Clinic
OIG excluded
Juan a Medina Medical Office PC
Juan a Medina Medical Office PC was paid $19K by Medicaid between Jan 2018 and Apr 2018, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 99% of everything it billed.
33Billing provider infoJUAN A MEDINA MEDICAL OFFICE PC
FAR ROCKAWAY, NY 11691
FAR ROCKAWAY, NY 11691
33aNPI1477868032assigned 08/06/2010
33bProvider typePrimary Care Clinic/Center
28Total paid$19K
24GClaims493
24DCodes billed3
24AFirst – last monthJan 2018 – Apr 2018
Compared with peers
Next to other Primary Care Clinic/Center providers in New York
Rank by total paid#181 of 242
Median peer was paid$172K
This provider vs. median0.1×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
OIG exclusionListed on the federal exclusion list (06/20/2019).
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 | 493 | $19K |
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 | 99% | 283 | 264 | $19K |
| 81002 | 1.3% | 99 | 99 | $246.96 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 111 | 109 | $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 officialMEDINA, JUAN (PRESIDENT)