Clinic
Oda Primary Health Care Network, INC.
Oda Primary Health Care Network, INC. was paid $1.22M by Medicaid between Aug 2022 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.
33Billing provider infoODA PRIMARY HEALTH CARE NETWORK, INC.
BROOKLYN, NY 11203
BROOKLYN, NY 11203
33aNPI1326702317assigned 10/26/2021
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.22M
24GClaims51,218
24DCodes billed34
24AFirst – last monthAug 2022 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New York
Rank by total paid#88 of 158
Median peer was paid$1.73M
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2022 | 7,694 | $142K | |
| 2023 | 22,932 | $579K | |
| 2024incomplete | 20,592 | $501K |
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 | 75% | 27,095 | 25,044 | $921K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.1% | 2,928 | 2,908 | $50K |
| 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 | 3.0% | 780 | 708 | $37K |
| 17110 | 2.6% | 405 | 330 | $32K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.6% | 798 | 797 | $31K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 701 | 699 | $25K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.9% | 5,432 | 5,333 | $23K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 758 | 712 | $23K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.4% | 216 | 216 | $17K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 279 | 277 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,235 | 861 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 247 | 247 | $9K |
22 more codes
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 296 | $6K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 233 | $6K |
| 92551 | <1% | 1,084 | $5K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 49 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 55 | $3K |
| 11720 | <1% | 115 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,312 | $2K |
| 99385 | <1% | 14 | $2K | |
| 94760 | <1% | 5,723 | $1K | |
| 11721 | <1% | 31 | $937.86 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 18 | $893.70 |
| 93000 | <1% | 80 | $757.27 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 64 | $526.23 |
| 11057 | <1% | 13 | $429.04 | |
| 11055 | <1% | 14 | $362.78 | |
| 90686 | <1% | 41 | $132.44 | |
| 99173 | <1% | 111 | $126.76 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | $96.96 |
| 90461 | <1% | 28 | $39.61 | |
| 83655 | <1% | 12 | $35.74 | |
| 85018 | <1% | 24 | $10.30 | |
| 81000 | 0% | 13 | $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 officialPEGUERO, ALICIA (DIRECTOR OF PATIENT SERVICES)
Parent organizationODA PRIMARY HEALTH CARE NETWORK, INC.