Clason Point Medical PC
Clason Point Medical PC was paid $226K by Medicaid between Jan 2018 and Nov 2024, across 74 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoCLASON POINT MEDICAL PC
BRONX, NY 10473
BRONX, NY 10473
33aNPI1174940605assigned 03/21/2014
33bProvider typeLegal Medicine
28Total paid$226K
24GClaims109,680
24DCodes billed74
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Legal Medicine providers in New York
Rank by total paid#48 of 126
Median peer was paid$98K
This provider vs. median2.3×
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 | 8,258 | $67K | |
| 2019 | 12,507 | $60K | |
| 2020 | 16,646 | $28K | |
| 2021 | 17,517 | $21K | |
| 2022 | 16,071 | $8K | |
| 2023 | 20,382 | $23K | |
| 2024incomplete | 18,299 | $20K |
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 | 27% | 6,669 | 6,467 | $61K |
| 93000 | 26% | 3,929 | 3,927 | $58K | |
| 94010 | 15% | 1,155 | 1,154 | $33K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 13% | 2,039 | 2,029 | $30K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 4.5% | 7,550 | 7,254 | $10K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.3% | 706 | 706 | $10K |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 2.6% | 3,428 | 3,389 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 340 | 340 | $3K |
| 99442 | 1.1% | 289 | 278 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 7,015 | 6,912 | $2K |
| 90656 | <1% | 348 | 347 | $2K | |
| 99406 | <1% | 120 | 110 | $1K |
62 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 181 | $1K |
| 90756 | <1% | 183 | $644.33 | |
| 82270 | <1% | 805 | $488.00 | |
| 3079F | <1% | 615 | $474.00 | |
| 3078F | <1% | 628 | $465.50 | |
| 3077F | <1% | 268 | $405.00 | |
| 82948 | <1% | 2,215 | $387.09 | |
| 3074F | <1% | 627 | $359.00 | |
| A4556 | Electrodes, (e.g., apnea monitor), per pair | <1% | 3,854 | $328.23 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 71 | $288.18 |
| 86580 | <1% | 42 | $272.96 | |
| 1159F | <1% | 3,982 | $248.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 52 | $232.86 |
| 90674 | <1% | 17 | $174.70 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 3,179 | $174.00 |
| 3075F | <1% | 165 | $151.50 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 18 | $142.80 |
| 3061F | <1% | 1,157 | $138.00 | |
| 99386 | <1% | 24 | $117.11 | |
| 81003 | <1% | 86 | $86.02 | |
| 3049F | <1% | 225 | $50.00 | |
| 3048F | <1% | 711 | $46.00 | |
| 3050F | <1% | 448 | $42.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 15 | $40.00 |
| 3044F | <1% | 221 | $30.00 | |
| H0001 | Alcohol and/or drug assessment | <1% | 3,609 | $15.12 |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | <1% | 963 | $11.25 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 6,532 | $2.50 |
| 3008F | <1% | 5,808 | $0.36 | |
| 1036F | 0% | 4,126 | $0.00 | |
| 2001F | 0% | 149 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 3,154 | $0.00 |
| 99000 | 0% | 6,817 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 3,340 | $0.00 |
| 2010F | 0% | 5,851 | $0.00 | |
| 1125F | 0% | 459 | $0.00 | |
| 1126F | 0% | 1,266 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 15 | $0.00 |
| 0001F | 0% | 547 | $0.00 | |
| 1000F | 0% | 103 | $0.00 | |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 0% | 27 | $0.00 |
| 4000F | 0% | 44 | $0.00 | |
| 1157F | 0% | 13 | $0.00 | |
| 99385 | 0% | 12 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 44 | $0.00 |
| 1170F | 0% | 13 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 12 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,968 | $0.00 |
| 2028F | 0% | 3,209 | $0.00 | |
| 3725F | 0% | 4,567 | $0.00 | |
| 3016F | 0% | 2,226 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 12 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 26 | $0.00 |
| 1160F | 0% | 160 | $0.00 | |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 0% | 35 | $0.00 |
| 86480 | 0% | 24 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 93 | $0.00 |
| 1494F | 0% | 13 | $0.00 | |
| 1158F | 0% | 26 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 14 | $0.00 |
| 2014F | 0% | 13 | $0.00 | |
| 3288F | 0% | 13 | $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 officialDIAZ, ANGEL (OWNER)