PHILIP F. TAMBURINO, LCSW-R

NPI 1932315322, individual, Floral Park, NY, Social Worker, Clinical

Evidence tier

informational

Medicaid dollars per patient on code 90832 ($346 per patient-month) sit in the top 5% of every provider billing that code.

score 35 of 100, rank 10126, $916K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	PHILIP F. TAMBURINO, LCSW-R
Type	Individual, sole proprietor
Status	Active
NPI issued	May 15, 2007, last updated November 16, 2012
Practice location	99 TULIP AVE, SUITE 402, Floral Park, NY 11001-1959, 516-488-7340
Specialties	Counselor, Addiction (Substance Use Disorder) (101YA0400X, license R032473-1 NY) Counselor, Mental Health (101YM0800X, license R032473-1 NY) Social Worker, Clinical (1041C0700X, primary, license R032473-1 NY) Marriage & Family Therapist (106H00000X, license R032473-1 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
H2012	Behavioral health day treatment per hour	$1.3M	54%	$875	$677 (top 5% from $3K)	56th percentile
90832	Psychotherapy, 30 minutes	$552K	23%	$346	$59 (top 5% from $239)	98th percentile
H2014	Skills training and development per 15 minhistory of abuse	$362K	15%	$857	$298 (top 5% from $3K)	too few months to rank
T1040	Medicaid service code	$150K	6%	$1K	$247 (top 5% from $672)	too few months to rank
90846	Family psychotherapy without patient, 50 minutes	$21K	1%	$500	$113 (top 5% from $277)	too few months to rank
90853	Group psychotherapyhistory of abuse	$4K	0%	$30	$60 (top 5% from $332)	24th percentile
90791	Psychiatric diagnostic evaluation	$1K	0%	$67	$105 (top 5% from $228)	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
90832	Psychotherapy, 30 minutes	2,759	159	$140K	$104	$64	1.6x	2.0x (90th percentile 3.5x)
90853	Group psychotherapy	395	54	$7K	$55	$23	2.5x	4.0x (90th percentile 7.8x)
90791	Psychiatric diagnostic evaluation	31	31	$3K	$200	$141	1.4x	1.9x (90th percentile 3.6x)

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

32 providers in Nassau County, NY carry an indicator in the public record, with $46.3M 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	ARTHUR KAYE Floral Park, NY, ranked 7509	$3.7M	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. 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

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