Clinic
Medexplus Medical PC
Medexplus Medical PC was paid $448K by Medicaid between Jan 2019 and Dec 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoMEDEXPLUS MEDICAL PC
FLUSHING, NY 11354
FLUSHING, NY 11354
33aNPI1316373004assigned 09/25/2013
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$448K
24GClaims16,715
24DCodes billed44
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in New York
Rank by total paid#59 of 118
Median peer was paid$372K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2019 | 4,569 | $81K | |
| 2020 | 2,760 | $65K | |
| 2021 | 1,426 | $55K | |
| 2022 | 1,597 | $95K | |
| 2023 | 2,482 | $82K | |
| 2024incomplete | 3,881 | $69K |
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 | 62% | 3,493 | 2,884 | $279K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 17% | 1,637 | 1,340 | $75K |
| 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 | 12% | 578 | 558 | $53K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.0% | 515 | 497 | $9K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.7% | 64 | 64 | $8K |
| 99490 | Ccm add 20min | 1.7% | 228 | 222 | $8K |
| 90686 | 1.1% | 258 | 256 | $5K | |
| 99406 | <1% | 212 | 204 | $2K | |
| 86769 | <1% | 90 | 45 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 606 | 600 | $2K |
| 94060 | <1% | 25 | 24 | $1K | |
| 93000 | <1% | 63 | 63 | $870.24 |
32 more codes
| H0049 | Alcohol and/or drug screening | <1% | 252 | $709.20 |
| 3078F | <1% | 606 | $601.00 | |
| 3074F | <1% | 617 | $563.50 | |
| 90656 | <1% | 25 | $550.93 | |
| 90674 | <1% | 12 | $339.99 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 250 | $283.96 |
| 80061 | Lipid panel | <1% | 136 | $205.10 |
| 3044F | <1% | 129 | $196.00 | |
| H0001 | Alcohol and/or drug assessment | <1% | 120 | $170.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 133 | $142.71 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 18 | $46.92 |
| 3079F | <1% | 46 | $35.00 | |
| 3060F | <1% | 63 | $5.00 | |
| 3008F | <1% | 2,383 | $0.04 | |
| 1036F | 0% | 288 | $0.00 | |
| 1000F | 0% | 212 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 460 | $0.00 |
| 99000 | 0% | 302 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 338 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 658 | $0.00 |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 156 | $0.00 |
| 4000F | 0% | 95 | $0.00 | |
| 94010 | 0% | 25 | $0.00 | |
| 3048F | 0% | 12 | $0.00 | |
| 3061F | 0% | 12 | $0.00 | |
| 3725F | 0% | 397 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 125 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 151 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 439 | $0.00 |
| 3016F | 0% | 125 | $0.00 | |
| 4004F | 0% | 219 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 142 | $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 officialZHANG, YUQING (PRESIDENT)