Physician
Vail Healthcare Medical PLLC
Vail Healthcare Medical PLLC was paid $1.10M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 25% of everything it billed.
33Billing provider infoVAIL HEALTHCARE MEDICAL PLLC
BRONX, NY 10459
BRONX, NY 10459
33aNPI1487051207assigned 11/21/2014
33bProvider typeFamily Medicine Physician
28Total paid$1.10M
24GClaims45,095
24DCodes billed56
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#117 of 2,605
Median peer was paid$10K
This provider vs. median109×
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 | 6,740 | $342K | |
| 2019 | 7,537 | $290K | |
| 2020 | 3,121 | $8K | |
| 2021 | 4,628 | $11K | |
| 2022 | 5,615 | $27K | |
| 2023 | 8,321 | $132K | |
| 2024incomplete | 9,133 | $287K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 25% | 1,591 | 1,574 | $271K |
| 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 | 24% | 6,563 | 4,012 | $265K |
| 93880 | 9.8% | 687 | 663 | $107K | |
| 93975 | 5.7% | 299 | 277 | $63K | |
| 95923 | 5.6% | 768 | 753 | $62K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.1% | 3,079 | 2,817 | $56K |
| 95912 | 3.9% | 306 | 251 | $42K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 2.9% | 387 | 387 | $32K |
| 95921 | 2.5% | 543 | 542 | $27K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.9% | 184 | 183 | $21K |
| 93922 | 1.3% | 217 | 217 | $14K | |
| 93925 | 1.3% | 68 | 68 | $14K |
44 more codes
| 92540 | 1.3% | 221 | $14K | |
| 92546 | 1.2% | 221 | $13K | |
| 93923 | 1.1% | 90 | $12K | |
| 93015 | 1.0% | 185 | $11K | |
| 76536 | <1% | 116 | $8K | |
| 93000 | <1% | 638 | $8K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 68 | $7K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 97 | $6K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 15 | $5K |
| 95886 | <1% | 86 | $5K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 266 | $5K |
| 92537 | <1% | 221 | $5K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,972 | $3K |
| 93970 | <1% | 47 | $3K | |
| 95913 | <1% | 26 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 158 | $2K |
| 76830 | Ultrasound, transvaginal | <1% | 27 | $2K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 185 | $2K |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 183 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $1K |
| 82962 | <1% | 3,423 | $1K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 185 | $936.54 |
| 3074F | <1% | 582 | $827.68 | |
| 3078F | <1% | 574 | $827.64 | |
| 93308 | <1% | 16 | $471.73 | |
| 1159F | <1% | 3,624 | $465.03 | |
| 90686 | <1% | 35 | $438.99 | |
| 1170F | <1% | 935 | $415.27 | |
| 1160F | <1% | 3,427 | $395.05 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 73 | $361.97 |
| 1126F | <1% | 3,366 | $361.47 | |
| 90656 | <1% | 49 | $307.79 | |
| 90756 | <1% | 14 | $160.73 | |
| 3077F | <1% | 43 | $92.50 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 44 | $79.46 |
| 3080F | <1% | 14 | $50.00 | |
| 3079F | <1% | 24 | $40.00 | |
| 1125F | <1% | 533 | $25.23 | |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | <1% | 162 | $1.75 |
| 3044F | <1% | 96 | $0.04 | |
| 1220F | 0% | 5,132 | $0.00 | |
| 1121F | 0% | 1,148 | $0.00 | |
| 92548 | 0% | 51 | $0.00 | |
| 1036F | 0% | 17 | $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 officialDELEON, SAMUEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Urban Health Plan, INC. | Bronx, NY | $61.73M |
| Multimedic Medical Services PLLC | Bronx, NY | $55K |
| Urban Health Plan, INC. | Bronx, NY | $29K |
| Urban Health Plan, INC. | Corona, NY | $9K |
| Urban Health Plan, INC | Bronx, NY | $1K |
| Urban Health Plan, INC. | Bronx, NY | $863.27 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.