Jeffrey J Falcone DPM PC
Jeffrey J Falcone DPM PC was paid $3.34M by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is L3000, Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each — 14% of everything it billed.
33Billing provider infoJEFFREY J FALCONE DPM PC
NEW YORK, NY 10022
NEW YORK, NY 10022
33aNPI1982838918assigned 05/05/2009
33bProvider typeFoot & Ankle Surgery Podiatrist
28Total paid$3.34M
24GClaims46,465
24DCodes billed33
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Foot & Ankle Surgery Podiatrist providers in New York
Rank by total paid#2 of 342
Median peer was paid$16K
This provider vs. median206×
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 | 7,383 | $559K | |
| 2019 | 8,923 | $583K | |
| 2020 | 8,238 | $588K | |
| 2021 | 7,046 | $492K | |
| 2022 | 6,276 | $439K | |
| 2023 | 4,246 | $335K | |
| 2024incomplete | 4,353 | $347K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 14% | 3,331 | 1,967 | $476K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 7,294 | 7,120 | $433K |
| L3332 | Lift, elevation, inside shoe, tapered, up to one-half inch | 11% | 4,557 | 4,518 | $360K |
| 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 | 9.0% | 3,205 | 3,167 | $301K |
| 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 | 8.6% | 2,292 | 2,286 | $289K |
| L2820 | Addition to lower extremity orthosis, soft interface for molded plastic, below knee section | 6.7% | 2,708 | 2,679 | $225K |
| L2275 | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined | 6.7% | 2,183 | 2,026 | $224K |
| L3020 | Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each | 5.9% | 1,179 | 629 | $196K |
| 29405 | 5.1% | 2,859 | 1,907 | $170K | |
| L3060 | Foot, arch support, removable, premolded, longitudinal/ metatarsal, each | 4.6% | 3,280 | 1,762 | $154K |
| L3350 | Heel wedge | 3.1% | 4,169 | 4,126 | $103K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 1,778 | 1,745 | $71K |
21 more codes
| L1930 | Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment | 2.0% | 531 | $67K |
| L3390 | Outflare wedge | 1.6% | 861 | $55K |
| L1836 | Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf | 1.1% | 558 | $35K |
| L3410 | Metatarsal bar wedge, between sole | <1% | 275 | $33K |
| L3370 | Sole wedge, between sole | <1% | 526 | $32K |
| L2830 | Addition to lower extremity orthosis, soft interface for molded plastic, above knee section | <1% | 272 | $24K |
| 29540 | <1% | 938 | $21K | |
| L3510 | Orthopedic shoe addition, insole, rubber | <1% | 989 | $15K |
| Q4037 | Cast supplies, short leg cast, adult (11 years +), plaster | <1% | 823 | $11K |
| L3500 | Orthopedic shoe addition, insole, leather | <1% | 716 | $11K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 82 | $7K |
| Q4039 | Cast supplies, short leg cast, pediatric (0-10 years), plaster | <1% | 587 | $7K |
| L3010 | Foot, insert, removable, molded to patient model, longitudinal arch support, each | <1% | 42 | $6K |
| 99205 | Prolong outpt/office vis | <1% | 22 | $4K |
| L3360 | Sole wedge, outside sole | <1% | 67 | $3K |
| L3430 | Heel, counter, plastic reinforced | <1% | 13 | $3K |
| 97763 | <1% | 181 | $2K | |
| L3480 | Heel, pad and depression for spur | <1% | 26 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $1K |
| 97760 | <1% | 97 | $707.38 | |
| 11721 | <1% | 12 | $403.08 |
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 officialFALCONE, JEFFREY (PRESIDENT)