Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

J&J STAR MEDICAL PLLC

NPI: 1588943047 · FOREST HILLS, NY 11375 · Geriatric Medicine (Family Medicine) Physician · NPI assigned 08/15/2011

$904K
Total Medicaid Paid
22,650
Total Claims
20,788
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLI, JIM (MANAGER)
NPI Enumeration Date08/15/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 749 $48K
2019 1,620 $86K
2020 2,412 $102K
2021 5,362 $207K
2022 4,513 $201K
2023 3,969 $158K
2024 4,025 $101K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,398 5,316 $599K
99442 1,548 1,410 $135K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 346 346 $43K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 227 227 $29K
99443 165 146 $19K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 982 942 $19K
90674 454 454 $14K
99441 282 281 $13K
G0444 Annual depression screening, 5 to 15 minutes 1,022 1,000 $12K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 609 605 $8K
90682 89 89 $6K
36410 696 689 $4K
90673 14 14 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 13 $660.76
3074F 332 283 $655.47
3078F 296 251 $570.47
G8510 Screening for depression is documented as negative, a follow-up plan is not required 597 585 $312.00
99406 12 12 $171.13
36415 Collection of venous blood by venipuncture 56 56 $122.15
0513F 52 49 $100.00
3079F 14 12 $27.50
G8752 Most recent systolic blood pressure < 140 mmhg 404 335 $6.43
G8754 Most recent diastolic blood pressure < 90 mmhg 378 313 $6.43
3008F 1,957 1,913 $2.97
3725F 606 592 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 408 404 $0.00
3016F 379 374 $0.00
G9276 Documentation that patient is a current tobacco user 13 12 $0.00
1032F 13 12 $0.00
H0001 Alcohol and/or drug assessment 425 422 $0.00
G9275 Documentation that patient is a current non-tobacco user 840 793 $0.00
1000F 1,196 1,116 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 770 753 $0.00
1036F 1,057 969 $0.00