Brain & Spine Surgeons of New York PC

Brain & Spine Surgeons of New York PC was paid $840K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.

33Billing provider infoBRAIN & SPINE SURGEONS OF NEW YORK PC
WHITE PLAINS, NY 10604

33aNPI1992921407assigned 04/17/2007

33bProvider typeSurgery Physician

28Total paid$840K

24GClaims8,617

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Surgery Physician providers in New York

Rank by total paid#12 of 396

Median peer was paid$4K

This provider vs. median194×

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	1,115	$120K
2019	1,413	$123K
2020	1,279	$112K
2021	2,409	$240K
2022	1,568	$147K
2023	568	$66K
2024incomplete	265	$33K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	69%	6,486	6,134	$581K
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	25%	1,508	1,458	$207K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.6%	360	356	$22K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.0%	124	124	$17K
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	1.0%	45	45	$9K
99442		<1%	27	27	$3K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	24	24	$2K
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	17	16	$106.55
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	13	13	$33.07
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	13	13	$29.64

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 officialTOBIAS, MICHAEL (OWNER)