Clinic
Vilma Junio Physician PLLC
Vilma Junio Physician PLLC was paid $773K by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoVILMA JUNIO PHYSICIAN PLLC
OSWEGO, NY 13126
OSWEGO, NY 13126
33aNPI1265794457assigned 06/13/2012
33bProvider typePrimary Care Clinic/Center
28Total paid$773K
24GClaims27,729
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New York
Rank by total paid#54 of 242
Median peer was paid$172K
This provider vs. median4.5×
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 | 173 | $7K | |
| 2019 | 597 | $14K | |
| 2020 | 660 | $14K | |
| 2021 | 748 | $22K | |
| 2022 | 8,508 | $236K | |
| 2023 | 8,337 | $240K | |
| 2024incomplete | 8,706 | $239K |
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 | 33% | 4,710 | 4,152 | $254K |
| 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 | 23% | 2,313 | 2,155 | $182K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.4% | 983 | 983 | $65K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.4% | 857 | 856 | $57K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.8% | 2,308 | 2,295 | $45K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.2% | 447 | 446 | $33K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.0% | 503 | 497 | $31K |
| 92552 | 4.0% | 1,979 | 1,970 | $31K | |
| 87428 | 1.7% | 543 | 533 | $13K | |
| 90461 | 1.4% | 654 | 649 | $11K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.1% | 799 | 794 | $9K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 1.0% | 719 | 608 | $8K |
23 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.0% | 277 | $8K |
| 99188 | <1% | 876 | $7K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,759 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 994 | $4K |
| 96160 | <1% | 2,932 | $4K | |
| 96127 | <1% | 1,059 | $4K | |
| 90671 | <1% | 148 | $2K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 130 | $2K |
| 83655 | <1% | 101 | $978.79 | |
| 87807 | <1% | 23 | $224.42 | |
| 85018 | <1% | 74 | $122.00 | |
| 99173 | <1% | 1,504 | $112.29 | |
| 90686 | <1% | 498 | $67.98 | |
| 81002 | <1% | 15 | $24.40 | |
| 99174 | <1% | 77 | $9.86 | |
| 90698 | 0% | 40 | $0.00 | |
| 97802 | 0% | 116 | $0.00 | |
| 90656 | 0% | 134 | $0.00 | |
| 96161 | 0% | 31 | $0.00 | |
| 90697 | 0% | 15 | $0.00 | |
| 90680 | 0% | 14 | $0.00 | |
| 90670 | 0% | 56 | $0.00 | |
| 90710 | 0% | 41 | $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 officialJUNIO, VILMA (PHYSICIAN/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Vilma Junio,physician, PLLC | Oswego, NY | $467K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.