Clinic
Medcareplus, PLLC
Medcareplus, PLLC was paid $349K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoMEDCAREPLUS, PLLC
BRONX, NY 10472
BRONX, NY 10472
33aNPI1265720221assigned 07/12/2011
33bProvider typePrimary Care Clinic/Center
28Total paid$349K
24GClaims15,021
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New York
Rank by total paid#91 of 242
Median peer was paid$172K
This provider vs. median2.0×
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 | 1,805 | $34K | |
| 2019 | 1,890 | $43K | |
| 2020 | 2,295 | $59K | |
| 2021 | 2,346 | $66K | |
| 2022 | 2,641 | $61K | |
| 2023 | 2,397 | $52K | |
| 2024incomplete | 1,647 | $34K |
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 | 43% | 3,068 | 2,978 | $150K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 5,174 | 4,947 | $148K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 8.7% | 654 | 653 | $30K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.6% | 633 | 622 | $16K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 37 | 37 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,237 | 3,186 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 25 | 25 | $546.19 |
| 90686 | <1% | 40 | 40 | $428.26 | |
| 90658 | <1% | 14 | 14 | $166.18 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | 12 | $156.56 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 14 | 14 | $0.00 |
| 99000 | 0% | 1,996 | 1,934 | $0.00 |
1 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 117 | $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 officialBALDE, ALSENY (MANAGER)