Physician
Jose M Mendez MD PC
Jose M Mendez MD PC was paid $95K by Medicaid between Jan 2018 and Nov 2024, across 47 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 78% of everything it billed.
33Billing provider infoJOSE M MENDEZ MD PC
JACKSON HEIGHTS, NY 11372
JACKSON HEIGHTS, NY 11372
33aNPI1548428741assigned 05/26/2008
33bProvider typePediatrics Physician
28Total paid$95K
24GClaims89,055
24DCodes billed47
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#702 of 1,983
Median peer was paid$17K
This provider vs. median5.6×
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 | 10,424 | $7K | |
| 2019 | 15,807 | $8K | |
| 2020 | 19,159 | $14K | |
| 2021 | 15,390 | $8K | |
| 2022 | 13,170 | $7K | |
| 2023 | 8,619 | $25K | |
| 2024incomplete | 6,486 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 78% | 8,302 | 8,175 | $74K |
| 99406 | 5.6% | 2,241 | 2,224 | $5K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 1,939 | 1,851 | $4K |
| 92551 | 3.4% | 5,692 | 5,650 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 2,405 | 2,311 | $2K |
| 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 | 1.8% | 6,056 | 6,016 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 2,803 | 2,691 | $2K |
| 90656 | 1.0% | 111 | 111 | $950.40 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,640 | 2,536 | $686.40 |
| 99173 | <1% | 4,352 | 4,304 | $425.00 | |
| 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 | <1% | 130 | 128 | $341.97 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,378 | 2,293 | $292.00 |
35 more codes
| H0049 | Alcohol and/or drug screening | <1% | 251 | $170.00 |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | <1% | 3,023 | $120.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,935 | $94.80 |
| 97802 | <1% | 54 | $37.60 | |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | <1% | 2,461 | $21.25 |
| 99401 | <1% | 277 | $20.00 | |
| 90686 | <1% | 3,591 | $19.03 | |
| H0001 | Alcohol and/or drug assessment | <1% | 3,009 | $1.29 |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 926 | $0.07 |
| 99408 | <1% | 27 | $0.01 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 4,992 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 2,829 | $0.00 |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 2,501 | $0.00 |
| 1036F | 0% | 210 | $0.00 | |
| 3008F | 0% | 5,197 | $0.00 | |
| 92587 | 0% | 1,439 | $0.00 | |
| 1000F | 0% | 2,045 | $0.00 | |
| 90619 | 0% | 25 | $0.00 | |
| 90651 | 0% | 319 | $0.00 | |
| 90674 | 0% | 149 | $0.00 | |
| 90620 | 0% | 49 | $0.00 | |
| 99381 | 0% | 13 | $0.00 | |
| 90670 | 0% | 39 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 2,502 | $0.00 |
| 90685 | 0% | 66 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,939 | $0.00 |
| 3725F | 0% | 2,175 | $0.00 | |
| 3016F | 0% | 2,069 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 507 | $0.00 |
| 90461 | 0% | 986 | $0.00 | |
| 90672 | 0% | 14 | $0.00 | |
| 90734 | 0% | 246 | $0.00 | |
| 90661 | 0% | 87 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 25 | $0.00 |
| 90715 | 0% | 29 | $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 officialMENDEZ, JOSE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Dermatology Consultants PA | Miramar, FL | $554K |
| Dermatology Consultants of Asheville PLLC | Woodfin, NC | $34K |
| Hispaniola Pediatrics PC | Corona, NY | $26K |
| Jose Mendez MD PA | Orlando, FL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.