ELLIS ENABOSI, M.D.
NPI 1669866158, individual, Staten Island, NY, Internal Medicine
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ELLIS ENABOSI, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | March 24, 2015, last updated January 8, 2021 |
| Practice location | 455 JERSEY ST, Staten Island, NY 10301-2976, 187-524-5611 |
| Mailing address | 1434 WILLIAMSBRIDGE RD FL 2, Bronx, NY 10461-2507 |
| Specialties | General Practice (208D00000X, license 291470 NY) Internal Medicine (207R00000X, primary, license 291470 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.
| 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 | $145K | 50% | $17 | $14 (top 5% from $58) | 59th percentile | |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $75K | 26% | $26 | $21 (top 5% from $84) | 62nd percentile | |
| 99252 | Medicaid service code | $38K | 13% | $93 | $44 (top 5% from $94) | 95th percentile | |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | $15K | 5% | $17 | $22 (top 5% from $71) | 34th percentile | |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | $5K | 2% | $4.27 | $7.86 (top 5% from $34) | 24th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $4K | 1% | $123 | $60 (top 5% from $133) | too few months to rank | |
| 99304 | Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | $2K | 1% | $11 | $14 (top 5% from $148) | 38th percentile | |
| 99253 | Medicaid service code | $2K | 1% | $88 | $60 (top 5% from $116) | too few months to rank |
| 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 | 6,992 | 969 | $455K | $139 | $83 | 1.7x | 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 | 467 | 135 | $43K | $215 | $120 | 1.8x | 2.0x (90th percentile 3.3x) |
| 99304 | Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 321 | 282 | $23K | $141 | $90 | 1.6x | 2.3x (90th percentile 3.5x) |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 383 | 333 | $14K | $78 | $45 | 1.7x | 2.4x (90th percentile 4.1x) |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 30 | 20 | $2K | $232 | $70 | 3.3x | 2.9x (90th percentile 6.5x) |
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
9 providers in Richmond County, NY carry an indicator in the public record, with $22.0M at stake between them. The most common is more hours than a day holds, on 8 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 | NEW DORP MEDICAL PC Staten Island, NY, ranked 263 | $14K |
|
| 4 | JOEL IDOWU Staten Island, NY, ranked 7482 | $4.3M |
|
| 4 | STAVROS SNYDER Staten Island, NY, ranked 9280 | $399K |
|
| 4 | YEHIA OSMAN Staten Island, NY, ranked 9363 | $296K |
|
| 5 | ANNA MARIE DORELIEN Staten Island, NY, ranked 10490 | $5.7M |
|
| 5 | MINI VERTER Staten Island, NY, ranked 10674 | $7.9M | |
| 5 | DENIZ CEREB Staten Island, NY, ranked 10730 | $3.3M | |
| 5 | CHAITALI KHAIRE Staten Island, NY, ranked 11729 | $58K |
Recent enforcement in NY
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.