Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CARE ONE NYC MEDICAL PC

NPI: 1316528441 · BRONX, NY 10454 · Family Medicine Physician · NPI assigned 04/20/2021

$80K
Total Medicaid Paid
5,154
Total Claims
4,123
Beneficiaries
31
Codes Billed
2021-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLOUIS, JOSEPH (MEDICAL DOCTOR)
NPI Enumeration Date04/20/2021

Related Entities

Other providers sharing the same authorized official: LOUIS, JOSEPH

ProviderCityStateTotal Paid
SYNERGY HEALTH MEDICAL SOLUTIONS PC HEMPSTEAD NY $836K
COMPREHENSIVE PRIMARY FAMILY MEDICAL CARE OF NY, PLLC FAR ROCKAWAY NY $438K
NASSAU HEALTH MEDICAL PC HEMPSTEAD NY $38K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 38 $112.23
2022 2,621 $43K
2023 1,867 $33K
2024 628 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 841 692 $42K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 244 183 $18K
99401 666 508 $11K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 159 115 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 39 39 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 17 14 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 22 16 $1K
36415 Collection of venous blood by venipuncture 472 427 $339.32
H0001 Alcohol and/or drug assessment 28 28 $261.96
3074F 325 229 $207.50
90460 Immunization administration through 18 years of age via any route, first or only component 12 12 $186.12
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 49 42 $156.00
3078F 269 188 $82.50
G9275 Documentation that patient is a current non-tobacco user 24 20 $76.00
99406 12 12 $63.85
3079F 45 38 $20.00
3016F 29 29 $0.00
3077F 44 38 $0.00
3725F 67 61 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 152 113 $0.00
3008F 776 571 $0.00
99000 304 274 $0.00
97802 109 94 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 53 48 $0.00
S9451 Exercise classes, non-physician provider, per session 103 87 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 109 78 $0.00
1126F 46 39 $0.00
2001F 25 25 $0.00
1036F 41 37 $0.00
1000F 46 40 $0.00
2010F 26 26 $0.00