Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CONCOURSE VILLAGE PRIMARY CARE PLLC

NPI: 1093984981 · BRONX, NY 10451 · Specialist · NPI assigned 02/25/2008

$40K
Total Medicaid Paid
44,901
Total Claims
43,641
Beneficiaries
45
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMACENAT, JEAN (PRESIDENT)
NPI Enumeration Date02/25/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 8,038 $707.66

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,445 2,344 $15K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 622 621 $6K
99401 1,662 1,656 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 259 256 $2K
3074F 2,594 2,495 $2K
3078F 2,447 2,342 $2K
93000 337 336 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 456 451 $2K
H0001 Alcohol and/or drug assessment 1,638 1,631 $1K
90688 53 53 $914.84
3079F 1,011 985 $770.11
36415 Collection of venous blood by venipuncture 1,772 1,766 $577.75
3077F 312 293 $535.03
3075F 548 538 $369.18
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $314.19
1126F 2,125 2,027 $199.33
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,395 2,283 $165.38
90658 144 144 $111.15
1125F 1,227 1,197 $85.08
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 25 25 $57.65
1159F 1,068 1,046 $54.14
1160F 942 924 $42.42
82962 649 626 $41.35
3080F 48 48 $20.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 1,180 1,178 $7.78
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 1,213 1,212 $0.31
3008F 2,390 2,323 $0.21
G9903 Patient screened for tobacco use and identified as a tobacco non-user 1,092 1,090 $0.13
H0002 Behavioral health screening to determine eligibility for admission to treatment program 15 14 $0.03
3725F 4,466 4,254 $0.00
3016F 1,168 1,165 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,292 1,211 $0.00
82948 13 12 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 15 15 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 12 12 $0.00
1000F 1,808 1,790 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,647 1,562 $0.00
0001F 2,501 2,421 $0.00
1036F 964 961 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 142 136 $0.00
G9273 Blood pressure has a systolic value of < 140 and a diastolic value of < 90 14 12 $0.00
99422 25 22 $0.00
3044F 108 108 $0.00
3048F 29 29 $0.00
91301 16 15 $0.00