Managed care
VSVL Medical Services PLLC
VSVL Medical Services PLLC was paid $3.46M by Medicaid between Jan 2018 and Dec 2024, across 86 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoVSVL MEDICAL SERVICES PLLC
BRONX, NY 10462
BRONX, NY 10462
33aNPI1467706242assigned 11/01/2012
33bProvider typeExclusive Provider Organization
28Total paid$3.46M
24GClaims120,012
24DCodes billed86
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Exclusive Provider Organization providers in New York
Rank by total paid#3 of 24
Median peer was paid$123K
This provider vs. median28×
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 | 9,541 | $302K | |
| 2019 | 12,691 | $377K | |
| 2020 | 20,021 | $589K | |
| 2021 | 32,956 | $901K | |
| 2022 | 21,085 | $572K | |
| 2023 | 12,905 | $397K | |
| 2024incomplete | 10,813 | $321K |
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 | 43% | 21,624 | 17,254 | $1.49M |
| 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 | 8.2% | 2,935 | 2,915 | $283K |
| 99401 | 4.9% | 5,791 | 5,726 | $171K | |
| 99487 | Ccm add 20min | 3.4% | 1,188 | 1,187 | $117K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.3% | 1,165 | 1,162 | $114K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.8% | 1,154 | 1,152 | $98K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.9% | 1,523 | 1,362 | $65K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.8% | 673 | 673 | $64K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.8% | 3,469 | 3,442 | $63K |
| 93000 | 1.7% | 4,568 | 4,550 | $60K | |
| 94010 | 1.7% | 2,154 | 2,153 | $58K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 1.5% | 4,663 | 4,660 | $53K |
74 more codes
| G0444 | Annual depression screening, 5 to 15 minutes | 1.5% | 4,733 | $53K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1.5% | 513 | $53K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 2,234 | $51K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 1.4% | 2,169 | $49K |
| 94729 | 1.2% | 1,371 | $42K | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 1.2% | 288 | $42K |
| 94726 | 1.1% | 1,354 | $39K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.1% | 1,333 | $37K |
| 93040 | 1.1% | 4,559 | $36K | |
| 90674 | <1% | 1,045 | $28K | |
| 87631 | <1% | 253 | $24K | |
| 99490 | Ccm add 20min | <1% | 465 | $22K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 1,176 | $22K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 1,176 | $22K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 2,381 | $21K |
| 99442 | <1% | 294 | $21K | |
| 82607 | <1% | 2,080 | $21K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,741 | $19K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,343 | $18K |
| 84480 | <1% | 2,273 | $16K | |
| 99406 | <1% | 1,336 | $16K | |
| 84439 | <1% | 2,281 | $15K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 103 | $14K |
| 99385 | <1% | 124 | $12K | |
| 86769 | <1% | 458 | $12K | |
| 81002 | <1% | 6,320 | $11K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 9,642 | $11K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,232 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 220 | $10K |
| 99443 | <1% | 96 | $9K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,347 | $9K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,838 | $8K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 243 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 518 | $7K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 191 | $7K |
| 83013 | <1% | 98 | $6K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 75 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 199 | $4K |
| 96127 | <1% | 1,359 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14 | $2K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 85 | $1K |
| 99072 | <1% | 314 | $1K | |
| 92551 | <1% | 129 | $959.28 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 191 | $928.02 |
| 3074F | <1% | 842 | $842.84 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $842.12 |
| 3078F | <1% | 695 | $740.36 | |
| 3079F | <1% | 502 | $467.51 | |
| 80061 | Lipid panel | <1% | 65 | $452.13 |
| 3075F | <1% | 391 | $380.00 | |
| 80053 | Comprehensive metabolic panel | <1% | 49 | $375.76 |
| 83014 | <1% | 98 | $370.42 | |
| 90461 | <1% | 12 | $331.00 | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 21 | $328.56 |
| 83735 | <1% | 58 | $274.95 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 12 | $265.33 |
| 99000 | <1% | 120 | $249.18 | |
| 81025 | <1% | 55 | $229.72 | |
| 97802 | <1% | 152 | $196.32 | |
| 99173 | <1% | 91 | $162.51 | |
| 82962 | <1% | 83 | $128.25 | |
| 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 | <1% | 21 | $128.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 113 | $70.03 |
| 3008F | <1% | 71 | $32.46 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 536 | $15.74 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 528 | $8.28 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 251 | $1.85 |
| 3725F | 0% | 556 | $0.00 | |
| G9276 | Documentation that patient is a current tobacco user | 0% | 54 | $0.00 |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 1,130 | $0.00 |
| 1036F | 0% | 574 | $0.00 | |
| 3044F | 0% | 27 | $0.00 | |
| 1000F | 0% | 763 | $0.00 | |
| 90686 | 0% | 27 | $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 officialMANNAM, PRASHANTH (MD)
| Provider | Location | Paid |
|---|---|---|
| VSVL Medical Services LLC | Bronx, NY | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.