ST John's Medical Services PC

ST John's Medical Services PC was paid $7.04M by Medicaid between Jan 2018 and Dec 2024, across 112 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.

33Billing provider infoST JOHN'S MEDICAL SERVICES PC
FAR ROCKAWAY, NY 11691

33aNPI1023042173assigned 07/11/2006

33bProvider typeInternal Medicine Physician

28Total paid$7.04M

24GClaims268,792

24DCodes billed112

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#32 of 6,049

Median peer was paid$11K

This provider vs. median622×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	15,699	$607K
2019	21,829	$759K
2020	24,175	$797K
2021	44,008	$1.03M
2022	51,076	$1.04M
2023	66,320	$1.55M
2024incomplete	45,685	$1.25M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	43%	58,717	54,051	$3.05M
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	12%	11,286	10,704	$848K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	9.1%	10,529	3,533	$640K
90460	Immunization administration through 18 years of age via any route, first or only component	7.4%	15,331	15,279	$523K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	3.8%	5,231	5,222	$267K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	3.3%	4,791	4,593	$234K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	2.2%	23,752	20,805	$158K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	2.2%	1,551	1,328	$154K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	1.9%	2,843	2,813	$137K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.8%	1,673	1,661	$124K
90792	Psychiatric diagnostic evaluation with medical services	1.3%	656	642	$90K
99221		1.2%	1,496	1,464	$88K

100 more codes

99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.2%	2,645	$86K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.2%	1,888	$84K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	2,007	$64K
99222	Initial hospital care, per day, moderate complexity	<1%	630	$62K
10040		<1%	473	$48K
99188		<1%	2,499	$46K
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	538	$44K
99238	Hospital discharge day management, 30 minutes or less	<1%	504	$32K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	549	$27K
99442		<1%	487	$25K
92551		<1%	2,802	$25K
99283	Emergency room visit (moderate)	<1%	394	$24K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	403	$20K
99204	Doctor's office visit, new patient (more involved)	<1%	134	$19K
99443		<1%	252	$19K
97124		<1%	510	$12K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	172	$10K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	96	$10K
99173		<1%	1,881	$5K
97035		<1%	472	$5K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	1,604	$5K
11900		<1%	178	$4K
36415	Collection of venous blood by venipuncture	<1%	6,852	$4K
94060		<1%	426	$4K
92550		<1%	199	$4K
99460		<1%	46	$4K
90671		<1%	624	$4K
96127		<1%	2,910	$3K
99441		<1%	115	$3K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	440	$3K
90686		<1%	3,924	$2K
95819		<1%	50	$2K
97014		<1%	185	$2K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	28	$2K
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	<1%	35	$2K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	<1%	234	$1K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	27	$1K
99381		<1%	26	$1K
99385		<1%	13	$1K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	15	$666.03
99384		<1%	14	$664.65
99401		<1%	35	$639.89
69210		<1%	26	$621.25
0001A		<1%	13	$548.46
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	420	$525.87
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	<1%	140	$523.62
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	<1%	13	$514.79
99383		<1%	17	$511.03
11721		<1%	27	$477.31
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	54	$421.16
92557		<1%	12	$361.54
90656		<1%	716	$325.86
91320		<1%	14	$276.00
94664		<1%	49	$214.02
92568		<1%	14	$192.38
90688		<1%	673	$187.23
90461		<1%	13	$160.55
94667		<1%	47	$150.30
92567		<1%	12	$122.28
36400		<1%	15	$109.74
83655		<1%	51	$107.75
3074F		<1%	10,060	$106.01
3078F		<1%	9,334	$92.95
90472	Immunization administration, each additional vaccine (list separately)	<1%	28	$62.60
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	15	$48.70
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	37	$41.13
80061	Lipid panel	<1%	14	$40.18
99490	Ccm add 20min	<1%	186	$33.15
3079F		<1%	1,378	$24.23
1126F		<1%	6,815	$4.79
3008F		<1%	18,203	$4.79
1036F		<1%	8,161	$2.70
90647		<1%	449	$0.26
90723		<1%	530	$0.15
90680		<1%	817	$0.12
1160F		<1%	15,678	$0.09
90716		<1%	97	$0.07
90677		<1%	56	$0.07
90707		<1%	84	$0.07
90697		<1%	88	$0.06
90633		<1%	326	$0.04
90696		<1%	12	$0.03
3075F		<1%	355	$0.03
91300		<1%	17	$0.02
90648		<1%	500	$0.01
1125F		0%	136	$0.00
3044F		0%	1,043	$0.00
3080F		0%	84	$0.00
86580		0%	82	$0.00
90480		0%	12	$0.00
90651		0%	25	$0.00
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	0%	36	$0.00
90670		0%	1,180	$0.00
1159F		0%	14,394	$0.00
3077F		0%	486	$0.00
90672		0%	201	$0.00
3725F		0%	178	$0.00
90685		0%	156	$0.00
90734		0%	29	$0.00
90700		0%	12	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialGARCIA, KATHLEEN (CONTROLLER)