Clinic
Elsa J Reyes Medical P.C.
Elsa J Reyes Medical P.C. was paid $14K by Medicaid between Feb 2023 and Dec 2024, across 53 billing codes. Its largest line is G0447, Face-to-face behavioral counseling for obesity, 15 minutes — 44% of everything it billed.
33Billing provider infoELSA J REYES MEDICAL P.C.
NEW YORK, NY 10029
NEW YORK, NY 10029
33aNPI1205544111assigned 11/09/2022
33bProvider typePrimary Care Clinic/Center
28Total paid$14K
24GClaims14,904
24DCodes billed53
24AFirst – last monthFeb 2023 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New York
Rank by total paid#189 of 242
Median peer was paid$172K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2023 | 4,913 | $9K | |
| 2024incomplete | 9,991 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 44% | 712 | 614 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 884 | 762 | $4K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 10.0% | 148 | 146 | $1K |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 7.9% | 146 | 145 | $1K |
| G0444 | Annual depression screening, 5 to 15 minutes | 5.5% | 157 | 157 | $745.68 |
| 99406 | <1% | 14 | 12 | $95.79 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 386 | 375 | $70.00 |
| 3074F | <1% | 446 | 401 | $20.40 | |
| 3079F | <1% | 102 | 89 | $20.00 | |
| 3008F | <1% | 731 | 622 | $4.20 | |
| 93000 | <1% | 14 | 14 | $3.23 | |
| 94760 | <1% | 36 | 32 | $2.12 |
41 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 707 | $0.49 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 637 | $0.38 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 689 | $0.38 |
| 3078F | <1% | 471 | $0.33 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 94 | $0.07 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 162 | $0.04 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 142 | $0.00 |
| 0521F | 0% | 223 | $0.00 | |
| 3028F | 0% | 370 | $0.00 | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 334 | $0.00 |
| 4019F | 0% | 90 | $0.00 | |
| 1160F | 0% | 689 | $0.00 | |
| 1159F | 0% | 691 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 190 | $0.00 |
| 3513F | 0% | 41 | $0.00 | |
| G9507 | Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs) | 0% | 169 | $0.00 |
| 4013F | 0% | 158 | $0.00 | |
| 82948 | 0% | 28 | $0.00 | |
| 97803 | 0% | 49 | $0.00 | |
| 1090F | 0% | 35 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 12 | $0.00 |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | 0% | 12 | $0.00 |
| 3725F | 0% | 25 | $0.00 | |
| 4004F | 0% | 13 | $0.00 | |
| 1125F | 0% | 228 | $0.00 | |
| 2000F | 0% | 674 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 362 | $0.00 |
| 2010F | 0% | 668 | $0.00 | |
| 1036F | 0% | 638 | $0.00 | |
| 1126F | 0% | 461 | $0.00 | |
| 1000F | 0% | 714 | $0.00 | |
| 2001F | 0% | 676 | $0.00 | |
| 3011F | 0% | 305 | $0.00 | |
| 3512F | 0% | 69 | $0.00 | |
| 3351F | 0% | 95 | $0.00 | |
| 3075F | 0% | 87 | $0.00 | |
| H0001 | Alcohol and/or drug assessment | 0% | 27 | $0.00 |
| G0475 | Hiv antigen/antibody, combination assay, screening | 0% | 13 | $0.00 |
| 3514F | 0% | 43 | $0.00 | |
| 3048F | 0% | 25 | $0.00 | |
| 3044F | 0% | 12 | $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 officialREYES, ELSA (DIRECTOR)