
2021157,886$12.95M
2022269,549$22.42M
2023406,657$32.87M
2024incomplete291,396$22.09M
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 33% 290,515 274,929 $34.38M
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 15% 95,086 91,023 $15.91M
88305 Level IV - Surgical pathology, gross and microscopic examination 2.9% 13,972 13,842 $3.06M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.5% 16,849 16,830 $2.62M
76641 2.4% 11,937 11,806 $2.57M
77067 Screening mammography, bilateral, including computer-aided detection 2.4% 13,526 13,521 $2.48M
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 1.9% 9,299 9,280 $2.05M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.8% 13,630 13,624 $1.90M
87631 1.8% 10,905 10,735 $1.88M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.6% 12,176 12,163 $1.72M
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 1.4% 15,922 15,115 $1.46M
90460 Immunization administration through 18 years of age via any route, first or only component 1.3% 74,488 73,651 $1.36M
356 more codes
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1.3% 8,048 $1.34M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.2% 10,396 $1.31M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.2% 23,097 $1.31M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.1% 7,806 $1.17M
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 2,611 $1.04M
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 6,381 $972K
77063 Screening digital breast tomosynthesis, bilateral <1% 12,951 $961K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 6,006 $944K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 27,286 $883K
92060 <1% 11,146 $869K
76819 Fetal biophysical profile; without non-stress testing <1% 6,529 $831K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 18,556 $764K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 18,545 $764K
31231 <1% 2,389 $667K
76830 Ultrasound, transvaginal <1% 3,614 $628K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 11,249 $589K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 3,354 $530K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 7,198 $508K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 11,601 $482K
99215 Doctor's office visit, returning patient (complex) <1% 2,027 $478K
A4550 Surgical trays <1% 1,942 $464K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 3,549 $450K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 2,371 $446K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 10,047 $415K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 4,468 $387K
71046 Radiologic examination, chest; 2 views <1% 8,315 $375K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 3,120 $361K
76536 <1% 2,455 $360K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 2,414 $354K
81513 <1% 4,265 $349K
88174 <1% 11,928 $349K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 1,234 $348K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 8,503 $344K
76813 <1% 1,985 $343K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 2,739 $334K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 2,747 $334K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 1,320 $330K
70551 Magnetic resonance imaging, brain; without contrast material <1% 1,120 $270K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 8,930 $267K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 2,245 $241K
76801 <1% 1,379 $234K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 24,684 $234K
92250 <1% 6,198 $227K
74183 <1% 547 $224K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 867 $204K
77065 Tomosynthesis, mammo <1% 1,143 $204K
80053 Comprehensive metabolic panel <1% 15,407 $204K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 503 $202K
72197 <1% 401 $179K
99205 Prolong outpt/office vis <1% 603 $179K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 1,196 $178K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 1,154 $178K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 887 $175K
17110 <1% 1,101 $172K
87428 <1% 3,874 $171K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 618 $168K
92557 <1% 3,478 $167K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 960 $164K
73630 <1% 3,377 $158K
80061 Lipid panel <1% 10,548 $155K
84443 Thyroid stimulating hormone (TSH) <1% 7,403 $153K
92567 <1% 6,782 $152K
