Physician
West 49TH Street Medical Practice, PC
West 49TH Street Medical Practice, PC was paid $6.96M by Medicaid between Dec 2018 and Dec 2024, across 37 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 31% of everything it billed.
33Billing provider infoWEST 49TH STREET MEDICAL PRACTICE, PC
NEW YORK, NY 10019
NEW YORK, NY 10019
33aNPI1164702627assigned 08/27/2011
33bProvider typeInternal Medicine Physician
28Total paid$6.96M
24GClaims126,392
24DCodes billed37
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#33 of 6,049
Median peer was paid$11K
This provider vs. median615×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official JONES, MICHAEL controls 15+ related entities in our dataset. Read more
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 | 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 | |
| 2024incomplete | 3,401 | $192K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 31% | 24,188 | 23,868 | $2.13M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 28,236 | 23,512 | $1.97M |
| 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 | 10% | 7,506 | 6,578 | $725K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 8.1% | 17,619 | 15,163 | $564K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 7.2% | 3,713 | 3,700 | $499K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 7.1% | 14,251 | 12,462 | $497K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.0% | 12,094 | 9,041 | $206K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 3,908 | 3,269 | $166K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.1% | 1,431 | 1,430 | $79K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,507 | 1,243 | $30K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 226 | 207 | $30K |
| 0001A | <1% | 355 | 351 | $12K |
25 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 116 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,514 | $9K |
| 0002A | <1% | 150 | $5K | |
| 99051 | <1% | 721 | $4K | |
| 99205 | Prolong outpt/office vis | <1% | 21 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,871 | $4K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 28 | $3K |
| 0011A | <1% | 78 | $2K | |
| 99385 | <1% | 18 | $2K | |
| 0012A | <1% | 54 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 32 | $2K |
| 0031A | <1% | 47 | $2K | |
| 87070 | <1% | 162 | $1K | |
| 81025 | <1% | 526 | $962.17 | |
| 81003 | <1% | 401 | $735.32 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 122 | $686.42 |
| 87184 | <1% | 119 | $576.57 | |
| 0064A | <1% | 15 | $461.59 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 27 | $364.21 |
| 90686 | <1% | 18 | $340.51 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 15 | $102.30 |
| 81002 | <1% | 13 | $23.40 | |
| S9083 | Global fee urgent care centers | <1% | 105 | $0.65 |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 26 | $0.30 |
| 99000 | 0% | 1,159 | $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 officialJONES, MICHAEL (OWNER)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.