Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

North Shore-lij Medical PC

Urology·Great Neck, NY·NPI: 1053688572SharePrint Report

Red Flags Explained

Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:

Rate Outlier

Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.

These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.

Risk Assessment

Billing above the 90th percentile for 14 procedure codes simultaneously.

This is a statistical summary, not an accusation. See our methodology.

Active Billing Period:2018-012024-12(84 months)
Sharp billing drop in final month

Total Paid

$387.7M

$387,661,176

Total Claims

5.3M

Beneficiaries

4.9M

1.1 claims/patient

Avg Cost/Claim

$73

#166 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

North Shore-lij Medical PC is a Urology provider based in Great Neck, NY. From the 2018–2024 period, this provider received $387.7M in Medicaid payments across 5.3M claims.

Why This Matters

This provider received $387.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 48,457 Medicaid beneficiaries for a full year at average per-enrollee costs.

155% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$22.0M
+52%
2019
$33.5M
+30%
2020
$43.7M
+58%
2021
$68.9M
+12%
2022
$77.2M
+12%
2023
$86.6M
-35%
2024
$55.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 16% of total spending.

99214Top 10%

Office/outpatient visit, est. patient, mod-high complexity

$60.8M

545K claims · 15.7%

Your Cost: $111.68/claim|Median: $53.41
2.1× median
99284Top 25%

Emergency dept visit, high complexity

$51.0M

415K claims · 13.2%

Your Cost: $122.88/claim|Median: $69.51
1.8× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$44.5M

256K claims · 11.5%

Your Cost: $173.82/claim|Median: $85.65
2.0× median
99213Top 10%

Office/outpatient visit, est. patient, low-mod complexity

$37.0M

448K claims · 9.5%

Your Cost: $82.69/claim|Median: $37.81
2.2× median
99204Top 5%

Office/outpatient visit, new patient, mod-high complexity

$15.3M

88K claims · 3.9%

Your Cost: $173.33/claim|Median: $84.03
2.1× median
99283Top 25%

Emergency dept visit, moderate complexity

$10.0M

150K claims · 2.6%

Your Cost: $66.74/claim|Median: $42.48
1.6× median
99215Top 10%

Office/outpatient visit, high complexity

$8.5M

54K claims · 2.2%

Your Cost: $157.66/claim|Median: $74.09
2.1× median
76816Top 10%

Ultrasound, pregnant uterus, follow-up

$8.4M

74K claims · 2.2%

Your Cost: $113.99/claim|Median: $58.55
1.9× median
99203Top 5%

Office/outpatient visit, new patient, low-mod complexity

$8.1M

68K claims · 2.1%

Your Cost: $119.17/claim|Median: $57.85
2.1× median
74177Normal range

CT abdomen and pelvis with contrast

$7.9M

91K claims · 2.0%

Your Cost: $87.18/claim|Median: $65.76
1.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$6.1M

53K claims · 1.6%

Your Cost: $114.38/claim|Median: $54.68
2.1× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$6.1M

92K claims · 1.6%

Your Cost: $65.92/claim|Median: $23.99
2.8× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$5.4M

58K claims · 1.4%

Your Cost: $92.03/claim|Median: $35.30
2.6× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$3.9M

46K claims · 1.0%

Your Cost: $84.98/claim|Median: $35.80
2.4× median
99223Top 10%

Initial hospital care, per day, high complexity

$3.7M

25K claims · 1.0%

Your Cost: $150.55/claim|Median: $67.32
2.2× median
31231Top 5%

Nasal endoscopy, diagnostic

$3.6M

16K claims · 0.9%

Your Cost: $221.52/claim|Median: $98.77
2.2× median
70450Normal range

CT head/brain without contrast

$3.5M

95K claims · 0.9%

Your Cost: $37.14/claim|Median: $45.53
0.8× median
93303Top 25%

Echocardiography, transthoracic, limited

$3.5M

18K claims · 0.9%

Your Cost: $198.77/claim|Median: $112.83
1.8× median
76811Top 10%

Ultrasound, pregnant uterus, detailed, single fetus

$3.1M

16K claims · 0.8%

Your Cost: $190.39/claim|Median: $106.79
1.8× median
76819Top 25%

Fetal biophysical profile with non-stress test

$3.0M

37K claims · 0.8%

Your Cost: $81.04/claim|Median: $49.45
1.6× median
71045Top 25%

Chest X-ray, single view

$2.7M

308K claims · 0.7%

Your Cost: $8.86/claim|Median: $4.93
1.8× median
93010Top 25%

Electrocardiogram, interpretation and report only

$2.6M

323K claims · 0.7%

Your Cost: $8.19/claim|Median: $5.60
1.5× median
99291Top 10%

Critical care, first 30-74 minutes

$2.5M

11K claims · 0.6%

Your Cost: $227.85/claim|Median: $101.24
2.3× median
76818Top 25%

$2.4M

22K claims · 0.6%

Your Cost: $108.90/claim|Median: $68.15
1.6× median
59400Top 5%

Routine obstetric care, vaginal delivery, including postpartum

$2.3M

748 claims · 0.6%

Your Cost: $3,121.58/claim|Median: $1,482.45
2.1× median
J1745Top 25%

Injection, infliximab, excludes biosimilar, 10 mg

$2.3M

874 claims · 0.6%

Your Cost: $2,649.82/claim|Median: $1,587.53
1.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2.2M

39K claims · 0.6%

Your Cost: $56.34/claim|Median: $69.35
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$2.2M

14K claims · 0.6%

Your Cost: $154.22/claim|Median: $108.91
1.4× median
99205Top 10%

Office/outpatient visit, new patient, high complexity

$2.2M

11K claims · 0.6%

Your Cost: $204.57/claim|Median: $111.09
1.8× median
76830Top 25%

Ultrasound, transvaginal

$2.2M

23K claims · 0.6%

Your Cost: $92.14/claim|Median: $57.47
1.6× median