Carefirst Family Medical PC

Carefirst Family Medical PC was paid $291K by Medicaid between Feb 2018 and Nov 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoCAREFIRST FAMILY MEDICAL PC
COMMACK, NY 11725

33aNPI1174719496assigned 09/20/2007

33bProvider typePrimary Care Clinic/Center

28Total paid$291K

24GClaims6,981

24DCodes billed21

24AFirst – last monthFeb 2018 – Nov 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in New York

Rank by total paid#99 of 242

Median peer was paid$172K

This provider vs. median1.7×

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	209	$11K
2019	1,103	$32K
2020	605	$29K
2021	853	$46K
2022	1,939	$66K
2023	1,338	$64K
2024incomplete	934	$44K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	60%	1,860	1,471	$175K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	34%	1,503	1,228	$100K
92552		3.6%	793	729	$10K
81000		<1%	801	718	$3K
96127		<1%	281	226	$949.89
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	146	136	$725.00
G0444	Annual depression screening, 5 to 15 minutes	<1%	167	152	$691.01
90686		<1%	69	68	$684.47
90674		<1%	12	12	$338.47
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	33	31	$260.00
G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	26	25	$144.63
99406		<1%	219	192	$131.65

9 more codes

99051		<1%	27	$100.10
36415	Collection of venous blood by venipuncture	<1%	598	$40.48
81003		<1%	14	$19.76
H0002	Behavioral health screening to determine eligibility for admission to treatment program	0%	150	$0.00
H0001	Alcohol and/or drug assessment	0%	140	$0.00
G9275	Documentation that patient is a current non-tobacco user	0%	17	$0.00
99408		0%	90	$0.00
G9622	Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method	0%	21	$0.00
99173		0%	14	$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 officialLI, FANGQIN (DIRECTOR)