ROBERT SAMANIEGO, M.D

NPI 1083632392, individual, Rye, NY, Family Medicine

Evidence tier

structure or single-organization volume

Hours beyond a day in 4 months under one organization, which can be supervisory billing.
Records needed.

score 51 of 100, rank 9337, $317K at stake

Hours billed per day

Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.

month	what was found	hours per day, lower bound	hours per day, at price	hours per day, conservative	per working day	patients	billing organizations	codes	paid
Jan 2021	More hours than a day holds at a conservative unit price	10.0	57.0	38.0	56.1	438	1	99306 99308 99309	$34K
Jan 2022	More hours than a day holds at a conservative unit price	8.9	46.4	30.9	45.6	327	2	99308 99309	$27K
Jan 2023	More hours than a day holds at a conservative unit price	9.6	45.3	30.2	42.5	362	2	99307 99308 99309	$27K
Jan 2024	More hours than a day holds at a conservative unit price	9.6	54.2	36.1	48.7	395	2	99306 99308 99309	$32K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	ROBERT SAMANIEGO, M.D
Type	Individual, sole proprietor
Status	Active
NPI issued	July 17, 2006, last updated October 4, 2012
Practice location	33 CEDAR ST, SUITE 3, Rye, NY 10580-2031, 914-481-5106
Specialties	Family Medicine (207Q00000X, primary, license 225580-1 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
99308	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more	$404K	71%	$36	$14 (top 5% from $58)	87th percentile
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	$139K	24%	$14	$21 (top 5% from $84)	33rd percentile
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	$18K	3%	$38	$44 (top 5% from $110)	40th percentile
99306	Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more	$7K	1%	$19	$37 (top 5% from $100)	21st percentile
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$991	0%	$35	$60 (top 5% from $133)	too few months to rank
99307	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	$838	0%	$5.74	$7.86 (top 5% from $34)	35th percentile
99315	Nursing facility discharge day management, 30 minutes or less	$70	0%	$2.69	$22 (top 5% from $55)	too few months to rank

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
99308	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more	5,016	505	$288K	$200	$78	2.6x	2.0x (90th percentile 3.4x)
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	2,007	440	$167K	$225	$112	2.0x	2.0x (90th percentile 3.3x)
99306	Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more	239	192	$34K	$275	$188	1.5x	1.9x (90th percentile 3.1x)
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	118	43	$7K	$125	$96	1.3x	2.2x (90th percentile 3.8x)
99315	Nursing facility discharge day management, 30 minutes or less	53	53	$3K	$150	$84	1.8x	2.0x (90th percentile 3.4x)
99307	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	18	16	$557	$170	$42	4.0x	2.4x (90th percentile 4.1x)

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

13 providers in Westchester County, NY carry an indicator in the public record, with $39.1M at stake between them. The most common is more hours than a day holds, on 11 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.

tier	provider	at stake	why
1	HEALING THERAPEUTICS PHYSICAL THERAPY PLLC Port Chester, NY, ranked 356	$3K	Listed on the Medicare revocation list since September 14, 2023. Medicaid still paid claims in 1 later month, $2,660 in total.
3	PREFERRED CERTIFIED, LLC Mount Vernon, NY, ranked 3864	$0	Part of provider network D1-00113, ranked 113 nationally.
4	MARY DIDIE Valhalla, NY, ranked 7343	$29.2M	Hours beyond a day in 49 months under one organization, which can be supervisory billing. Records needed. and 1 more
4	CHRISTINA RAWLS-DOLIN Mount Vernon, NY, ranked 7513	$37K	Hours beyond a day in 1 month under one organization, which can be supervisory billing. Records needed. and 2 more
4	DANIEL KUSHNER White Plains, NY, ranked 8577	$2.9M	Hours beyond a day in 4 months, but with up to 782 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed.
4	SURINDER PAL Ardsley, NY, ranked 9477	$192K	Hours beyond a day in 1 month, but with up to 373 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed.
5	CAMERON BUDENZ Tarrytown, NY, ranked 10044	$1.4M	Medicaid dollars per patient on code 95004 ($371 per patient-month) sit in the top 5% of every provider billing that code.
5	MUHAMMAD NAEEM Yonkers, NY, ranked 10315	$393K	Medicaid dollars per patient on code 99308 ($90 per patient-month) sit in the top 5% of every provider billing that code.

All 13 in NY

Recent enforcement in NY

All releases

Department 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

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