J&J Star Medical PLLC

J&J Star Medical PLLC was paid $904K by Medicaid between Jan 2018 and Oct 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.

33Billing provider infoJ&J STAR MEDICAL PLLC
FOREST HILLS, NY 11375

33aNPI1588943047assigned 08/15/2011

33bProvider typeGeriatric Medicine (Family Medicine) Physician

28Total paid$904K

24GClaims22,650

24DCodes billed34

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Geriatric Medicine (Family Medicine) Physician providers in New York

Rank by total paid#3 of 44

Median peer was paid$7K

This provider vs. median130×

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	66%	6,398	5,316	$599K
99442		15%	1,548	1,410	$135K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	4.8%	346	346	$43K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	3.3%	227	227	$29K
99443		2.1%	165	146	$19K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	2.0%	982	942	$19K
90674		1.5%	454	454	$14K
99441		1.4%	282	281	$13K
G0444	Annual depression screening, 5 to 15 minutes	1.4%	1,022	1,000	$12K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	609	605	$8K
90682		<1%	89	89	$6K
36410		<1%	696	689	$4K

22 more codes

90673		<1%	14	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	13	$660.76
3074F		<1%	332	$655.47
3078F		<1%	296	$570.47
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	597	$312.00
99406		<1%	12	$171.13
36415	Collection of venous blood by venipuncture	<1%	56	$122.15
0513F		<1%	52	$100.00
3079F		<1%	14	$27.50
G8752	Most recent systolic blood pressure < 140 mmhg	<1%	404	$6.43
G8754	Most recent diastolic blood pressure < 90 mmhg	<1%	378	$6.43
3008F		<1%	1,957	$2.97
3725F		0%	606	$0.00
G9622	Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method	0%	408	$0.00
3016F		0%	379	$0.00
G9276	Documentation that patient is a current tobacco user	0%	13	$0.00
1032F		0%	13	$0.00
H0001	Alcohol and/or drug assessment	0%	425	$0.00
G9275	Documentation that patient is a current non-tobacco user	0%	840	$0.00
1000F		0%	1,196	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	770	$0.00
1036F		0%	1,057	$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 officialLI, JIM (MANAGER)