Eric Zhou Medical Office PC

Eric Zhou Medical Office PC was paid $5.65M by Medicaid between Jan 2018 and Nov 2024, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.

33Billing provider infoERIC ZHOU MEDICAL OFFICE PC
NEW YORK, NY 10002

33aNPI1467654160assigned 06/04/2007

33bProvider typeNephrology Physician

28Total paid$5.65M

24GClaims157,493

24DCodes billed62

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in New York

Rank by total paid#1 of 559

Median peer was paid$18K

This provider vs. median322×

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	18,320	$591K
2019	26,600	$711K
2020	19,649	$695K
2021	24,400	$1.00M
2022	25,153	$976K
2023	24,370	$909K
2024incomplete	19,001	$758K

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	57%	34,846	26,684	$3.20M
99442		11%	7,486	6,967	$644K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	10%	4,516	4,326	$580K
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	8.5%	3,682	3,624	$478K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	3.2%	1,502	1,472	$180K
90674		2.3%	4,342	4,340	$129K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	2.0%	6,332	6,179	$113K
99441		1.7%	1,837	1,802	$95K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.3%	1,232	1,199	$72K
H0001	Alcohol and/or drug assessment	<1%	6,462	6,392	$41K
93000		<1%	1,436	1,432	$23K
99051		<1%	2,770	2,482	$17K

50 more codes

90661		<1%	464	$15K
0013A		<1%	193	$8K
90756		<1%	297	$7K
99203	Doctor's office visit, new patient (routine)	<1%	53	$7K
36415	Collection of venous blood by venipuncture	<1%	7,896	$6K
83013		<1%	76	$5K
3078F		<1%	1,649	$4K
83014		<1%	505	$4K
3074F		<1%	1,637	$3K
0011A		<1%	51	$2K
0012A		<1%	41	$2K
94010		<1%	39	$1K
3075F		<1%	555	$1K
Q2037	Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	<1%	61	$1K
3079F		<1%	405	$1K
3044F		<1%	2,029	$860.00
3077F		<1%	279	$860.00
90746		<1%	12	$811.86
99406		<1%	56	$571.73
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	<1%	135	$517.90
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	5,410	$438.58
3051F		<1%	428	$320.00
90686		<1%	13	$229.45
1159F		<1%	3,623	$205.00
1160F		<1%	3,622	$102.50
3045F		<1%	175	$40.00
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)	<1%	2,159	$39.67
G9622	Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method	<1%	5,717	$2.98
1000F		<1%	5,050	$2.78
1036F		<1%	3,903	$1.78
3725F		<1%	4,642	$1.78
3016F		<1%	4,981	$1.78
90750		<1%	129	$1.13
91313		<1%	123	$0.52
91301		<1%	99	$0.14
91306		<1%	41	$0.06
3048F		<1%	358	$0.01
3060F		0%	377	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	6,585	$0.00
3008F		0%	7,953	$0.00
G8418	Bmi is documented below normal parameters and a follow-up plan is documented	0%	2,956	$0.00
3061F		0%	2,385	$0.00
1034F		0%	19	$0.00
G9665	Patients who are not currently statin therapy users or did not receive an order (prescription) for statin therapy	0%	1,634	$0.00
G8506	Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy	0%	851	$0.00
G9621	Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling	0%	123	$0.00
3050F		0%	923	$0.00
3015F		0%	112	$0.00
1032F		0%	198	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	28	$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 officialZHOU, ERIC (LEAD PHYSICIAN)