Clinic
Jerome Medical P.C.
Jerome Medical P.C. was paid $359K by Medicaid between Jan 2018 and Dec 2024, across 80 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoJEROME MEDICAL P.C.
BRONX, NY 10468
BRONX, NY 10468
33aNPI1689981094assigned 09/07/2010
33bProvider typePrimary Care Clinic/Center
28Total paid$359K
24GClaims139,345
24DCodes billed80
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New York
Rank by total paid#87 of 242
Median peer was paid$172K
This provider vs. median2.1×
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 | 12,991 | $81K | |
| 2019 | 22,351 | $119K | |
| 2020 | 21,523 | $71K | |
| 2021 | 23,036 | $36K | |
| 2022 | 17,282 | $12K | |
| 2023 | 26,528 | $22K | |
| 2024incomplete | 15,634 | $17K |
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 | 29% | 12,323 | 11,340 | $104K |
| 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 | 13% | 1,716 | 1,694 | $47K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 9.2% | 1,882 | 1,874 | $33K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.7% | 3,954 | 3,741 | $31K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 6.2% | 1,296 | 1,292 | $22K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 5.1% | 3,303 | 3,302 | $18K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 3.7% | 1,134 | 1,133 | $13K |
| 90688 | 2.4% | 544 | 541 | $9K | |
| 3078F | 2.2% | 6,570 | 5,858 | $8K | |
| 3074F | 2.1% | 5,797 | 5,219 | $7K | |
| 99385 | 1.6% | 182 | 182 | $6K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.5% | 100 | 97 | $5K |
68 more codes
| 97802 | 1.5% | 3,526 | $5K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.5% | 6,589 | $5K |
| 93000 | 1.4% | 872 | $5K | |
| 99401 | 1.2% | 2,125 | $4K | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 1.2% | 157 | $4K |
| 99442 | <1% | 122 | $3K | |
| 3077F | <1% | 2,120 | $3K | |
| 3079F | <1% | 2,193 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 776 | $3K |
| 99441 | <1% | 143 | $3K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 306 | $3K |
| 99386 | <1% | 60 | $2K | |
| 3075F | <1% | 1,677 | $2K | |
| 3080F | <1% | 849 | $1K | |
| 90756 | <1% | 74 | $881.90 | |
| 90746 | <1% | 15 | $878.92 | |
| 82947 | <1% | 369 | $700.07 | |
| 86580 | <1% | 83 | $598.01 | |
| 90686 | <1% | 28 | $542.96 | |
| 81025 | <1% | 402 | $506.02 | |
| A4927 | Gloves, non-sterile, per 100 | <1% | 1,729 | $400.74 |
| 81002 | <1% | 387 | $257.80 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 15 | $245.52 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 36 | $212.41 |
| 80061 | Lipid panel | <1% | 357 | $205.51 |
| A4556 | Electrodes, (e.g., apnea monitor), per pair | <1% | 848 | $200.00 |
| 90658 | <1% | 22 | $153.02 | |
| 99406 | <1% | 315 | $142.36 | |
| A4258 | Spring-powered device for lancet, each | <1% | 424 | $110.98 |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | <1% | 69 | $71.15 |
| H0001 | Alcohol and/or drug assessment | <1% | 6,291 | $61.33 |
| A9275 | Home glucose disposable monitor, includes test strips | <1% | 265 | $57.50 |
| A4930 | Gloves, sterile, per pair | <1% | 597 | $50.51 |
| G0008 | Administration of influenza virus vaccine | <1% | 39 | $35.80 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 77 | $31.20 |
| 1160F | <1% | 296 | $25.00 | |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | <1% | 171 | $8.32 |
| 36416 | <1% | 427 | $5.00 | |
| A4206 | Syringe with needle, sterile, 1 cc or less, each | <1% | 68 | $3.80 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 15,767 | $3.27 |
| 3008F | <1% | 12,601 | $2.50 | |
| 3048F | <1% | 619 | $0.05 | |
| 3049F | <1% | 243 | $0.03 | |
| 3061F | <1% | 360 | $0.03 | |
| 1031F | 0% | 1,232 | $0.00 | |
| 3011F | 0% | 2,711 | $0.00 | |
| 1036F | 0% | 4,095 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 6,816 | $0.00 |
| 3754F | 0% | 1,776 | $0.00 | |
| 2000F | 0% | 6,794 | $0.00 | |
| 3292F | 0% | 65 | $0.00 | |
| 3044F | 0% | 1,071 | $0.00 | |
| G9228 | Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings) | 0% | 72 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 64 | $0.00 |
| 3014F | 0% | 28 | $0.00 | |
| 3512F | 0% | 12 | $0.00 | |
| 99000 | 0% | 45 | $0.00 | |
| 1170F | 0% | 12 | $0.00 | |
| 1157F | 0% | 12 | $0.00 | |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 0% | 12 | $0.00 |
| 2001F | 0% | 18 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 14 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 6,170 | $0.00 |
| 3050F | 0% | 232 | $0.00 | |
| 1002F | 0% | 120 | $0.00 | |
| 3725F | 0% | 4,588 | $0.00 | |
| 3015F | 0% | 64 | $0.00 | |
| 99397 | 0% | 12 | $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 officialMARTINEZ, VIRGINIA (FAMILY/INTERNAL MEDICINE)