Physician
Advanced Quality Medical PC
Advanced Quality Medical PC was paid $313K by Medicaid between Jan 2018 and Nov 2024, across 29 billing codes. Its largest line is 99396, Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years — 31% of everything it billed.
33Billing provider infoADVANCED QUALITY MEDICAL PC
ELMHURST, NY 11373
ELMHURST, NY 11373
33aNPI1265793517assigned 06/04/2012
33bProvider typeInternal Medicine Physician
28Total paid$313K
24GClaims18,681
24DCodes billed29
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#638 of 6,049
Median peer was paid$11K
This provider vs. median28×
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 | 1,832 | $45K | |
| 2019 | 2,658 | $59K | |
| 2020 | 3,130 | $47K | |
| 2021 | 3,962 | $50K | |
| 2022 | 3,307 | $46K | |
| 2023 | 2,558 | $51K | |
| 2024incomplete | 1,234 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 31% | 756 | 742 | $98K |
| 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% | 1,106 | 1,047 | $90K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 9.1% | 3,043 | 2,989 | $28K |
| 92552 | 7.4% | 800 | 800 | $23K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.8% | 1,126 | 1,102 | $18K |
| 90686 | 3.5% | 539 | 538 | $11K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.5% | 91 | 91 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.2% | 166 | 163 | $10K |
| 90674 | 2.1% | 212 | 212 | $6K | |
| 81002 | 1.7% | 2,240 | 2,222 | $5K | |
| G0444 | Annual depression screening, 5 to 15 minutes | 1.2% | 318 | 314 | $4K |
| 36415 | Collection of venous blood by venipuncture | 1.2% | 2,671 | 2,622 | $4K |
17 more codes
| 0134A | <1% | 32 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 37 | $794.17 |
| 92551 | <1% | 126 | $782.79 | |
| 0013A | <1% | 13 | $557.08 | |
| 90656 | <1% | 16 | $375.30 | |
| 94010 | <1% | 12 | $375.00 | |
| 91313 | <1% | 33 | $0.03 | |
| 91301 | <1% | 13 | $0.01 | |
| 1036F | 0% | 472 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 2,202 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 719 | $0.00 |
| 3074F | 0% | 255 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 203 | $0.00 |
| 1000F | 0% | 514 | $0.00 | |
| 3079F | 0% | 12 | $0.00 | |
| 3725F | 0% | 774 | $0.00 | |
| 3078F | 0% | 180 | $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 officialLEE, KAREN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| County of Ventura | Oxnard, CA | $598.20M |
| Lee Residential Care,llc | Hampden, ME | $52.37M |
| County of Ventura | Oxnard, CA | $7.54M |
| County of Ventura | Oxnard, CA | $2.01M |
| County of Ventura | Simi Valley, CA | $1.63M |
| County of Ventura | Ventura, CA | $1.45M |
| County of Ventura | Thousand Oaks, CA | $714K |
| Karen Lee's Psychiatric Health Care | Las Cruces, NM | $349K |
| County of Ventura | Fillmore, CA | $240K |
| Seec | Rockville, MD | $70K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.