Physician
Junction Medical Office, P.C.
Junction Medical Office, P.C. was paid $125K by Medicaid between Jan 2018 and Dec 2024, across 76 billing codes. Its largest line is 99396, Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years — 24% of everything it billed.
33Billing provider infoJUNCTION MEDICAL OFFICE, P.C.
JACKSON HEIGHTS, NY 11372
JACKSON HEIGHTS, NY 11372
33aNPI1538306352assigned 01/15/2009
33bProvider typeInternal Medicine Physician
28Total paid$125K
24GClaims83,480
24DCodes billed76
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#1,129 of 6,049
Median peer was paid$11K
This provider vs. median11×
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 | 10,881 | $60K | |
| 2019 | 14,273 | $33K | |
| 2020 | 12,890 | $14K | |
| 2021 | 18,139 | $13K | |
| 2022 | 12,919 | $3K | |
| 2023 | 9,390 | $1K | |
| 2024incomplete | 4,988 | $867.05 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 24% | 1,998 | 1,967 | $30K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 2,303 | 2,192 | $29K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 15% | 6,193 | 5,634 | $19K |
| 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 | 7.3% | 213 | 209 | $9K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 7.1% | 942 | 915 | $9K |
| 99442 | 5.2% | 2,910 | 2,776 | $6K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.1% | 356 | 352 | $5K |
| 3074F | 1.7% | 1,434 | 1,343 | $2K | |
| 3078F | 1.6% | 1,353 | 1,287 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 188 | 188 | $2K |
| 90674 | 1.5% | 124 | 124 | $2K | |
| H0049 | Alcohol and/or drug screening | 1.2% | 813 | 798 | $1K |
64 more codes
| 93000 | <1% | 58 | $894.83 | |
| 94760 | <1% | 6,225 | $779.69 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,553 | $654.48 |
| 94010 | <1% | 28 | $625.51 | |
| 0521F | <1% | 2,138 | $584.00 | |
| 3079F | <1% | 336 | $531.61 | |
| 0011A | <1% | 12 | $478.77 | |
| 90688 | <1% | 26 | $465.21 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $452.09 |
| 0012A | <1% | 12 | $440.46 | |
| 1126F | <1% | 395 | $351.00 | |
| 3077F | <1% | 156 | $292.50 | |
| H0001 | Alcohol and/or drug assessment | <1% | 2,773 | $244.85 |
| 90686 | <1% | 14 | $231.43 | |
| 94016 | <1% | 154 | $212.48 | |
| 99441 | <1% | 13 | $180.55 | |
| 3075F | <1% | 113 | $168.00 | |
| 90658 | <1% | 23 | $167.39 | |
| 1159F | <1% | 1,232 | $120.00 | |
| 1160F | <1% | 1,402 | $105.00 | |
| 3044F | <1% | 968 | $80.00 | |
| 1125F | <1% | 436 | $50.00 | |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment | <1% | 101 | $21.12 |
| 1170F | <1% | 33 | $20.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 3,322 | $0.62 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 3,380 | $0.00 |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 0% | 2,284 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 2,755 | $0.00 |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | 0% | 1,219 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 4,134 | $0.00 |
| 3016F | 0% | 1,589 | $0.00 | |
| 3725F | 0% | 1,669 | $0.00 | |
| 1090F | 0% | 45 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 564 | $0.00 |
| 3050F | 0% | 351 | $0.00 | |
| 99051 | 0% | 240 | $0.00 | |
| 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) | 0% | 194 | $0.00 |
| 99421 | 0% | 41 | $0.00 | |
| 1494F | 0% | 63 | $0.00 | |
| 99397 | 0% | 26 | $0.00 | |
| A4206 | Syringe with needle, sterile, 1 cc or less, each | 0% | 15 | $0.00 |
| A4245 | Alcohol wipes, per box | 0% | 15 | $0.00 |
| 0518F | 0% | 17 | $0.00 | |
| 3288F | 0% | 14 | $0.00 | |
| A6413 | Adhesive bandage, first-aid type, any size, each | 0% | 15 | $0.00 |
| 2028F | 0% | 13 | $0.00 | |
| 1000F | 0% | 1,645 | $0.00 | |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 121 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 140 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 4,526 | $0.00 |
| 1036F | 0% | 1,398 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,537 | $0.00 |
| 0001F | 0% | 3,814 | $0.00 | |
| 2001F | 0% | 1,431 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 71 | $0.00 |
| 2010F | 0% | 1,493 | $0.00 | |
| 2000F | 0% | 1,451 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,280 | $0.00 |
| 3008F | 0% | 1,427 | $0.00 | |
| A4930 | Gloves, sterile, per pair | 0% | 15 | $0.00 |
| 3049F | 0% | 66 | $0.00 | |
| 3048F | 0% | 12 | $0.00 | |
| 91301 | 0% | 30 | $0.00 | |
| 1101F | 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 officialGONZALEZ, FAUSTO (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| One Stop Medical Care PC | South Ozone Park, NY | $1.75M |
| Fort Washington Medical Office PC | New York, NY | $139K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.