Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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ST Joseph's Medical Practice PC

ST Joseph's Medical Practice PC was paid $1.34M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.

33Billing provider infoST JOSEPH'S MEDICAL PRACTICE PC
YONKERS, NY 10701
33aNPI1407193899assigned 01/07/2013
33bProvider typeOptometrist
28Total paid$1.34M
24GClaims44,575
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in New York

Rank by total paid#62 of 1,605
Median peer was paid$29K
This provider vs. median46×

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$20K$40K$60K2018201920202021202220232024
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
20183,767$62K
20194,775$101K
20204,670$94K
20215,204$146K
20225,017$150K
202310,402$371K
2024incomplete10,740$417K
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 30% 6,713 6,101 $406K
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 30% 4,473 4,323 $403K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 8.3% 17,027 13,842 $112K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 6.5% 1,359 1,350 $87K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4.7% 481 480 $63K
99223 Prolong inpt eval add15 m 4.0% 405 397 $54K
99308 Subsequent nursing facility care, per day, straightforward 2.5% 626 290 $33K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.4% 186 182 $32K
99310 Prolong nursin fac eval 15m 1.8% 211 192 $24K
93000 1.8% 2,265 2,256 $24K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.6% 243 243 $22K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 1.3% 132 107 $18K
29 more codes
99215 Doctor's office visit, returning patient (complex) <1% 82 $11K
36415 Collection of venous blood by venipuncture <1% 5,292 $10K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 82 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 82 $7K
99238 Hospital discharge day management, 30 minutes or less <1% 100 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 104 $5K
93880 <1% 27 $4K
71046 Radiologic examination, chest; 2 views <1% 171 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 168 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 118 $1K
G0444 Annual depression screening, 5 to 15 minutes <1% 220 $1K
90688 <1% 66 $1K
99385 <1% 12 $988.54
90674 <1% 20 $683.40
81005 <1% 301 $523.07
99222 Initial hospital care, per day, moderate complexity <1% 13 $507.58
90658 <1% 30 $330.57
99401 <1% 14 $223.77
82962 <1% 255 $223.40
81002 <1% 113 $209.46
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 233 $1.67
99000 0% 2,557 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 44 $0.00
1036F 0% 33 $0.00
97010 0% 21 $0.00
G8734 Elder maltreatment screen documented as negative, follow-up is not required 0% 18 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 19 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 154 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 105 $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 officialVELEZ, SONIA (PC OWNER)