Medicaid Provider Spending

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

GENERAL MEDICAL SERVICES OF QUEENS PC

NPI: 1649334921 · JACKSON HEIGHTS, NY 11372 · Internal Medicine Physician · NPI assigned 12/20/2006

$277K
Total Medicaid Paid
72,622
Total Claims
69,837
Beneficiaries
79
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPIMENTEL, RAMON (OWNER)
NPI Enumeration Date12/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,004 $141K
2019 16,913 $96K
2020 11,540 $12K
2021 14,393 $13K
2022 10,802 $12K
2023 392 $249.60
2024 1,578 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,703 2,532 $79K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 309 309 $59K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,482 2,430 $29K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 956 938 $28K
G0444 Annual depression screening, 5 to 15 minutes 3,827 3,674 $17K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 2,183 2,130 $14K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 700 663 $8K
93880 40 40 $8K
99401 1,794 1,743 $7K
93000 453 451 $6K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,455 2,394 $5K
90674 218 218 $4K
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 439 422 $2K
H0001 Alcohol and/or drug assessment 1,811 1,808 $1K
3078F 2,586 2,474 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 235 232 $1K
3074F 2,489 2,390 $1K
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 79 77 $1K
36415 Collection of venous blood by venipuncture 4,356 4,273 $915.71
82947 340 308 $836.10
82270 475 473 $750.39
80061 Lipid panel 834 830 $566.54
1126F 1,820 1,734 $321.00
1111F 86 85 $267.00
1160F 3,556 3,285 $210.00
1159F 2,897 2,738 $184.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 178 172 $169.97
99072 1,242 1,212 $86.00
93272 27 27 $48.44
1125F 335 331 $48.00
3079F 64 62 $40.02
3075F 13 13 $25.01
G8783 Normal blood pressure reading documented, follow-up not required 643 631 $24.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,838 1,748 $15.00
1000F 1,048 1,039 $14.00
2028F 85 73 $8.00
3008F 3,900 3,614 $0.90
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,849 3,702 $0.44
86703 105 105 $0.36
86803 87 87 $0.25
0521F 358 355 $0.09
A4556 Electrodes, (e.g., apnea monitor), per pair 27 27 $0.02
G8754 Most recent diastolic blood pressure < 90 mmhg 1,276 1,256 $0.00
2000F 1,186 1,149 $0.00
1036F 1,124 1,109 $0.00
1220F 279 279 $0.00
1030F 342 335 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 231 230 $0.00
2001F 396 369 $0.00
81528 Oncology (colorectal) screening, quantitative real-time target and signal amplification 25 25 $0.00
2010F 401 374 $0.00
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 86 86 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 24 24 $0.00
4010F 40 39 $0.00
4293F 45 45 $0.00
90654 13 13 $0.00
4037F 18 18 $0.00
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 13 12 $0.00
96160 315 305 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,152 1,136 $0.00
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 136 134 $0.00
G9150 National committee for quality assurance - level 3 medical home 6,422 5,960 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 412 411 $0.00
3725F 1,791 1,771 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 863 829 $0.00
G0435 Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening 152 152 $0.00
3016F 886 876 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 131 126 $0.00
97156 316 306 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 39 39 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 184 183 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 54 53 $0.00
99408 67 67 $0.00
2022F 40 40 $0.00
G9383 Patient received screening for hcv infection within the 12 month reporting period 29 29 $0.00
99421 77 76 $0.00
G0459 Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy 93 91 $0.00
G8482 Influenza immunization administered or previously received 26 26 $0.00
4013F 16 15 $0.00