Clinic
Broadway Internal Medicine P.C
Broadway Internal Medicine P.C was paid $31K by Medicaid between Jan 2018 and Nov 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoBROADWAY INTERNAL MEDICINE P.C
ELMHURTS, NY 11373
ELMHURTS, NY 11373
33aNPI1124265848assigned 01/16/2009
33bProvider typeCommunity Health Clinic/Center
28Total paid$31K
24GClaims39,344
24DCodes billed50
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Community Health Clinic/Center providers in New York
Rank by total paid#23 of 29
Median peer was paid$569K
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 | |
|---|---|---|---|
| 2018 | 8,470 | $13K | |
| 2019 | 5,202 | $6K | |
| 2020 | 5,545 | $3K | |
| 2021 | 8,679 | $4K | |
| 2022 | 3,847 | $989.59 | |
| 2023 | 5,012 | $2K | |
| 2024incomplete | 2,589 | $941.31 |
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 | 49% | 3,363 | 3,269 | $15K |
| 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 | 9.7% | 518 | 514 | $3K |
| G0444 | Annual depression screening, 5 to 15 minutes | 9.7% | 1,039 | 1,035 | $3K |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 8.4% | 488 | 480 | $3K |
| H0001 | Alcohol and/or drug assessment | 5.6% | 2,285 | 2,227 | $2K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 4.3% | 325 | 324 | $1K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 4.2% | 685 | 684 | $1K |
| 3078F | 2.8% | 1,411 | 1,387 | $857.52 | |
| 3074F | 2.1% | 1,133 | 1,117 | $632.53 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.5% | 104 | 104 | $471.65 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.4% | 861 | 849 | $435.28 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 29 | 29 | $90.25 |
38 more codes
| 1159F | <1% | 2,926 | $70.00 | |
| 1160F | <1% | 3,007 | $67.50 | |
| 99051 | <1% | 99 | $31.50 | |
| 1126F | <1% | 1,018 | $30.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 1,646 | $27.50 |
| 3079F | <1% | 57 | $20.00 | |
| 1125F | <1% | 419 | $8.00 | |
| 82948 | <1% | 129 | $4.03 | |
| 82962 | <1% | 41 | $3.87 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 1,632 | $0.06 |
| 3011F | 0% | 367 | $0.00 | |
| 1036F | 0% | 1,252 | $0.00 | |
| 3008F | 0% | 4,561 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 975 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 588 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 254 | $0.00 |
| 3044F | 0% | 194 | $0.00 | |
| 1000F | 0% | 1,620 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 780 | $0.00 |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 426 | $0.00 |
| 99493 | 0% | 12 | $0.00 | |
| G9745 | Documented reason for not screening or recommending a follow-up for high blood pressure | 0% | 12 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 86 | $0.00 |
| 3048F | 0% | 27 | $0.00 | |
| 3017F | 0% | 12 | $0.00 | |
| G9150 | National committee for quality assurance - level 3 medical home | 0% | 972 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,195 | $0.00 |
| G9507 | Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs) | 0% | 253 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 291 | $0.00 |
| 3725F | 0% | 986 | $0.00 | |
| 3016F | 0% | 797 | $0.00 | |
| 0521F | 0% | 25 | $0.00 | |
| 80061 | Lipid panel | 0% | 120 | $0.00 |
| G8780 | Counseling for diet and physical activity performed | 0% | 194 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 56 | $0.00 |
| G9187 | Bundled payments for care improvement initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including, but not limited to, assessment of safety, falls, clinical status, fluid status, medication reconciliation/management, patient compliance with orders/plan of care, performance of activities of daily living, appropriateness of care setting; (for use only in the meidcare-approved bundled payments for care improvement initiative); may not be billed for a 30-day period covered by a transitional care management code | 0% | 39 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 16 | $0.00 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 19 | $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 officialGONZALEZ, CARLOS (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| P.R. Clinical Reference Laboratory INC | Vega Baja, PR | $3.66M |
| Stars Speech INC. | Chula Vista, CA | $2.30M |
| ST. Thomas Clinical Reference Laboratory | St Thomas, VI | $708K |
| Puerto Rico Clinical Reference Laboratory | Manati, PR | $380K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.