Physician
Grand Concourse Medical Practice, P.C.
Grand Concourse Medical Practice, P.C. was paid $155K by Medicaid between Jan 2018 and Oct 2024, across 102 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoGRAND CONCOURSE MEDICAL PRACTICE, P.C.
BRONX, NY 10453
BRONX, NY 10453
33aNPI1265744197assigned 07/08/2010
33bProvider typeInternal Medicine Physician
28Total paid$155K
24GClaims172,491
24DCodes billed102
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#1,003 of 6,049
Median peer was paid$11K
This provider vs. median14×
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 | 27,740 | $79K | |
| 2019 | 26,748 | $35K | |
| 2020 | 15,455 | $9K | |
| 2021 | 23,963 | $14K | |
| 2022 | 28,686 | $2K | |
| 2023 | 28,351 | $11K | |
| 2024incomplete | 21,548 | $6K |
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 | 29% | 5,940 | 5,838 | $46K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 10% | 1,911 | 1,910 | $16K |
| G0444 | Annual depression screening, 5 to 15 minutes | 7.4% | 1,087 | 1,077 | $12K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 6.1% | 847 | 839 | $9K |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 5.9% | 526 | 518 | $9K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 5.7% | 6,799 | 6,722 | $9K |
| 93000 | 4.5% | 567 | 564 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.3% | 720 | 714 | $7K |
| 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 | 2.7% | 291 | 285 | $4K |
| 90686 | 2.6% | 293 | 293 | $4K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 2.6% | 255 | 251 | $4K |
| H0001 | Alcohol and/or drug assessment | 2.3% | 8,076 | 7,991 | $4K |
90 more codes
| 3078F | 2.2% | 4,142 | $3K | |
| 3074F | 2.2% | 3,787 | $3K | |
| 90674 | 2.0% | 332 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | 1.9% | 103 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.3% | 408 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 192 | $2K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 7,694 | $1K |
| 3079F | <1% | 1,396 | $1K | |
| 3075F | <1% | 1,289 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,553 | $905.44 |
| 94760 | <1% | 7,864 | $814.86 | |
| 3077F | <1% | 614 | $655.00 | |
| 90658 | <1% | 74 | $604.39 | |
| 99385 | <1% | 28 | $542.57 | |
| 1159F | <1% | 5,248 | $425.85 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 625 | $366.00 |
| 1160F | <1% | 5,315 | $357.93 | |
| 1125F | <1% | 983 | $323.02 | |
| 1126F | <1% | 3,954 | $281.97 | |
| 99408 | <1% | 61 | $110.45 | |
| 3080F | <1% | 51 | $97.50 | |
| 90656 | <1% | 19 | $79.57 | |
| A4930 | Gloves, sterile, per pair | <1% | 1,577 | $73.66 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 257 | $25.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | <1% | 532 | $20.49 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 30 | $10.00 |
| 80061 | Lipid panel | <1% | 27 | $6.04 |
| 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) | <1% | 1,111 | $0.25 |
| 3061F | <1% | 458 | $0.08 | |
| 3044F | <1% | 201 | $0.07 | |
| 3050F | <1% | 142 | $0.06 | |
| 3049F | <1% | 34 | $0.05 | |
| 3048F | <1% | 84 | $0.03 | |
| 1003F | 0% | 316 | $0.00 | |
| G9150 | National committee for quality assurance - level 3 medical home | 0% | 8,018 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 5,429 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 2,041 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 1,332 | $0.00 |
| 4013F | 0% | 833 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 5,792 | $0.00 |
| 1033F | 0% | 5,359 | $0.00 | |
| 3725F | 0% | 6,123 | $0.00 | |
| 3016F | 0% | 4,213 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 958 | $0.00 |
| 0556F | 0% | 257 | $0.00 | |
| G8404 | Lower extremity neurological exam performed and documented | 0% | 735 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 38 | $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% | 34 | $0.00 |
| G8935 | Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 212 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 30 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 245 | $0.00 |
| 3288F | 0% | 20 | $0.00 | |
| G8506 | Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 65 | $0.00 |
| 0518F | 0% | 20 | $0.00 | |
| 99397 | 0% | 24 | $0.00 | |
| 4274F | 0% | 20 | $0.00 | |
| 99442 | 0% | 13 | $0.00 | |
| 1090F | 0% | 20 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 514 | $0.00 |
| 2010F | 0% | 6,136 | $0.00 | |
| 3008F | 0% | 6,378 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 6,739 | $0.00 |
| 1036F | 0% | 5,852 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 7,193 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,131 | $0.00 |
| 1000F | 0% | 5,983 | $0.00 | |
| 99000 | 0% | 2,423 | $0.00 | |
| 1220F | 0% | 5,641 | $0.00 | |
| 4086F | 0% | 159 | $0.00 | |
| 0012A | 0% | 24 | $0.00 | |
| 3017F | 0% | 122 | $0.00 | |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 0% | 151 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 1,094 | $0.00 |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 480 | $0.00 |
| 3011F | 0% | 250 | $0.00 | |
| 3014F | 0% | 28 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 166 | $0.00 |
| G0472 | Hepatitis c antibody screening, for individual at high risk and other covered indication(s) | 0% | 179 | $0.00 |
| 91301 | 0% | 100 | $0.00 | |
| G0432 | Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening | 0% | 339 | $0.00 |
| 1101F | 0% | 20 | $0.00 | |
| 4010F | 0% | 172 | $0.00 | |
| 97802 | 0% | 138 | $0.00 | |
| 4008F | 0% | 26 | $0.00 | |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 33 | $0.00 |
| 2000F | 0% | 144 | $0.00 | |
| G9228 | Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings) | 0% | 44 | $0.00 |
| 0011A | 0% | 48 | $0.00 | |
| 1170F | 0% | 18 | $0.00 | |
| 2001F | 0% | 122 | $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 (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Tuvida Medical Practice, PLLC | New York, NY | $105K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.