Personal Care NP Adult Health Practice PLLC

Personal Care NP Adult Health Practice PLLC was paid $25K by Medicaid between Oct 2022 and Jun 2023, across 6 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 52% of everything it billed.

33Billing provider infoPERSONAL CARE NP ADULT HEALTH PRACTICE PLLC
HOLLIS, NY 11423

33aNPI1063871523assigned 02/12/2016

33bProvider typePrimary Care Clinic/Center

28Total paid$25K

24GClaims346

24DCodes billed6

24AFirst – last monthOct 2022 – Jun 2023

Compared with peers

Next to other Primary Care Clinic/Center providers in New York

Rank by total paid#176 of 242

Median peer was paid$172K

This provider vs. median0.1×

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
2022	234	$15K
2023	112	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	52%	86	49	$13K
99497		15%	56	25	$4K
99490	Ccm add 20min	12%	57	57	$3K
99401		10%	79	39	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.4%	21	12	$2K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	4.1%	47	25	$1K

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 officialEDOUARD, RALPH (NURSE PRACTIONER)