Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Care One NYC Medical PC

Care One NYC Medical PC was paid $80K by Medicaid between Dec 2021 and Nov 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoCARE ONE NYC MEDICAL PC
BRONX, NY 10454
33aNPI1316528441assigned 04/20/2021
28Total paid$80K
24GClaims5,154
24DCodes billed31
24AFirst – last monthDec 2021 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#647 of 2,605
Median peer was paid$10K
This provider vs. median7.9×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
202138$112.23
20222,621$43K
20231,867$33K
2024incomplete628$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 52% 841 692 $42K
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% 244 183 $18K
99401 14% 666 508 $11K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 4.1% 159 115 $3K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.3% 39 39 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.5% 17 14 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1.5% 22 16 $1K
36415 Collection of venous blood by venipuncture <1% 472 427 $339.32
H0001 Alcohol and/or drug assessment <1% 28 28 $261.96
3074F <1% 325 229 $207.50
90460 Immunization administration through 18 years of age via any route, first or only component <1% 12 12 $186.12
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method <1% 49 42 $156.00
19 more codes
3078F <1% 269 $82.50
G9275 Documentation that patient is a current non-tobacco user <1% 24 $76.00
99406 <1% 12 $63.85
3079F <1% 45 $20.00
3016F 0% 29 $0.00
3077F 0% 44 $0.00
3725F 0% 67 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 152 $0.00
3008F 0% 776 $0.00
99000 0% 304 $0.00
97802 0% 109 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 53 $0.00
S9451 Exercise classes, non-physician provider, per session 0% 103 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 109 $0.00
1126F 0% 46 $0.00
2001F 0% 25 $0.00
1036F 0% 41 $0.00
1000F 0% 46 $0.00
2010F 0% 26 $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 officialLOUIS, JOSEPH (MEDICAL DOCTOR)
Same official

Other billing entities under LOUIS, JOSEPH

Full network →
ProviderLocationPaid
Synergy Health Medical Solutions PCHempstead, NY$836K
Comprehensive Primary Family Medical Care of NY, PLLCFar Rockaway, NY$438K
Nassau Health Medical PCHempstead, NY$38K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.