NYC Local Medical Care P.C.

NYC Local Medical Care P.C. was paid $1.14M by Medicaid between Jun 2018 and Dec 2024, across 79 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.

33Billing provider infoNYC LOCAL MEDICAL CARE P.C.
JACKSON HEIGHTS, NY 11372

33aNPI1699217174assigned 11/15/2016

33bProvider typeInternal Medicine Physician

28Total paid$1.14M

24GClaims44,706

24DCodes billed79

24AFirst – last monthJun 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#253 of 6,049

Median peer was paid$11K

This provider vs. median100×

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	327	$7K
2019	5,221	$85K
2020	10,306	$155K
2021	9,811	$238K
2022	7,757	$214K
2023	5,010	$214K
2024incomplete	6,274	$224K

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	34%	3,933	3,325	$390K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	33%	5,541	4,281	$377K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.1%	1,012	927	$46K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	3.1%	2,408	2,149	$35K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	2.9%	325	325	$33K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	2.5%	1,664	1,366	$29K
H0001	Alcohol and/or drug assessment	2.2%	627	599	$25K
H0049	Alcohol and/or drug screening	1.8%	626	599	$21K
90686		1.7%	900	898	$20K
G0444	Annual depression screening, 5 to 15 minutes	1.7%	1,376	1,347	$19K
S9470	Nutritional counseling, dietitian visit	1.5%	441	420	$17K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.4%	172	172	$16K

67 more codes

G0447	Face-to-face behavioral counseling for obesity, 15 minutes	1.2%	690	$14K
99401		1.0%	397	$12K
80050	General health panel	<1%	1,090	$10K
G0443	Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes	<1%	426	$9K
99441		<1%	383	$8K
36415	Collection of venous blood by venipuncture	<1%	2,683	$8K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	572	$7K
90746		<1%	108	$6K
99204	Doctor's office visit, new patient (more involved)	<1%	41	$5K
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	<1%	195	$4K
0124A		<1%	94	$4K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	866	$2K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	82	$2K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	80	$2K
96127		<1%	462	$2K
99000		<1%	777	$2K
99442		<1%	51	$1K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	38	$1K
99429		<1%	61	$1K
0003A		<1%	88	$950.04
81005		<1%	501	$882.93
3078F		<1%	1,751	$807.50
3074F		<1%	1,859	$805.50
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	<1%	16	$762.62
90715		<1%	15	$662.40
93000		<1%	49	$573.11
0012A		<1%	14	$444.48
0013A		<1%	19	$425.89
97802		<1%	12	$346.62
0011A		<1%	16	$299.85
99051		<1%	27	$203.58
96160		<1%	54	$126.10
99173		<1%	12	$30.84
1124F		0%	641	$0.00
3725F		0%	916	$0.00
1160F		0%	685	$0.00
3016F		0%	350	$0.00
G9820	Documentation of a chlamydia screening test with proper follow-up	0%	212	$0.00
3293F		0%	263	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	290	$0.00
G9622	Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method	0%	219	$0.00
91300		0%	17	$0.00
3028F		0%	25	$0.00
0004A		0%	15	$0.00
3015F		0%	13	$0.00
3044F		0%	1,038	$0.00
1036F		0%	592	$0.00
2010F		0%	25	$0.00
1000F		0%	755	$0.00
3075F		0%	23	$0.00
3008F		0%	2,901	$0.00
3072F		0%	25	$0.00
3292F		0%	703	$0.00
G9275	Documentation that patient is a current non-tobacco user	0%	270	$0.00
4293F		0%	303	$0.00
3079F		0%	85	$0.00
3048F		0%	553	$0.00
3011F		0%	329	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	198	$0.00
4037F		0%	466	$0.00
3017F		0%	12	$0.00
G9664	Patients who are currently statin therapy users or received an order (prescription) for statin therapy	0%	27	$0.00
1220F		0%	120	$0.00
3049F		0%	32	$0.00
3215F		0%	12	$0.00
82043		0%	21	$0.00
S9451	Exercise classes, non-physician provider, per session	0%	16	$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 officialMALOY, TONY (OWNER)