Physician
Advanced Medical Care PLLC
Advanced Medical Care PLLC was paid $5.15M by Medicaid between Feb 2019 and Nov 2024, across 60 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 17% of everything it billed.
33Billing provider infoADVANCED MEDICAL CARE PLLC
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
33aNPI1689745424assigned 11/13/2006
33bProvider typeInternal Medicine Physician
28Total paid$5.15M
24GClaims94,415
24DCodes billed60
24AFirst – last monthFeb 2019 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#51 of 6,049
Median peer was paid$11K
This provider vs. median455×
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 | |
|---|---|---|---|
| 2019 | 11,632 | $618K | |
| 2020 | 15,504 | $880K | |
| 2021 | 19,797 | $1.18M | |
| 2022 | 14,843 | $875K | |
| 2023 | 19,451 | $954K | |
| 2024incomplete | 13,188 | $638K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 17% | 9,760 | 9,412 | $886K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 12% | 9,759 | 3,034 | $598K |
| 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 | 9.1% | 3,269 | 3,263 | $470K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.9% | 5,929 | 5,780 | $406K |
| 95911 | 5.7% | 2,003 | 1,993 | $295K | |
| 95819 | 5.6% | 1,046 | 1,041 | $288K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 5.1% | 1,815 | 1,812 | $262K |
| 95886 | 5.0% | 2,095 | 2,085 | $256K | |
| 99490 | Ccm add 20min | 4.2% | 6,983 | 6,946 | $216K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 3.8% | 5,895 | 5,699 | $197K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 3.5% | 727 | 727 | $179K |
| 93880 | 2.7% | 1,236 | 1,233 | $139K |
48 more codes
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 2.2% | 689 | $114K |
| 99439 | 1.8% | 2,736 | $91K | |
| 92540 | 1.6% | 1,102 | $82K | |
| 92546 | 1.6% | 1,101 | $82K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 1.6% | 3,606 | $80K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.4% | 3,774 | $74K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 1.3% | 3,794 | $67K |
| 93015 | <1% | 901 | $42K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 401 | $40K |
| 93000 | <1% | 3,401 | $36K | |
| 97161 | <1% | 808 | $32K | |
| 92537 | <1% | 1,098 | $29K | |
| 64615 | <1% | 203 | $25K | |
| 99487 | Ccm add 20min | <1% | 230 | $19K |
| 97014 | <1% | 1,334 | $18K | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 13 | $14K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,364 | $14K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 25 | $14K |
| 92548 | <1% | 569 | $13K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 174 | $7K |
| 93886 | <1% | 51 | $7K | |
| 93892 | <1% | 51 | $7K | |
| 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% | 152 | $7K |
| 93890 | <1% | 51 | $7K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 553 | $6K |
| J3475 | Injection, magnesium sulfate, per 500 mg | <1% | 5,710 | $4K |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | <1% | 1,226 | $3K |
| 97164 | <1% | 98 | $3K | |
| E0700 | Safety equipment, device or accessory, any type | <1% | 385 | $3K |
| 92547 | <1% | 1,124 | $3K | |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | <1% | 44 | $2K |
| 99454 | <1% | 502 | $1K | |
| 97162 | <1% | 38 | $1K | |
| 95992 | <1% | 93 | $915.61 | |
| J3411 | Injection, thiamine hcl, 100 mg | <1% | 581 | $900.75 |
| 92652 | <1% | 16 | $871.04 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 551 | $612.28 |
| 99489 | Ccm add 20min | <1% | 14 | $523.88 |
| 99426 | <1% | 13 | $231.93 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 4,731 | $110.35 |
| J0280 | Injection, aminophyllin, up to 250 mg | <1% | 26 | $94.53 |
| 36415 | Collection of venous blood by venipuncture | <1% | 148 | $37.03 |
| 99457 | <1% | 255 | $12.76 | |
| 99458 | <1% | 12 | $9.22 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 13 | $4.63 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 14 | $0.02 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 66 | $0.00 |
| 99070 | 0% | 57 | $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 officialGIBSON, MELISSA (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Shenandoah Smiles PC | Winchester, VA | $2.35M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.