Providers

YITZCHOK BARRY KURTZER, MD

NPI 1154321891, individual, Scranton, PA, Internal Medicine

1
Evidence tier
documented action, then payment
  • Listed on the Medicare revocation list and the NY Medicaid exclusion list since September 29, 2021.
  • Medicaid still paid claims in 32 later months, $36,641 in total.
score 95 of 100, rank 209, $37K at stake

Public list actions

Medicare revocation effective November 21, 2023, barred from re-enrolling until November 21, 2033
424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (other), Practitioner - Internal Medicine, PA
OIG exclusion October 20, 2024 under section 1128a1
Physician (MD, DO), Internal Medicine, Monsey, NY

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.

listidentity checkaction datewindow closedmonths paid afterfirstlastpaid after12 months before
NY Medicaid exclusion list
ny omig medicaid exclusion list (tab-delimited, sept 2026)
Exact NPI, name verifiedSep 29, 2021still open32Oct 2021May 2024$37K$23K
Medicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (other)
Exact NPI, name verifiedNov 21, 2023Nov 21, 20336Dec 2023May 2024$214$8K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameYITZCHOK BARRY KURTZER, MD (also BARRY KURTZER)
TypeIndividual, sole proprietor
StatusActive
NPI issuedJuly 22, 2005, last updated September 23, 2024
Practice location1405 MULBERRY ST, Scranton, PA 18510-2224, 570-342-8199
Specialties
Internal Medicine (207R00000X, primary, license MD040950L PA)

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
codewhat it ispaidshareper patient-monthtypicalrank among providers
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$62K81%$28$44 (top 5% from $110)25th percentile
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more$9K12%$46$14 (top 5% from $58)92nd percentile
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes$5K7%$42$21 (top 5% from $84)81st percentile
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes$5361%$17$7.86 (top 5% from $34)too few months to rank

In this area

3 providers in Lackawanna County, PA carry an indicator in the public record, with $0 at stake between them. The most common is part of a provider network, on 2 of them, followed by named in an enforcement record on 1. 1 is tier 1: documented action, then payment.

tierproviderat stakewhy
1STERLING PHARMACY,INC.
Jermyn, PA, ranked 461
$0
  • Adjudicated (pleaded guilty, indicted) per a Department of Justice release dated November 18, 2024.
  • No Medicaid payments in the last 12 observed months.
3RESIDENTIAL HEALTHCARE OF NE PA, LLC
Moosic, PA, ranked 2864
$0
  • Part of provider network D1-00105, ranked 105 nationally.
3RESIDENTIAL HEALTHCARE OF NE PA, LLC
Moosic, PA, ranked 6566
$0
  • Part of provider network D1-00105, ranked 105 nationally.

Recent enforcement in PA

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJChargedAug 4, 2026
The Fraud Division Announces Charges Against 19 Defendants for Medicaid Home Health Aid Schemes
Nineteen defendants, including owners and employees of home care companies, home health aides, and Medicaid recipients, were charged with submitting claims for home care services that were not provided, including claims for hours when purported aides were incarcerated, hospitalized, working other jobs, or traveling overseas.
DOJIndictedJun 23, 2026
Two Doctors, Physician’s Assistant Charged With Unlawfully Distributing Controlled Substances Via Voicemail “Refill Line”
From January 2020 through March 2025 the defendants allegedly operated a voicemail refill line that allowed patients to receive refills of Schedule II controlled substance prescriptions, namely oxycodone and amphetamine, without interacting with a licensed prescriber, and submitted prescriptions in another medical professional's name to deceive pharmacies.
DOJChargedJun 23, 2026
Scranton Woman Charged With Conspiracy To Commit Bank Fraud With Funds Derived From Federal Health Care Programs
Beaubrun is alleged to have stolen and appropriated checks intended by Entity #1 for various payees, including funds derived from Medicare and Medicaid, and endorsed them to herself, causing a loss of over $300,000.
DOJCivil settlementJun 10, 2026
Ahold Delhaize USA Inc. to Pay $40M for Allegedly Reporting Inflated Drug Prices on Claims to Federal Healthcare Programs
Ahold Delhaize's in-store retail pharmacies operated prescription savings programs offering discounted prices but failed to report those discounted prices as their "usual and customary" prices on claims to Medicare Part D, Medicaid and TRICARE, causing those programs to pay inflated amounts.
DOJCivil settlementJun 10, 2026
Ahold Delhaize USA Inc. to Pay $40M for Allegedly Reporting Inflated Drug Prices on Claims to Federal Healthcare Programs
Ahold Delhaize supermarket pharmacies operated prescription savings programs offering discounted prices but failed to report those discounted prices as their "usual and customary" prices on claims to Medicare Part D, Medicaid, and TRICARE, causing those programs to pay inflated amounts.

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.

Ask this case

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