ARTHUR S KAYE, M.D.

NPI 1528068863, individual, Floral Park, NY, Pediatrics

Evidence tier

structure or single-organization volume

Hours beyond a day in 13 months, but with up to 2775 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
Records needed.
Medicaid dollars per patient on code 94760 ($33 per patient-month) sit in the top 5% of every provider billing that code.

score 56 of 100, rank 7509, $3.7M 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 2020	More hours than a day holds, even counting one unit per claim line	25.2	24.4	16.2	21.9	1087	2	99213 99214	$127K
Dec 2020	More hours than a day holds, even counting one unit per claim line	25.1	27.4	18.3	24.6	1239	2	99202 99212 99213 99401	$139K
Feb 2021	More hours than a day holds, even counting one unit per claim line	27.4	24.7	16.5	23.1	1138	2	99202 99212 99213 99214	$123K
Mar 2021	More hours than a day holds, even counting one unit per claim line	33.5	29.0	19.3	26.0	1629	2	99202 99212 99213 99214	$164K
Apr 2021	More hours than a day holds, even counting one unit per claim line	26.7	24.4	16.3	22.2	1280	2	99202 99212 99213 99214	$133K
Jun 2021	More hours than a day holds, even counting one unit per claim line	25.0	23.3	15.5	21.1	1182	2	99212 99213 99214 99401	$114K
Aug 2021	More hours than a day holds, even counting one unit per claim line	27.3	27.7	18.5	26.0	1310	2	99212 99213 99214 99401	$146K
Sep 2021	More hours than a day holds, even counting one unit per claim line	33.0	30.5	20.4	27.8	1663	2	99202 99212 99213 99214	$169K
Oct 2021	More hours than a day holds, even counting one unit per claim line	37.9	40.0	26.7	39.3	1905	2	99202 99211 99212 99213 99214 99215 99401	$213K
Nov 2021	More hours than a day holds, even counting one unit per claim line	27.9	28.8	19.2	26.2	1274	2	99212 99213 99214 99401	$150K
Dec 2021	More hours than a day holds, even counting one unit per claim line	63.2	53.4	35.6	48.0	2775	2	99202 99212 99213 99214 99401	$301K
Jan 2022	More hours than a day holds, even counting one unit per claim line	29.5	23.1	15.4	22.7	1519	2	99202 99212 99213 99214 99401	$134K
Mar 2022	More hours than a day holds, even counting one unit per claim line	26.8	24.2	16.1	21.7	1392	2	99203 99212 99213 99214 99401	$135K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	ARTHUR S KAYE, M.D.
Type	Individual
Status	Active
NPI issued	July 28, 2005, last updated July 13, 2026
Practice location	271 JERICHO TPKE, Floral Park, NY 11001-2146, 516-354-7575
Specialties	Pediatrics (208000000X, primary, license 5276188 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
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	$5.1M	51%	$50	$44 (top 5% from $110)	59th percentile
94760	Test to measure oxygen level in blood using ear or finger device	$1.5M	15%	$33	$0.61 (top 5% from $9.24)	98th percentile
87880	Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	$972K	10%	$23	$12 (top 5% from $18)	97th percentile
99395	Medicaid service code	$385K	4%	$57	$73 (top 5% from $138)	34th percentile
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$383K	4%	$44	$60 (top 5% from $133)	29th percentile
99394	Medicaid service code	$245K	2%	$43	$83 (top 5% from $128)	22nd percentile
99393	Medicaid service code	$210K	2%	$41	$78 (top 5% from $121)	20th percentile
99392	Medicaid service code	$175K	2%	$51	$78 (top 5% from $124)	23rd percentile

In this area

32 providers in Nassau County, NY carry an indicator in the public record, with $43.6M at stake between them. The most common is more hours than a day holds, on 26 of them, followed by paid after a public list action on 3. 3 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	ALEX BERGMANN Garden City, NY, ranked 352	$3K	Listed on the NY Medicaid exclusion list since April 16, 2018. Medicaid still paid claims in 4 later months, $2,790 in total.
1	LAWRENCE HORL Rockville Centre, NY, ranked 383	$1K	Listed on the Medicare revocation list since August 31, 2023. Medicaid still paid claims in 1 later month, $1,261 in total.
1	ROYA JAFARI-HASSAD Great Neck, NY, ranked 657	$0	Adjudicated (sentenced) per a Department of Justice release dated March 2, 2026. No Medicaid payments in the last 12 observed months.
3	EXTRAORDINARY HOME CARE Uniondale, NY, ranked 771	$3.4M	Part of provider network D1-00113, ranked 113 nationally. Medicaid dollars per patient on code S9129 ($759 per patient-month) sit in the top 5% of every provider billing that code.
3	MEADOWBROOK CARE CENTER, INC. Freeport, NY, ranked 4769	$0	Part of provider network D1-00113, ranked 113 nationally.
4	FELIKS TABENSHLAK Merrick, NY, ranked 7389	$8.2M	Hours beyond a day in 34 months, but with up to 336 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed. and 1 more
4	EMMANOUIL VASILAKIS Rockville Centre, NY, ranked 7498	$3.9M	Hours beyond a day in 13 months, but with up to 704 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed. and 1 more
4	PRITI JAIN Hicksville, NY, ranked 7545	$3.2M	Hours beyond a day in 6 months, but with up to 2000 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed. and 1 more

All 32 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

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.

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