Mondragon Mcgrinder Medical Associates PLLC

Mondragon Mcgrinder Medical Associates PLLC was paid $655K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.

33Billing provider infoMONDRAGON MCGRINDER MEDICAL ASSOCIATES PLLC
SCHENECTADY, NY 12304

33aNPI1184634297assigned 08/09/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$655K

24GClaims18,958

24DCodes billed16

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in New York

Rank by total paid#111 of 762

Median peer was paid$22K

This provider vs. median30×

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	380	$7K
2019	1,589	$55K
2020	2,532	$95K
2021	3,972	$166K
2022	3,439	$120K
2023	4,246	$133K
2024incomplete	2,800	$79K

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	46%	4,422	4,132	$298K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	14%	944	759	$91K
76830	Ultrasound, transvaginal	9.9%	656	651	$65K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	6.6%	457	457	$44K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	6.3%	1,729	1,728	$41K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	5.9%	457	453	$39K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	5.3%	1,751	1,748	$35K
81002		2.5%	6,822	6,541	$16K
76819	Fetal biophysical profile; without non-stress testing	1.7%	165	122	$11K
99459		<1%	440	432	$6K
81025		<1%	699	690	$5K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	117	117	$1K

4 more codes

87210		<1%	250	$1K
76857		<1%	25	$901.59
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	12	$794.67
82272		<1%	12	$46.29

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 officialMAROLA, SUSAN (PRACTICE MANAGER)