Medina, Juan

Medina, Juan was paid $12K by Medicaid between Jan 2018 and Apr 2018, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 96% of everything it billed.

33Billing provider infoMEDINA, JUAN
FAR ROCKAWAY, NY 11691

33aNPI1326187626assigned 02/05/2007

33bProvider typeInternal Medicine Physician

28Total paid$12K

24GClaims338

24DCodes billed3

24AFirst – last monthJan 2018 – Apr 2018

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#3,006 of 6,049

Median peer was paid$11K

This provider vs. median1.0×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (02/20/2019).

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	338	$12K

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	96%	194	177	$11K
36415	Collection of venous blood by venipuncture	2.6%	77	76	$301.50
81002		<1%	67	67	$114.00

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.