Physician
Alicia Almendral MD PLLC
Alicia Almendral MD PLLC was paid $602K by Medicaid between Sep 2020 and Dec 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoALICIA ALMENDRAL MD PLLC
BRONX, NY 10469
BRONX, NY 10469
33aNPI1083930945assigned 04/15/2010
33bProvider typeFamily Medicine Physician
28Total paid$602K
24GClaims19,173
24DCodes billed43
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#188 of 2,605
Median peer was paid$10K
This provider vs. median60×
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 | |
|---|---|---|---|
| 2020 | 141 | $8K | |
| 2021 | 4,849 | $193K | |
| 2022 | 6,789 | $189K | |
| 2023 | 6,592 | $173K | |
| 2024incomplete | 802 | $39K |
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 | 34% | 3,124 | 2,425 | $206K |
| 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 | 33% | 2,072 | 1,696 | $198K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.8% | 816 | 813 | $53K |
| 99401 | 6.2% | 1,770 | 1,498 | $37K | |
| 99490 | Ccm add 20min | 3.5% | 402 | 402 | $21K |
| 99385 | 3.1% | 193 | 193 | $19K | |
| 94010 | 2.1% | 536 | 536 | $13K | |
| 99497 | 1.6% | 297 | 293 | $10K | |
| 99402 | 1.5% | 335 | 299 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 149 | 121 | $5K |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | <1% | 326 | 325 | $5K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 443 | 440 | $4K |
31 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 89 | $4K |
| 93000 | <1% | 206 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,982 | $2K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 254 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 76 | $2K |
| 99050 | <1% | 155 | $1K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 63 | $998.28 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $993.76 |
| H0001 | Alcohol and/or drug assessment | <1% | 145 | $870.00 |
| 81002 | <1% | 584 | $857.21 | |
| 90686 | <1% | 45 | $821.57 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 60 | $749.94 |
| 99000 | <1% | 2,163 | $695.21 | |
| 96160 | <1% | 123 | $688.45 | |
| 99441 | <1% | 14 | $542.86 | |
| 96127 | <1% | 205 | $361.56 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 376 | $200.00 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 15 | $41.32 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 18 | $25.60 |
| 80061 | Lipid panel | <1% | 16 | $21.84 |
| 81003 | <1% | 15 | $19.75 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 13 | $7.00 |
| 82962 | <1% | 13 | $4.92 | |
| 91300 | <1% | 28 | $0.05 | |
| 1159F | 0% | 186 | $0.00 | |
| 3023F | 0% | 118 | $0.00 | |
| 99173 | 0% | 144 | $0.00 | |
| 1000F | 0% | 311 | $0.00 | |
| 3008F | 0% | 695 | $0.00 | |
| 2000F | 0% | 329 | $0.00 | |
| 1030F | 0% | 257 | $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 officialALMENDRAL, ALICIA (OWNER)