Physician
Orange Medical Care PC
Orange Medical Care PC was paid $3.07M by Medicaid between Sep 2019 and Dec 2024, across 66 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoORANGE MEDICAL CARE PC
NEWBURGH, NY 12550
NEWBURGH, NY 12550
33aNPI1033204888assigned 10/04/2006
33bProvider typeInternal Medicine Physician
28Total paid$3.07M
24GClaims89,252
24DCodes billed66
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#89 of 6,049
Median peer was paid$11K
This provider vs. median271×
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 | |
|---|---|---|---|
| 2019 | 5,104 | $143K | |
| 2020 | 21,229 | $575K | |
| 2021 | 18,141 | $596K | |
| 2022 | 12,991 | $581K | |
| 2023 | 13,500 | $514K | |
| 2024incomplete | 18,287 | $660K |
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 | 54% | 22,636 | 17,968 | $1.66M |
| 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% | 3,709 | 3,179 | $367K |
| 99401 | 4.7% | 12,175 | 9,813 | $145K | |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | 3.6% | 1,192 | 1,026 | $111K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 844 | 844 | $77K |
| 99441 | 2.4% | 1,563 | 1,441 | $73K | |
| 92587 | 2.0% | 2,549 | 2,548 | $62K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 2,935 | 2,131 | $59K |
| 90863 | 1.8% | 1,002 | 854 | $54K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 638 | 638 | $53K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.5% | 1,906 | 1,877 | $46K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.5% | 460 | 459 | $45K |
54 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 272 | $30K |
| 99497 | <1% | 391 | $28K | |
| 86580 | <1% | 2,755 | $24K | |
| 80305 | <1% | 4,538 | $23K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,974 | $22K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,510 | $18K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 106 | $16K |
| 36410 | <1% | 1,088 | $15K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 267 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 278 | $14K |
| 4124F | <1% | 1,038 | $12K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 148 | $11K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 164 | $10K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 996 | $9K |
| 81002 | <1% | 4,135 | $9K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 271 | $8K |
| 83655 | <1% | 593 | $7K | |
| 85018 | <1% | 3,225 | $6K | |
| 99173 | <1% | 2,255 | $6K | |
| 99442 | <1% | 69 | $5K | |
| 99406 | <1% | 482 | $5K | |
| 99490 | Ccm add 20min | <1% | 78 | $3K |
| 99484 | <1% | 53 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 184 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 28 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $2K |
| 99439 | <1% | 34 | $1K | |
| 90686 | <1% | 170 | $1K | |
| 99487 | Ccm add 20min | <1% | 14 | $1K |
| 90715 | <1% | 61 | $1K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 22 | $1K |
| 99457 | <1% | 46 | $967.38 | |
| 96127 | <1% | 402 | $787.67 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 312 | $626.47 |
| 90674 | <1% | 239 | $526.14 | |
| 97803 | <1% | 50 | $438.22 | |
| 90620 | <1% | 49 | $327.68 | |
| 90461 | <1% | 118 | $164.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 12 | $156.56 |
| 87449 | <1% | 17 | $115.59 | |
| 90734 | <1% | 121 | $97.63 | |
| 81005 | <1% | 31 | $62.96 | |
| 90658 | <1% | 34 | $31.46 | |
| 36416 | <1% | 3,361 | $30.00 | |
| 90672 | <1% | 13 | $28.22 | |
| 3079F | 0% | 283 | $0.00 | |
| 3074F | 0% | 500 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 90 | $0.00 |
| 97802 | 0% | 53 | $0.00 | |
| 90651 | 0% | 14 | $0.00 | |
| 3075F | 0% | 15 | $0.00 | |
| 3078F | 0% | 210 | $0.00 | |
| 99072 | 0% | 2,445 | $0.00 | |
| 90670 | 0% | 14 | $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 officialRAVAL, ASHIKKUMAR (OWNER)