Physician
Tuvida Medical Practice, PLLC
Tuvida Medical Practice, PLLC was paid $105K by Medicaid between Jan 2018 and Nov 2024, across 101 billing codes. Its largest line is G0446, Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes — 29% of everything it billed.
33Billing provider infoTUVIDA MEDICAL PRACTICE, PLLC
NEW YORK, NY 10032
NEW YORK, NY 10032
33aNPI1255842613assigned 10/12/2017
33bProvider typeInternal Medicine Physician
28Total paid$105K
24GClaims131,739
24DCodes billed101
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#1,240 of 6,049
Median peer was paid$11K
This provider vs. median9.3×
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 | 10,353 | $22K | |
| 2019 | 19,128 | $31K | |
| 2020 | 16,947 | $16K | |
| 2021 | 19,393 | $13K | |
| 2022 | 21,016 | $11K | |
| 2023 | 27,631 | $8K | |
| 2024incomplete | 17,271 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 29% | 3,364 | 2,943 | $31K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 3,570 | 3,299 | $16K |
| G0444 | Annual depression screening, 5 to 15 minutes | 9.4% | 1,779 | 1,768 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.5% | 2,845 | 2,631 | $8K |
| 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 | 5.0% | 2,689 | 2,610 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 4.8% | 1,103 | 1,100 | $5K |
| 3078F | 4.8% | 5,456 | 4,911 | $5K | |
| 3074F | 3.7% | 4,179 | 3,801 | $4K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 3.6% | 444 | 382 | $4K |
| 99442 | 2.6% | 140 | 121 | $3K | |
| 93000 | 2.2% | 258 | 254 | $2K | |
| 3077F | 1.6% | 1,072 | 989 | $2K |
89 more codes
| 3079F | 1.4% | 1,037 | $1K | |
| 1126F | 1.3% | 2,791 | $1K | |
| 3075F | 1.2% | 1,103 | $1K | |
| 1170F | 1.1% | 1,320 | $1K | |
| H0001 | Alcohol and/or drug assessment | 1.1% | 2,647 | $1K |
| 1160F | <1% | 6,006 | $1K | |
| 97802 | <1% | 3,049 | $871.97 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,534 | $512.68 |
| 1125F | <1% | 1,684 | $423.00 | |
| 1159F | <1% | 3,394 | $410.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 28 | $351.03 |
| 81000 | <1% | 2,545 | $327.31 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 13 | $274.68 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 73 | $163.14 |
| G0472 | Hepatitis c antibody screening, for individual at high risk and other covered indication(s) | <1% | 202 | $139.05 |
| 99401 | <1% | 130 | $62.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 833 | $48.55 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 142 | $20.89 |
| 3051F | <1% | 329 | $20.00 | |
| 3044F | <1% | 680 | $10.00 | |
| 94760 | <1% | 978 | $2.78 | |
| 2010F | 0% | 6,789 | $0.00 | |
| 2001F | 0% | 1,563 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 2,388 | $0.00 |
| 3011F | 0% | 800 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 1,558 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 3,281 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 6,344 | $0.00 |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 993 | $0.00 |
| 1036F | 0% | 1,638 | $0.00 | |
| 2016F | 0% | 55 | $0.00 | |
| 3008F | 0% | 5,933 | $0.00 | |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 1,271 | $0.00 |
| G0432 | Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening | 0% | 483 | $0.00 |
| 2000F | 0% | 1,782 | $0.00 | |
| 3049F | 0% | 136 | $0.00 | |
| 3017F | 0% | 222 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 64 | $0.00 |
| 4293F | 0% | 668 | $0.00 | |
| 3754F | 0% | 32 | $0.00 | |
| 1220F | 0% | 232 | $0.00 | |
| 1101F | 0% | 1,170 | $0.00 | |
| 1000F | 0% | 931 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 336 | $0.00 |
| 99000 | 0% | 575 | $0.00 | |
| 3048F | 0% | 236 | $0.00 | |
| 3061F | 0% | 597 | $0.00 | |
| 2015F | 0% | 55 | $0.00 | |
| 4010F | 0% | 15 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 247 | $0.00 |
| 1005F | 0% | 55 | $0.00 | |
| 3014F | 0% | 119 | $0.00 | |
| 1006F | 0% | 33 | $0.00 | |
| 3052F | 0% | 15 | $0.00 | |
| 3060F | 0% | 40 | $0.00 | |
| 4144F | 0% | 55 | $0.00 | |
| 1034F | 0% | 17 | $0.00 | |
| 4086F | 0% | 38 | $0.00 | |
| 4140F | 0% | 55 | $0.00 | |
| 3725F | 0% | 4,351 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 6,958 | $0.00 |
| G9621 | Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling | 0% | 677 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 1,234 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 1,224 | $0.00 |
| 4013F | 0% | 2,018 | $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% | 2,385 | $0.00 |
| 1003F | 0% | 1,163 | $0.00 | |
| 3016F | 0% | 1,706 | $0.00 | |
| 99072 | 0% | 215 | $0.00 | |
| 0518F | 0% | 1,103 | $0.00 | |
| 2028F | 0% | 623 | $0.00 | |
| 3050F | 0% | 230 | $0.00 | |
| 3288F | 0% | 1,164 | $0.00 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 1,830 | $0.00 |
| 1090F | 0% | 1,166 | $0.00 | |
| 4025F | 0% | 55 | $0.00 | |
| 0556F | 0% | 495 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 222 | $0.00 |
| G9383 | Patient received screening for hcv infection within the 12 month reporting period | 0% | 508 | $0.00 |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | 0% | 439 | $0.00 |
| G9150 | National committee for quality assurance - level 3 medical home | 0% | 39 | $0.00 |
| 99397 | 0% | 155 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 13 | $0.00 |
| 1158F | 0% | 127 | $0.00 | |
| 3015F | 0% | 75 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 33 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 269 | $0.00 |
| 1033F | 0% | 12 | $0.00 | |
| G8935 | Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 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 officialMEJIA, MANUEL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Grand Concourse Medical Practice, P.C. | Bronx, NY | $155K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.