Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › NEW YORK › WEST 49TH STREET MEDICAL PRACTICE, PC

WEST 49TH STREET MEDICAL PRACTICE, PC

NPI: 1164702627 · NEW YORK, NY 10019 · Internal Medicine Physician · NPI assigned 08/27/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JONES, MICHAEL controls 15+ related entities in our dataset. Read more

$6.96M
Total Medicaid Paid
126,392
Total Claims
111,738
Beneficiaries
37
Codes Billed
2018-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJONES, MICHAEL (OWNER)
NPI Enumeration Date08/27/2011

Related Entities

Other providers sharing the same authorized official: JONES, MICHAEL

ProviderCityStateTotal Paid
MOLINA HEALTHCARE OF FLORIDA, INC. DORAL FL $9.46M
JONES CENTER FOR WOMENS HEALTH PLLC FAYETTEVILLE NC $4.40M
JONES HOME HEALTH CARE, INC. SAINT LOUIS MO $2.07M
TAR HEEL HUMAN SERVICES-MENTAL HEALTH DIVISION, INC. BEULAVILLE NC $350K
AXIS MEDICAL EQUIPMENT & SUPPLY, LLC FARMERS BRANCH TX $278K
M. THOMAS JONES GREENSBORO NC $168K
SWITZERLAND COUNTY SCHOOL CORPORATION VEVAY IN $168K
DENTAL ENTERPRISES KAYSVILLE UT $133K
ADVANCED PRIMARY CARE LLC MEMPHIS TN $107K
HIGHLANDS VOLUNTEER FIRE DEPARTMENT HIGHLANDS TX $53K
MICHAEL R. JONES, DDS, PA RUSSELL KS $32K
JONES DENTAL MANAGEMENT, LLC KAYSVILLE UT $24K
JONES WELLNESS & CARDIOVASCULAR NEW ORLEANS LA $22K
MICHAEL D. JONES, O.D., INC. LAS VEGAS NV $7K
EYE SURGERY CENTER, LLC BELLEVILLE IL $82.70

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 190 $18K
2019 4,198 $395K
2020 21,055 $1.28M
2021 63,929 $3.19M
2022 25,487 $1.44M
2023 8,132 $451K
2024 3,401 $192K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 24,188 23,868 $2.13M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28,236 23,512 $1.97M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,506 6,578 $725K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 17,619 15,163 $564K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,713 3,700 $499K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 14,251 12,462 $497K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12,094 9,041 $206K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,908 3,269 $166K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,431 1,430 $79K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,507 1,243 $30K
99215 Prolong outpt/office vis 226 207 $30K
0001A 355 351 $12K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 116 115 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,514 2,450 $9K
0002A 150 149 $5K
99051 721 688 $4K
99205 Prolong outpt/office vis 21 21 $4K
36415 Collection of venous blood by venipuncture 4,871 4,616 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 28 28 $3K
0011A 78 78 $2K
99385 18 18 $2K
0012A 54 51 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 32 32 $2K
0031A 47 45 $2K
87070 162 155 $1K
81025 526 522 $962.17
81003 401 394 $735.32
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 122 121 $686.42
87184 119 111 $576.57
0064A 15 15 $461.59
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 27 27 $364.21
90686 18 18 $340.51
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 15 13 $102.30
81002 13 12 $23.40
S9083 Global fee urgent care centers 105 103 $0.65
S9088 Services provided in an urgent care center (list in addition to code for service) 26 24 $0.30
99000 1,159 1,108 $0.00