Clinic
1110 Pennsylvania Avenue Medical PLLC
1110 Pennsylvania Avenue Medical PLLC was paid $576K by Medicaid between Apr 2018 and Oct 2024, across 12 billing codes. Its largest line is S9083, Global fee urgent care centers — 57% of everything it billed.
33Billing provider info1110 PENNSYLVANIA AVENUE MEDICAL PLLC
BROOKLYN, NY 11207
BROOKLYN, NY 11207
33aNPI1730638115assigned 09/27/2016
33bProvider typeUrgent Care Clinic/Center
28Total paid$576K
24GClaims11,091
24DCodes billed12
24AFirst – last monthApr 2018 – Oct 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in New York
Rank by total paid#70 of 138
Median peer was paid$576K
This provider vs. median1.0×
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 | 639 | $34K | |
| 2019 | 1,142 | $60K | |
| 2020 | 1,332 | $68K | |
| 2021 | 2,160 | $126K | |
| 2022 | 2,275 | $114K | |
| 2023 | 2,153 | $102K | |
| 2024incomplete | 1,390 | $72K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9083 | Global fee urgent care centers | 57% | 5,886 | 5,126 | $327K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 2,556 | 2,324 | $146K |
| 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 | 8.2% | 750 | 664 | $47K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.4% | 471 | 471 | $31K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 89 | 89 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 613 | 597 | $5K |
| 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 | <1% | 70 | 70 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 77 | 72 | $4K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 61 | 58 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 290 | 286 | $2K |
| 81003 | <1% | 215 | 208 | $415.47 | |
| 81025 | <1% | 13 | 13 | $21.42 |
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 officialSTOREY, JACQUELINE (PHYSICIAN)