Concourse Village Primary Care PLLC
Concourse Village Primary Care PLLC was paid $40K by Medicaid between Jan 2018 and Nov 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoCONCOURSE VILLAGE PRIMARY CARE PLLC
BRONX, NY 10451
BRONX, NY 10451
33aNPI1093984981assigned 02/25/2008
33bProvider typeSpecialist
28Total paid$40K
24GClaims44,901
24DCodes billed45
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#630 of 1,221
Median peer was paid$45K
This provider vs. median0.9×
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 | 2,063 | $7K | |
| 2019 | 6,746 | $10K | |
| 2020 | 6,198 | $8K | |
| 2021 | 5,618 | $7K | |
| 2022 | 7,632 | $2K | |
| 2023 | 8,606 | $5K | |
| 2024incomplete | 8,038 | $707.66 |
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 | 37% | 2,445 | 2,344 | $15K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 16% | 622 | 621 | $6K |
| 99401 | 7.5% | 1,662 | 1,656 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.8% | 259 | 256 | $2K |
| 3074F | 5.5% | 2,594 | 2,495 | $2K | |
| 3078F | 5.2% | 2,447 | 2,342 | $2K | |
| 93000 | 4.5% | 337 | 336 | $2K | |
| 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 | 4.1% | 456 | 451 | $2K |
| H0001 | Alcohol and/or drug assessment | 3.6% | 1,638 | 1,631 | $1K |
| 90688 | 2.3% | 53 | 53 | $914.84 | |
| 3079F | 1.9% | 1,011 | 985 | $770.11 | |
| 36415 | Collection of venous blood by venipuncture | 1.4% | 1,772 | 1,766 | $577.75 |
33 more codes
| 3077F | 1.3% | 312 | $535.03 | |
| 3075F | <1% | 548 | $369.18 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $314.19 |
| 1126F | <1% | 2,125 | $199.33 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,395 | $165.38 |
| 90658 | <1% | 144 | $111.15 | |
| 1125F | <1% | 1,227 | $85.08 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 25 | $57.65 |
| 1159F | <1% | 1,068 | $54.14 | |
| 1160F | <1% | 942 | $42.42 | |
| 82962 | <1% | 649 | $41.35 | |
| 3080F | <1% | 48 | $20.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 1,180 | $7.78 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 1,213 | $0.31 |
| 3008F | <1% | 2,390 | $0.21 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 1,092 | $0.13 |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 15 | $0.03 |
| 3725F | 0% | 4,466 | $0.00 | |
| 3016F | 0% | 1,168 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,292 | $0.00 |
| 82948 | 0% | 13 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 15 | $0.00 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 12 | $0.00 |
| 1000F | 0% | 1,808 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,647 | $0.00 |
| 0001F | 0% | 2,501 | $0.00 | |
| 1036F | 0% | 964 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 142 | $0.00 |
| G9273 | Blood pressure has a systolic value of < 140 and a diastolic value of < 90 | 0% | 14 | $0.00 |
| 99422 | 0% | 25 | $0.00 | |
| 3044F | 0% | 108 | $0.00 | |
| 3048F | 0% | 29 | $0.00 | |
| 91301 | 0% | 16 | $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 officialMACENAT, JEAN (PRESIDENT)