87481 <1% 4,280 $151K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 563 $149K
92551 <1% 20,625 $146K
77066 Tomosynthesis, mammo <1% 650 $142K
92015 Determination of refractive state <1% 10,568 $139K
95117 <1% 7,677 $131K
92134 <1% 2,413 $122K
73562 <1% 2,070 $113K
75574 <1% 342 $106K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 812 $105K
76770 <1% 709 $103K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 3,515 $102K
90461 <1% 5,627 $102K
59426 <1% 1,063 $100K
19083 <1% 130 $99K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 6,224 $95K
00731 <1% 398 $94K
78815 Positron emission tomography (PET) for limited area imaging <1% 72 $93K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 10,106 $90K
93000 <1% 4,344 $89K
96127 <1% 18,221 $89K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 12,424 $88K
71250 <1% 566 $87K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 2,602 $80K
84439 <1% 7,421 $78K
92588 <1% 1,892 $75K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 592 $74K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 138 $72K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 132 $67K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 1,200 $67K
80050 General health panel <1% 1,897 $66K
76642 <1% 585 $66K
73610 <1% 1,257 $63K
72100 <1% 1,176 $62K
77080 <1% 1,250 $61K
92082 <1% 1,147 $60K
36415 Collection of venous blood by venipuncture <1% 71,037 $60K
92552 <1% 1,130 $56K
73030 <1% 1,280 $56K
41010 <1% 159 $51K
82728 <1% 2,789 $47K
73130 <1% 882 $46K
73221 <1% 159 $42K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 1,200 $42K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care <1% 2,320 $41K
70486 <1% 234 $41K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 102 $40K
99232 Hospital visit by a doctor, follow-up day <1% 537 $40K
67028 Intravitreal injection of a pharmacologic agent <1% 298 $39K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,349 $39K
83036 Hemoglobin; glycosylated (A1C) <1% 4,114 $37K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 305 $36K
92587 <1% 2,107 $35K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 148 $35K
00811 <1% 168 $35K
77072 <1% 792 $29K
99385 <1% 166 $29K
72141 <1% 114 $27K
77062 <1% 341 $26K
88342 <1% 130 $25K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 214 $25K
82607 <1% 1,681 $24K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,631 $24K
90686 <1% 16,211 $24K
81003 <1% 12,472 $24K
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% 199 $24K
31575 <1% 121 $23K
94010 <1% 739 $23K
88142 <1% 960 $23K
99459 <1% 732 $23K
88141 <1% 661 $22K
83550 <1% 1,992 $21K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 1,751 $21K
99051 <1% 2,491 $21K
00142 <1% 173 $21K
73620 <1% 487 $20K
86769 <1% 374 $20K
81002 <1% 4,708 $20K
74178 <1% 42 $20K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 54 $20K
81025 <1% 2,330 $19K
72040 <1% 358 $18K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 57 $18K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 184 $17K
90472 Immunization administration, each additional vaccine (list separately) <1% 1,772 $17K
20610 <1% 192 $17K
69210 <1% 356 $17K
99173 <1% 20,998 $17K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 37 $16K
87086 Culture, bacterial; quantitative colony count, urine <1% 1,526 $14K
0001A <1% 259 $14K
0002A <1% 257 $14K
00812 <1% 67 $14K
92568 <1% 808 $13K
00170 Anesthesia for intraoral procedures, including biopsy <1% 66 $13K
73110 <1% 253 $13K
72110 <1% 203 $13K
86803 <1% 795 $13K
S9083 Global fee urgent care centers <1% 39 $12K
90674 <1% 4,506 $12K
83540 <1% 1,476 $12K
93970 <1% 50 $11K
99188 <1% 786 $11K
94664 <1% 541 $11K
90834 Psychotherapy session, about 45 minutes <1% 75 $10K
86140 <1% 1,470 $9K
97035 <1% 535 $9K
95886 <1% 39 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 411 $9K
73502 <1% 148 $9K
92201 <1% 282 $9K
77061 <1% 157 $9K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 190 $8K
88312 <1% 41 $8K
99177 <1% 3,239 $8K
92202 <1% 454 $8K
72050 <1% 109 $8K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 143 $8K
88304 <1% 109 $8K
99223 Prolong inpt eval add15 m <1% 43 $8K
87486 <1% 164 $7K
87581 <1% 164 $7K
87340 <1% 608 $7K
0012A <1% 154 $7K
0011A <1% 154 $7K
94375 <1% 141 $7K
77049 <1% 13 $7K
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing <1% 264 $7K
