Clinic
Efficient Medical Care P.C
Efficient Medical Care P.C was paid $2.97M by Medicaid between Jan 2018 and Dec 2024, across 80 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoEFFICIENT MEDICAL CARE P.C
SUNNYSIDE, NY 11104
SUNNYSIDE, NY 11104
33aNPI1023330800assigned 02/22/2010
33bProvider typeHealth Service Clinic/Center
28Total paid$2.97M
24GClaims146,451
24DCodes billed80
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Health Service Clinic/Center providers in New York
Rank by total paid#15 of 54
Median peer was paid$410K
This provider vs. median7.2×
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 | 9,943 | $177K | |
| 2019 | 12,571 | $187K | |
| 2020 | 17,966 | $285K | |
| 2021 | 27,742 | $559K | |
| 2022 | 28,980 | $650K | |
| 2023 | 25,313 | $594K | |
| 2024incomplete | 23,936 | $515K |
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 | 56% | 25,275 | 14,088 | $1.65M |
| 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 | 20% | 6,471 | 5,221 | $593K |
| 99401 | 7.6% | 12,263 | 8,308 | $227K | |
| 99490 | Ccm add 20min | 3.5% | 2,152 | 2,149 | $105K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 1,808 | 1,494 | $72K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1.4% | 433 | 418 | $43K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.1% | 470 | 468 | $32K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 2,523 | 1,624 | $27K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 371 | 369 | $24K |
| 99439 | <1% | 536 | 536 | $21K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 527 | 495 | $21K |
| 99051 | <1% | 4,397 | 3,649 | $20K |
68 more codes
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 3,076 | $16K |
| 3074F | <1% | 10,211 | $15K | |
| 3078F | <1% | 9,784 | $14K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,829 | $13K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 818 | $11K |
| H0001 | Alcohol and/or drug assessment | <1% | 981 | $9K |
| 90686 | <1% | 387 | $8K | |
| 90688 | <1% | 229 | $4K | |
| 94060 | <1% | 91 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,751 | $3K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 9,572 | $3K |
| 96127 | <1% | 1,602 | $3K | |
| 0012A | <1% | 79 | $3K | |
| 81000 | <1% | 1,149 | $3K | |
| 99442 | <1% | 39 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 32 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 476 | $2K |
| 0011A | <1% | 69 | $2K | |
| 0124A | <1% | 64 | $2K | |
| 80061 | Lipid panel | <1% | 471 | $2K |
| 93000 | <1% | 99 | $2K | |
| 99408 | <1% | 750 | $1K | |
| 99407 | <1% | 55 | $1K | |
| 87110 | <1% | 180 | $1K | |
| 94200 | <1% | 91 | $975.20 | |
| 99497 | <1% | 26 | $956.59 | |
| 0064A | <1% | 39 | $910.95 | |
| 82042 | <1% | 434 | $659.73 | |
| 99000 | <1% | 3,767 | $578.30 | |
| 99441 | <1% | 19 | $571.57 | |
| 99406 | <1% | 62 | $505.11 | |
| G0008 | Administration of influenza virus vaccine | <1% | 74 | $370.00 |
| 3079F | <1% | 259 | $327.00 | |
| 3044F | <1% | 251 | $287.00 | |
| S0340 | Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage | <1% | 4,472 | $263.66 |
| 1160F | <1% | 3,877 | $260.00 | |
| S9470 | Nutritional counseling, dietitian visit | <1% | 587 | $150.00 |
| 82043 | <1% | 53 | $145.09 | |
| 3048F | <1% | 148 | $140.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | <1% | 65 | $87.00 |
| G9275 | Documentation that patient is a current non-tobacco user | <1% | 1,933 | $10.00 |
| 94760 | <1% | 58 | $4.68 | |
| G9507 | Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs) | <1% | 19 | $2.25 |
| H0009 | Alcohol and/or drug services; acute detoxification (hospital inpatient) | <1% | 149 | $1.26 |
| 4010F | <1% | 1,927 | $0.95 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 1,837 | $0.70 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 1,844 | $0.70 |
| 3008F | <1% | 7,798 | $0.62 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 4,710 | $0.00 |
| 4000F | 0% | 72 | $0.00 | |
| 1036F | 0% | 914 | $0.00 | |
| 91301 | 0% | 100 | $0.00 | |
| 1000F | 0% | 909 | $0.00 | |
| 4293F | 0% | 231 | $0.00 | |
| 4008F | 0% | 127 | $0.00 | |
| 94010 | 0% | 91 | $0.00 | |
| 3292F | 0% | 278 | $0.00 | |
| 3075F | 0% | 15 | $0.00 | |
| 91306 | 0% | 40 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 806 | $0.00 |
| 4013F | 0% | 1,857 | $0.00 | |
| 3016F | 0% | 662 | $0.00 | |
| G8404 | Lower extremity neurological exam performed and documented | 0% | 77 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 641 | $0.00 |
| 3725F | 0% | 1,597 | $0.00 | |
| 4004F | 0% | 290 | $0.00 | |
| 91312 | 0% | 64 | $0.00 | |
| 98960 | 0% | 161 | $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 officialHASAN, BARNALI (CEO)