1211 WPR Medical Services PC

1211 WPR Medical Services PC was paid $2.18M by Medicaid between Jan 2018 and Dec 2024, across 90 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.

33Billing provider info1211 WPR MEDICAL SERVICES PC
BRONX, NY 10472

33aNPI1437247509assigned 10/11/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$2.18M

24GClaims367,304

24DCodes billed90

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in New York

Rank by total paid#37 of 1,564

Median peer was paid$13K

This provider vs. median168×

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	56,637	$325K
2019	57,312	$276K
2020	62,148	$217K
2021	88,756	$406K
2022	36,813	$405K
2023	27,912	$330K
2024incomplete	37,726	$222K

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	35%	23,561	21,991	$758K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	11%	1,279	1,278	$232K
97530	Therapeutic activities, direct patient contact, each 15 minutes	10%	4,526	1,661	$221K
97014		9.2%	5,286	1,753	$201K
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	6.3%	7,834	7,544	$137K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	5.7%	1,434	1,401	$124K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	5.4%	3,527	1,224	$119K
97162		3.2%	1,024	1,023	$69K
97124		1.9%	3,322	1,160	$41K
H0049	Alcohol and/or drug screening	1.8%	20,355	18,443	$39K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	1.1%	23,253	21,543	$24K
H0001	Alcohol and/or drug assessment	1.1%	12,306	11,289	$24K

78 more codes

99442		<1%	2,307	$21K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	1,472	$19K
93015		<1%	295	$18K
90686		<1%	814	$17K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	1,127	$16K
93970		<1%	84	$15K
93000		<1%	837	$12K
99443		<1%	924	$11K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	627	$8K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	441	$6K
3074F		<1%	11,180	$5K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	<1%	16	$5K
3078F		<1%	10,408	$5K
97802		<1%	4,159	$4K
99441		<1%	580	$3K
90673		<1%	63	$3K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	<1%	16	$3K
90658		<1%	158	$3K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	41	$3K
3079F		<1%	4,232	$2K
99385		<1%	89	$2K
97164		<1%	36	$2K
3077F		<1%	2,109	$1K
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)	<1%	8,985	$1K
97163		<1%	14	$994.52
99386		<1%	12	$857.52
3075F		<1%	2,135	$843.15
3080F		<1%	1,327	$720.52
36415	Collection of venous blood by venipuncture	<1%	598	$677.20
90662		<1%	15	$598.79
0011A		<1%	14	$439.61
11721		<1%	12	$421.47
G0444	Annual depression screening, 5 to 15 minutes	<1%	14	$250.38
T1013	Sign language or oral interpretive services, per 15 minutes	<1%	72	$233.35
1126F		<1%	5,398	$162.50
1125F		<1%	3,527	$150.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	476	$78.50
J1245	Injection, dipyridamole, per 10 mg	<1%	12	$40.78
G0008	Administration of influenza virus vaccine	<1%	12	$40.66
S0610	Annual gynecological examination, new patient	<1%	73	$20.00
G9622	Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method	<1%	25,556	$17.66
1159F		<1%	115	$10.00
1160F		<1%	242	$10.00
3008F		<1%	22,142	$5.70
G9508	Documentation that the patient is not on a statin medication	<1%	8,127	$2.75
G9621	Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling	<1%	577	$1.26
3044F		<1%	1,666	$1.17
3048F		<1%	1,323	$0.83
G8420	Bmi is documented within normal parameters and no follow-up plan is required	<1%	11,339	$0.20
4010F		<1%	2,823	$0.20
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	7,927	$0.20
3049F		<1%	220	$0.13
G9820	Documentation of a chlamydia screening test with proper follow-up	<1%	27	$0.13
99606		<1%	32	$0.12
3061F		<1%	278	$0.07
3050F		<1%	56	$0.05
0521F		<1%	10,042	$0.01
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	<1%	70	$0.01
G9275	Documentation that patient is a current non-tobacco user	0%	21,663	$0.00
1000F		0%	19,415	$0.00
1036F		0%	15,741	$0.00
G8450	Beta-blocker therapy prescribed	0%	2,085	$0.00
4000F		0%	2,185	$0.00
G8418	Bmi is documented below normal parameters and a follow-up plan is documented	0%	556	$0.00
S0612	Annual gynecological examination, established patient	0%	12	$0.00
91301		0%	12	$0.00
3725F		0%	16,170	$0.00
3016F		0%	19,508	$0.00
G8598	Aspirin or another antiplatelet therapy used	0%	1,457	$0.00
G9276	Documentation that patient is a current tobacco user	0%	3,344	$0.00
3045F		0%	59	$0.00
G8404	Lower extremity neurological exam performed and documented	0%	31	$0.00
99204	Doctor's office visit, new patient (more involved)	0%	16	$0.00
76140		0%	15	$0.00
G8539	Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment	0%	14	$0.00
3051F		0%	14	$0.00
99499		0%	15	$0.00
99358	Prolong nursin fac eval 15m	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 officialPOLAN, AMY (AM)

Parent organization1211 WPR MEDICAL PC