51798 <1% 515 $7K
99417 Prolong home eval add 15m <1% 69 $7K
93015 <1% 70 $7K
86618 <1% 333 $7K
94729 <1% 79 $7K
99401 <1% 288 $7K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 27 $6K
92083 <1% 69 $6K
0071A <1% 101 $6K
92550 <1% 409 $6K
0064A <1% 105 $5K
58340 <1% 13 $5K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 34 $5K
97162 <1% 51 $5K
99386 <1% 25 $5K
85652 <1% 1,488 $5K
90661 <1% 1,877 $5K
73564 <1% 79 $5K
93971 <1% 28 $5K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,350 $4K
A9576 Injection, gadoteridol, (prohance multipack), per ml <1% 654 $4K
0072A <1% 78 $4K
90832 Psychotherapy session, about 30 minutes <1% 41 $4K
94060 <1% 68 $4K
94727 <1% 68 $4K
00813 <1% 17 $4K
92285 <1% 309 $4K
81001 <1% 1,038 $4K
82550 <1% 477 $4K
72070 <1% 88 $4K
92504 <1% 146 $4K
88112 <1% 39 $4K
87081 <1% 701 $4K
11102 <1% 25 $4K
87807 <1% 440 $3K
01936 <1% 14 $3K
97799 <1% 74 $3K
86708 <1% 217 $3K
0004A <1% 59 $3K
73560 <1% 62 $3K
82746 <1% 350 $3K
0124A <1% 50 $3K
01938 <1% 23 $3K
90677 <1% 485 $3K
97802 <1% 186 $2K
86704 <1% 222 $2K
74018 <1% 55 $2K
86706 <1% 243 $2K
3074F <1% 7,876 $2K
84702 <1% 135 $2K
99429 <1% 238 $2K
88143 <1% 86 $2K
87071 <1% 678 $2K
83655 <1% 145 $2K
92133 <1% 42 $2K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 87 $2K
92579 <1% 40 $2K
90715 <1% 276 $2K
82977 <1% 217 $2K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 186 $2K
83735 <1% 235 $2K
0240U <1% 20 $2K
99201 <1% 26 $2K
85018 <1% 860 $2K
76514 <1% 134 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 437 $2K
90636 <1% 12 $2K
99442 <1% 14 $1K
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% 154 $1K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 21 $1K
85027 <1% 241 $1K
85045 <1% 219 $1K
3079F <1% 3,464 $1K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 72 $1K
3078F <1% 5,283 $1K
86141 <1% 66 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 17 $994.25
97803 <1% 13 $991.14
95806 <1% 12 $901.60
86431 <1% 123 $888.48
82962 <1% 206 $828.90
J1010 Injection, methylprednisolone acetate, 1 mg <1% 99 $823.56
82670 <1% 25 $771.12
87184 <1% 144 $755.67
G0444 Annual depression screening, 5 to 15 minutes <1% 25 $690.60
84436 <1% 190 $673.14
90480 <1% 26 $660.00
73600 <1% 14 $658.34
76857 <1% 12 $639.81
84153 <1% 29 $610.59
95251 <1% 12 $581.88
82043 <1% 87 $574.57
82465 <1% 102 $553.83
87625 <1% 26 $545.79
72220 <1% 12 $529.41
83001 <1% 25 $512.88
94667 <1% 41 $501.82
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 45 $452.58
91322 <1% 13 $437.76
87186 <1% 41 $424.56
84480 <1% 47 $411.87
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 13 $403.22
96161 <1% 179 $401.27
90656 <1% 787 $398.32
87077 <1% 41 $398.26
96380 <1% 26 $358.31
90474 <1% 55 $355.00
90619 <1% 415 $351.91
95024 <1% 14 $333.32
92558 <1% 26 $314.26
90651 <1% 189 $306.26
90670 <1% 1,977 $303.45
84550 <1% 51 $297.48
99406 <1% 13 $277.84
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 13 $258.84
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 146 $254.96
87088 <1% 26 $249.92
85610 <1% 49 $241.57
J2785 Injection, regadenoson, 0.1 mg <1% 14 $222.86
82570 <1% 28 $180.80
82950 <1% 26 $161.18
80048 Basic metabolic panel (calcium, ionized) <1% 14 $136.22
90680 <1% 505 $89.25
98960 <1% 28 $80.20
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 119 $79.80
90698 <1% 306 $71.40
82272 <1% 12 $66.79
J2704 Injection, propofol, 10 mg <1% 22 $54.41
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler <1% 66 $53.32
85007 <1% 12 $48.07
87150 <1% 29 $40.35
94760 <1% 220 $26.85
3075F <1% 891 $20.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 100 $16.41
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 66 $6.45
91306 <1% 70 $0.01
3077F 0% 665 $0.00
1124F 0% 572 $0.00
90633 0% 141 $0.00
90734 0% 255 $0.00
91300 0% 418 $0.00
90707 0% 25 $0.00
96160 0% 98 $0.00
90685 0% 38 $0.00
90710 0% 26 $0.00
90672 0% 16 $0.00
90621 0% 12 $0.00
91312 0% 34 $0.00
3008F 0% 2,037 $0.00
99000 0% 11,125 $0.00
3044F 0% 494 $0.00
90723 0% 514 $0.00
90647 0% 371 $0.00
97010 0% 549 $0.00
36416 0% 1,846 $0.00
3080F 0% 460 $0.00
90744 0% 58 $0.00
91301 0% 241 $0.00
99050 0% 77 $0.00
90660 0% 13 $0.00
99070 0% 27 $0.00
90696 0% 13 $0.00
91307 0% 277 $0.00
90697 0% 25 $0.00
91305 0% 14 $0.00
90620 0% 12 $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 officialNASSER, JONATHAN (PRESIDENT OPTUM TRI STATE)