Clinic
Vantage Medical Associates PC
Vantage Medical Associates PC was paid $4.47M by Medicaid between Aug 2021 and Dec 2024, across 124 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 23% of everything it billed.
33Billing provider infoVANTAGE MEDICAL ASSOCIATES PC
FAR ROCKAWAY, NY 11691
FAR ROCKAWAY, NY 11691
33aNPI1538642996assigned 09/12/2018
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$4.47M
24GClaims118,449
24DCodes billed124
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in New York
Rank by total paid#22 of 118
Median peer was paid$372K
This provider vs. median12×
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 | |
|---|---|---|---|
| 2021 | 156 | $9K | |
| 2022 | 2,456 | $140K | |
| 2023 | 22,009 | $1.27M | |
| 2024incomplete | 93,828 | $3.06M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 23% | 17,480 | 17,454 | $1.03M |
| 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 | 22% | 11,966 | 10,675 | $1.00M |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 17% | 8,717 | 8,654 | $772K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 11,490 | 10,663 | $538K |
| G3002 | Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) | 5.1% | 5,244 | 5,222 | $226K |
| 99491 | Ccm add 20min | 3.2% | 7,515 | 7,502 | $141K |
| 99401 | 1.6% | 3,781 | 3,264 | $73K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.3% | 576 | 546 | $56K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.1% | 374 | 369 | $50K |
| 99386 | <1% | 362 | 362 | $41K | |
| 99385 | <1% | 326 | 325 | $33K | |
| 99490 | Ccm add 20min | <1% | 1,001 | 996 | $25K |
112 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 277 | $24K |
| 99439 | <1% | 419 | $22K | |
| 99454 | <1% | 816 | $21K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 327 | $21K |
| 99443 | <1% | 201 | $18K | |
| 99457 | <1% | 2,205 | $17K | |
| 99424 | <1% | 292 | $17K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 224 | $16K |
| 94060 | <1% | 434 | $16K | |
| 99458 | <1% | 1,421 | $15K | |
| 93000 | <1% | 1,158 | $14K | |
| 94010 | <1% | 613 | $14K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 881 | $13K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 79 | $12K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 123 | $11K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 933 | $11K |
| 99349 | <1% | 406 | $9K | |
| 99497 | <1% | 628 | $8K | |
| 83970 | <1% | 531 | $7K | |
| 82607 | <1% | 972 | $7K | |
| 82728 | <1% | 954 | $7K | |
| 86141 | <1% | 1,053 | $6K | |
| 80053 | Comprehensive metabolic panel | <1% | 1,107 | $6K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 515 | $6K |
| 82746 | <1% | 914 | $6K | |
| 93976 | <1% | 80 | $6K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 208 | $6K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,024 | $6K |
| 99442 | <1% | 101 | $6K | |
| 93880 | <1% | 37 | $5K | |
| 76536 | <1% | 62 | $5K | |
| 80061 | Lipid panel | <1% | 1,137 | $5K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 964 | $5K |
| 84681 | <1% | 540 | $5K | |
| 84439 | <1% | 1,015 | $5K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 686 | $4K |
| 84480 | <1% | 914 | $4K | |
| 83735 | <1% | 1,152 | $4K | |
| 99441 | <1% | 99 | $4K | |
| 82977 | <1% | 1,066 | $3K | |
| 83615 | <1% | 1,062 | $3K | |
| 83550 | <1% | 952 | $3K | |
| 86769 | <1% | 147 | $3K | |
| 83525 | <1% | 557 | $3K | |
| 84100 | <1% | 1,072 | $3K | |
| 99406 | <1% | 225 | $3K | |
| 99397 | <1% | 87 | $3K | |
| 84550 | <1% | 1,071 | $3K | |
| 83540 | <1% | 951 | $3K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 1,293 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,109 | $2K |
| 84403 | <1% | 125 | $2K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 467 | $2K |
| 86376 | <1% | 505 | $2K | |
| 82627 | <1% | 115 | $2K | |
| 82785 | <1% | 472 | $2K | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 364 | $2K |
| 99387 | <1% | 210 | $2K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 90 | $2K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 90 | $2K |
| 99492 | <1% | 53 | $2K | |
| 76830 | Ultrasound, transvaginal | <1% | 14 | $2K |
| 93922 | <1% | 18 | $2K | |
| 76770 | <1% | 25 | $2K | |
| 99453 | <1% | 97 | $1K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 293 | $1K |
| 84153 | <1% | 199 | $1K | |
| 3074F | <1% | 919 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,875 | $1K |
| 3078F | <1% | 1,028 | $1K | |
| 95921 | <1% | 18 | $1K | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 116 | $1K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 225 | $1K |
| 99344 | <1% | 75 | $1K | |
| 82248 | <1% | 358 | $942.67 | |
| 80305 | <1% | 186 | $888.27 | |
| 86431 | <1% | 517 | $870.24 | |
| 92567 | <1% | 65 | $836.91 | |
| G0443 | Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes | <1% | 57 | $778.54 |
| 81005 | <1% | 434 | $709.00 | |
| 83721 | <1% | 1,015 | $644.11 | |
| 88342 | <1% | 39 | $643.28 | |
| 88112 | <1% | 40 | $554.39 | |
| 81002 | <1% | 301 | $490.04 | |
| 90688 | <1% | 28 | $467.84 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 14 | $451.58 |
| 82670 | <1% | 19 | $430.00 | |
| 82962 | <1% | 239 | $357.42 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | $326.80 |
| 3075F | <1% | 348 | $315.83 | |
| 82043 | <1% | 67 | $308.64 | |
| 82570 | <1% | 67 | $306.03 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 36 | $275.76 |
| 3079F | <1% | 367 | $270.00 | |
| 82247 | <1% | 1,097 | $269.78 | |
| 83002 | <1% | 17 | $233.16 | |
| 88313 | <1% | 39 | $231.08 | |
| 84146 | <1% | 14 | $224.62 | |
| 83001 | <1% | 15 | $217.01 | |
| 84144 | <1% | 12 | $216.74 | |
| 99422 | <1% | 12 | $216.09 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 36 | $154.13 |
| 96127 | <1% | 72 | $114.63 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $45.78 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 27 | $17.33 |
| 3077F | <1% | 133 | $4.38 | |
| 3725F | 0% | 153 | $0.00 | |
| 1160F | 0% | 81 | $0.00 | |
| 1159F | 0% | 76 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 13 | $0.00 |
| 3044F | 0% | 30 | $0.00 | |
| 3008F | 0% | 81 | $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 officialJUREWICZ, MICHAEL (OWNER)