Queens Star Medical PLLC

Queens Star Medical PLLC was paid $427K by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 83% of everything it billed.

33Billing provider infoQUEENS STAR MEDICAL PLLC
REGO PARK, NY 11374

33aNPI1417145582assigned 10/13/2007

33bProvider typeInternal Medicine Physician

28Total paid$427K

24GClaims25,146

24DCodes billed39

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#523 of 6,049

Median peer was paid$11K

This provider vs. median38×

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
2018	1,450	$35K
2019	3,321	$44K
2020	3,898	$59K
2021	3,746	$64K
2022	4,695	$92K
2023	4,683	$77K
2024incomplete	3,353	$55K

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	83%	8,287	7,469	$353K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	7.2%	465	465	$31K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	2.3%	161	161	$10K
90688		1.5%	364	364	$7K
99442		1.4%	658	564	$6K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	1.2%	2,030	2,026	$5K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	712	709	$4K
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	603	537	$3K
90756		<1%	116	116	$2K
90686		<1%	110	110	$2K
G0444	Annual depression screening, 5 to 15 minutes	<1%	1,915	1,915	$2K
99422		<1%	101	83	$1K

27 more codes

99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	23	$502.73
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	65	$440.01
36415	Collection of venous blood by venipuncture	<1%	1,425	$366.54
90656		<1%	30	$258.83
G2010	Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment	<1%	268	$240.00
36410		<1%	55	$169.44
H0001	Alcohol and/or drug assessment	<1%	1,865	$139.87
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	1,819	$98.50
S9452	Nutrition classes, non-physician provider, per session	<1%	83	$60.30
1160F		<1%	251	$15.00
G9622	Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method	<1%	1,813	$0.39
3725F		<1%	336	$0.34
S9451	Exercise classes, non-physician provider, per session	<1%	69	$0.03
S9449	Weight management classes, non-physician provider, per session	<1%	67	$0.03
1000F		0%	341	$0.00
1036F		0%	350	$0.00
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	0%	12	$0.00
G9508	Documentation that the patient is not on a statin medication	0%	24	$0.00
G9664	Patients who are currently statin therapy users or received an order (prescription) for statin therapy	0%	12	$0.00
G9150	National committee for quality assurance - level 3 medical home	0%	160	$0.00
3016F		0%	353	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	14	$0.00
G0270	Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes	0%	83	$0.00
97803		0%	67	$0.00
99401		0%	15	$0.00
G9507	Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs)	0%	12	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	12	$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 officialLEVY, EDUARD (MEDICAL DIRECTOR)