Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Consulting Fee | $30,400 | 4 | 99.2% |
| Food and Beverage | $232.92 | 2 | 0.8% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Allergan, Inc. | $25,900 | 3 | $0 (2020) |
| E.R. Squibb & Sons, L.L.C. | $4,500 | 1 | $0 (2019) |
| Gilead Sciences, Inc. | $232.92 | 2 | $0 (2019) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2020 | $25,900 | 3 | Allergan, Inc. ($25,900) |
| 2019 | $4,733 | 3 | E.R. Squibb & Sons, L.L.C. ($4,500) |
All Payment Transactions
6 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/17/2020 | Allergan, Inc. | — | Consulting Fee | Cash or cash equivalent | $3,700.00 | General |
| 07/28/2020 | Allergan, Inc. | — | Consulting Fee | Cash or cash equivalent | $11,100.00 | General |
| 05/26/2020 | Allergan, Inc. | — | Consulting Fee | Cash or cash equivalent | $11,100.00 | General |
| 11/19/2019 | E.R. Squibb & Sons, L.L.C. | — | Consulting Fee | Cash or cash equivalent | $4,500.00 | General |
| 11/09/2019 | Gilead Sciences, Inc. | — | Food and Beverage | In-kind items and services | $116.46 | General |
| 11/09/2019 | Gilead Sciences, Inc. | — | Food and Beverage | In-kind items and services | $116.46 | General |
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 5 | 361 | 1,115 | $302,130 | $47,646 |
| 2022 | 7 | 686 | 2,032 | $493,075 | $82,510 |
| 2021 | 6 | 707 | 2,041 | $442,657 | $85,932 |
| 2020 | 5 | 558 | 1,632 | $323,064 | $61,868 |
All Medicare Procedures & Services
30 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | Office | 2023 | 130 | 412 | $172,864 | $25,944 | 15.0% |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | Facility | 2023 | 129 | 447 | $64,428 | $13,431 | 20.8% |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | Facility | 2023 | 21 | 126 | $24,948 | $3,110 | 12.5% |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | Facility | 2023 | 22 | 26 | $14,950 | $1,879 | 12.6% |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | Office | 2023 | 13 | 16 | $7,120 | $1,502 | 21.1% |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | Facility | 2023 | 35 | 44 | $12,100 | $1,312 | 10.8% |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | Facility | 2023 | 11 | 44 | $5,720 | $468.05 | 8.2% |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | Office | 2022 | 180 | 567 | $240,975 | $36,868 | 15.3% |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | Facility | 2022 | 264 | 860 | $101,876 | $27,017 | 26.5% |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | Facility | 2022 | 45 | 253 | $50,094 | $6,312 | 12.6% |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | Facility | 2022 | 53 | 61 | $35,075 | $4,366 | 12.4% |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | Facility | 2022 | 69 | 90 | $24,750 | $2,766 | 11.2% |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | Office | 2022 | 16 | 19 | $8,455 | $1,831 | 21.7% |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | Facility | 2022 | 34 | 140 | $18,200 | $1,408 | 7.7% |
| 88360 | Microscopic genetic analysis of tumor, manual | Facility | 2022 | 14 | 30 | $8,790 | $1,100 | 12.5% |
| 88321 | Surgical pathology consultation and report on referred slides prepared elsewhere | Facility | 2022 | 11 | 12 | $4,860 | $840.67 | 17.3% |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | Office | 2021 | 190 | 564 | $200,380 | $37,144 | 18.5% |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | Facility | 2021 | 266 | 899 | $98,890 | $30,102 | 30.4% |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | Facility | 2021 | 56 | 231 | $45,738 | $5,937 | 13.0% |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | Facility | 2021 | 59 | 68 | $39,100 | $5,075 | 13.0% |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | Facility | 2021 | 75 | 91 | $25,025 | $2,871 | 11.5% |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | Office | 2021 | 17 | 25 | $9,400 | $2,514 | 26.7% |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | Facility | 2021 | 32 | 145 | $18,850 | $1,609 | 8.5% |
| 88360 | Microscopic genetic analysis of tumor, manual | Facility | 2021 | 12 | 18 | $5,274 | $678.77 | 12.9% |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | Facility | 2020 | 243 | 810 | $106,732 | $27,966 | 26.2% |
About Dr. Neil Theise, M.D
Dr. Neil Theise, M.D is a Anatomic Pathology healthcare provider based in New York, New York. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 07/20/2005. The National Provider Identifier (NPI) number assigned to this provider is 1912906025.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Neil Theise, M.D has received a total of $30,633 in payments from pharmaceutical and medical device companies, with $25,900 received in 2020. These payments were reported across 6 transactions from 3 companies. The most common payment nature is "Consulting Fee" ($30,400).
As a Medicare-enrolled provider, Theise has provided services to 2,312 Medicare beneficiaries, totaling 6,820 services with total Medicare billing of $277,955. Data is available for 4 years (2020–2023), covering 30 distinct procedure/service records.
Practice Information
- Specialty Anatomic Pathology
- Location New York, NY
- Active Since 07/20/2005
- Last Updated 02/01/2012
- Taxonomy Code 207ZP0101X
- Entity Type Individual
- NPI Number 1912906025
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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