Nurse Practitioner, Family · Middletown, NY
NPI
1134893811
Since 2021
Specialty
Nurse Practitioner, Family
Code 363LF0000X
Group practices
1
Medicare group memberships
Hospitals
4
Hospital affiliations
419 E Main St
Middletown, NY, 10940
Phone (845) 342-4774
Groups this clinician bills Medicare through
Medicare paid, 2024
$356K
30,611 services
Medicare patients, 2024
367
Average age 71
Drug cost, 2024
$4.7M
4,365 prescriptions
Company payments, 2025
$4,143
From 19 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Sonya A McMillan was code J1010 (injection, methylprednisolone acetate, 1 mg), 1,470 times for 19 patients. In total Sonya A McMillan billed 30,611 services in 143 codes, and Medicare paid $356K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2025-10-17.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| J1010 Injection, methylprednisolone acetate, 1 mg | Office | 1,470 | 19 | $0.10 | $143 |
| 86160 Immunoassay | Office | 688 | 198 | $11.76 | $8,091 |
| 99214 Office E&M - Established | Office | 653 | 312 | $85.56 | $56K |
| 36415 Venipuncture Blood Collection | Office | 652 | 285 | $8.40 | $5,474 |
| G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | Office | 630 | 303 | $11.32 | $7,133 |
| 86140 Clinical Chemistry | Office | 603 | 276 | $5.08 | $3,063 |
| 80053 Clinical Chemistry | Office | 593 | 275 | $10.32 | $6,119 |
| 85651 Clinical Chemistry | Office | 592 | 272 | $4.17 | $2,467 |
| 85025 Blood Count | Office | 588 | 270 | $7.59 | $4,461 |
| 86235 Immunoassay | Office | 584 | 130 | $17.57 | $10K |
| 86225 Immunoassay | Office | 350 | 202 | $13.47 | $4,715 |
| 82306 Clinical Chemistry | Office | 154 | 127 | $29.01 | $4,468 |
| 86200 Immunoassay | Office | 142 | 132 | $12.69 | $1,802 |
| 99441 Telephone Services | Office | 141 | 116 | $36.24 | $5,110 |
| 82607 Clinical Chemistry | Office | 134 | 115 | $14.78 | $1,981 |
By year: 2022 $38K for 831 services; 2023 $138K for 8,022 services; 2024 $356K for 30,611 services.
Lab tests billed to Medicare, 2024
| Test code | Tests | Patients | Paid per test | Medicare paid |
|---|---|---|---|---|
| 86160 Immunoassay | 688 | 198 | $11.76 | $8,091 |
| 36415 Venipuncture Blood Collection | 652 | 285 | $8.40 | $5,474 |
| 86140 Clinical Chemistry | 603 | 276 | $5.08 | $3,063 |
| 80053 Clinical Chemistry | 593 | 275 | $10.32 | $6,119 |
| 85651 Clinical Chemistry | 592 | 272 | $4.17 | $2,467 |
| 85025 Blood Count | 588 | 270 | $7.59 | $4,461 |
| 86235 Immunoassay | 584 | 130 | $17.57 | $10K |
| 86225 Immunoassay | 350 | 202 | $13.47 | $4,715 |
| 82306 Clinical Chemistry | 154 | 127 | $29.01 | $4,468 |
| 86200 Immunoassay | 142 | 132 | $12.69 | $1,802 |
Medicare prescription drug claims, 2024
In 2024, the drug Sonya A McMillan prescribed most often to Medicare patients was Prednisone, with 638 prescriptions and refills. In total Sonya A McMillan wrote 4,365 Medicare prescriptions that cost $4.7M.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Prednisone Generic | 638 | 850 | 184 | $4,348 |
| Hydroxychloroquine Sulfate Generic | 435 | 969 | 127 | $20K |
| Methotrexate Methotrexate Sodium | 293 | 644 | 84 | $9,825 |
| Methylprednisolone Generic | 289 | 335 | 107 | $4,779 |
| Duloxetine Hcl Generic | 277 | 517 | 65 | $7,401 |
| Leflunomide Generic | 165 | 379 | 56 | $8,975 |
| Tramadol Hcl Generic | 142 | 142 | 36 | $804 |
| Gabapentin Generic | 108 | 176 | 26 | $1,699 |
| Pregabalin Generic | 103 | 105 | 14 | $1,413 |
| Meloxicam Generic | 102 | 170 | 27 | $528 |
| Sulfasalazine Dr Sulfasalazine | 82 | 114 | 23 | $2,702 |
| Cyclobenzaprine Hcl Generic | 68 | 72 | 20 | $647 |
| Folic Acid Generic | 60 | 162 | 21 | $572 |
| Rinvoq Upadacitinib | 57 | 57 | 14 | $355K |
| Orencia Clickject Abatacept | 54 | 67 | Under 11 | $374K |
Brand drugs: 784 claims; generic drugs: 3,565 claims; opioid claims: 193.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid Sonya A McMillan $4,143 ($4,143 in general payments such as food, travel and fees) from 19 companies. The largest payer was Janssen Biotech, Inc. with $826.
| Company | Payments | Amount |
|---|---|---|
| Janssen Biotech, Inc. JNJ | 21 | $826 |
| Abbvie Inc. ABBV | 36 | $704 |
| AstraZeneca Pharmaceuticals LP AZN | 19 | $691 |
| UCB, Inc. UCB.BR | 16 | $308 |
| Mallinckrodt Hospital Products Inc. | 12 | $304 |
| Amgen Inc. AMGN | 16 | $295 |
| Novartis Pharmaceuticals Corporation NVS | 12 | $255 |
| GlaxoSmithKline, LLC. GSK | 11 | $234 |
| Axsome Therapeutics, Inc. AXSM | 4 | $107 |
| ANI Pharmaceuticals, Inc. ANIP | 4 | $85.7 |
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.