Providers
IVAN ANTONEVICH, MD
NPI 1043256118, individual, New Hartford, NY, Pain Medicine, Interventional Pain Medicine
1
Evidence tier
documented action, then payment
- Listed on the CA Medicaid exclusion list since August 12, 2021.
- Medicaid still paid claims in 39 later months, $460,209 in total.
- Medicaid dollars per patient on code 20610 ($767 per patient-month) sit in the top 5% of every provider billing that code.
score 100 of 100, rank 6, $460K at stake
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| CA Medicaid exclusion list ca medi-cal suspended & ineligible provider list (july 2026) | Exact NPI, name verified | Aug 12, 2021 | still open | 39 | Sep 2021 | Nov 2024 | $460K | $150K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | IVAN ANTONEVICH, MD |
| Type | Individual |
| Status | Active |
| NPI issued | June 20, 2006, last updated July 25, 2016 |
| Practice location | 1729 BURRSTONE RD, New Hartford, NY 13413-1001, 315-798-1567 |
| Specialties | Pain Medicine, Interventional Pain Medicine (208VP0014X, primary, license 229252 NY) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $386K | 36% | $100 | $60 (top 5% from $133) | 86th percentile | |
| 62323 | Injection of substance into lower spine canal using imaging guidance | $276K | 26% | $767 | $130 (top 5% from $514) | 99th percentile | |
| 27096 | Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | $138K | 13% | $623 | $122 (top 5% from $510) | 98th percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $84K | 8% | $156 | $95 (top 5% from $171) | 91st percentile | |
| 20610 | Aspiration and/or injection of fluid from large joint | $71K | 7% | $355 | $40 (top 5% from $128) | 100th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $48K | 4% | $75 | $44 (top 5% from $110) | 85th percentile | |
| 77002 | Fluoroscopic guidance for needle placement | $34K | 3% | $97 | $32 (top 5% from $104) | 94th percentile | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | $24K | 2% | $13 | $7.31 (top 5% from $17) | 86th percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 732 | 252 | $65K | $216 | $121 | 1.8x | 2.3x (90th percentile 3.8x) |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 153 | 106 | $27K | $612 | $240 | 2.6x | 5.4x (90th percentile 15.1x) |
| 77002 | Fluoroscopic guidance for needle placement | 281 | 133 | $23K | $189 | $108 | 1.8x | 3.6x (90th percentile 10.6x) |
| 27096 | Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 140 | 77 | $16K | $691 | $159 | 4.4x | 5.3x (90th percentile 14.9x) |
| 64640 | Destruction of peripheral nerve or branch | 129 | 21 | $14K | $550 | $140 | 3.9x | 4.7x (90th percentile 14.8x) |
| 20610 | Aspiration and/or injection of fluid from large joint | 185 | 93 | $9K | $152 | $62 | 2.5x | 3.7x (90th percentile 7.2x) |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 71 | 71 | $8K | $300 | $155 | 1.9x | 2.4x (90th percentile 3.9x) |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 23 | 14 | $7K | $1K | $415 | 2.6x | 5.2x (90th percentile 13.7x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
4 providers in Oneida County, NY carry an indicator in the public record, with $3.7M at stake between them. The most common is part of a provider network, on 2 of them, followed by more hours than a day holds on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | BETHANY OPERATING CO LLC Rome, NY, ranked 5051 | $0 |
|
| 3 | RRNC LLC Rome, NY, ranked 5920 | $0 |
|
| 4 | DOMINICK NICOTERA Utica, NY, ranked 7528 | $3.4M |
|
| 4 | STEPHEN WADE Utica, NY, ranked 9415 | $249K |
|
Recent enforcement in NY
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedAug 20, 2026
Four Members Of The “War Room” Charged In Connection With $12 Million Medicaid Fraud Scheme
Members of a Bronx-based racketeering organization known as the "War Room" fabricated ride data for methadone clinic transportation using a GPS spoofing application, paid Medicaid patients kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in claims to Medicaid, and laundered the proceeds.
DOJIndictedAug 20, 2026
Four Members of the “War Room” Charged in Connection with $12M Medicaid Fraud Scheme
Four members of a Bronx racketeering organization known as the "War Room" fabricated medical transportation ride data using a ride-tracking app and GPS spoofing, paid Medicaid patients at methadone clinics kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in Medicaid claims, and laundered the proceeds.
DOJCivil settlementAug 17, 2026
Safire nursing homes agree to pay $9 million to resolve fraudulent Medicare and Medicaid billing allegations
The United States alleged that Safire submitted false claims to Medicare and Medicaid for skilled rehabilitative therapy services that were not reasonable or necessary, not supported by medical records, not documented as provided, or not provided at all, including by scheduling therapy based on insurer reimbursement policies, pressuring therapists and residents, and manufacturing or altering therapy referrals and medical records.
DOJSentencedJul 21, 2026
Owner of Long Island Ambulette Services Company Sentenced to Prison for Multimillion Dollar Healthcare Fraud Scheme
Arshad and co-conspirators paid kickbacks to Medicaid beneficiaries to order transportation through his companies and billed Medicaid over $19 million for medical transportation rides that were not provided, including for individuals who were deceased, hospitalized or incarcerated, and inflated reimbursements with false pickup addresses and distant treatment centers.
DOJIndictedJul 2, 2026
Two Defendants Charged with Multi-Million Dollar Health Care Fraud Scheme
The defendants, who owned and operated Tri-Hamlet Taxi Inc., allegedly paid kickbacks to Medicaid beneficiaries and submitted more than $35 million in claims to Medicaid for ambulette trips that were not provided or whose costs were inflated by using false pickup or drop-off addresses.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.