Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Bronx › NPI 1740422203
Physician

University Medical Office, PLLC

University Medical Office, PLLC was paid $127K by Medicaid between Jan 2018 and Nov 2023, across 69 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.

33Billing provider infoUNIVERSITY MEDICAL OFFICE, PLLC
BRONX, NY 10468
33aNPI1740422203assigned 03/30/2009
28Total paid$127K
24GClaims43,584
24DCodes billed69
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#1,119 of 6,049
Median peer was paid$11K
This provider vs. median11×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
201810,532$50K
201911,072$37K
202011,579$20K
20217,749$12K
20221,311$2K
20231,341$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 21% 1,336 1,330 $26K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 20% 1,933 1,931 $25K
G0444 Annual depression screening, 5 to 15 minutes 12% 1,635 1,635 $15K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 11% 998 995 $14K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 5.0% 504 502 $6K
93000 4.6% 451 445 $6K
90686 4.4% 363 340 $6K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.4% 114 109 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2.9% 346 346 $4K
3078F 1.8% 1,237 1,237 $2K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 1.7% 858 858 $2K
99497 1.7% 30 30 $2K
57 more codes
3074F 1.4% 955 $2K
99203 Doctor's office visit, new patient (routine) 1.4% 44 $2K
H0001 Alcohol and/or drug assessment 1.1% 1,812 $1K
94060 <1% 25 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 850 $923.85
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 43 $895.92
99386 <1% 12 $731.44
3077F <1% 229 $705.00
36415 Collection of venous blood by venipuncture <1% 4,059 $583.76
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 2,136 $528.00
82274 <1% 55 $485.16
1126F <1% 946 $348.00
3079F <1% 128 $272.50
3075F <1% 137 $265.00
96127 <1% 1,342 $254.33
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 1,106 $210.60
1170F <1% 24 $40.00
S0257 Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) <1% 46 $30.00
1125F <1% 84 $10.00
A4206 Syringe with needle, sterile, 1 cc or less, each <1% 329 $1.90
3008F <1% 1,055 $0.08
3048F <1% 267 $0.07
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 15 $0.03
G8506 Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 0% 233 $0.00
4013F 0% 384 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 976 $0.00
3016F 0% 907 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 457 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 469 $0.00
3725F 0% 1,119 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 1,971 $0.00
1158F 0% 1,047 $0.00
0521F 0% 219 $0.00
99401 0% 85 $0.00
G8482 Influenza immunization administered or previously received 0% 184 $0.00
1160F 0% 492 $0.00
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 0% 67 $0.00
1159F 0% 259 $0.00
3288F 0% 67 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 0% 16 $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) 0% 16 $0.00
3050F 0% 13 $0.00
2010F 0% 605 $0.00
1036F 0% 206 $0.00
1220F 0% 1,092 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 785 $0.00
2000F 0% 1,128 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 2,384 $0.00
1000F 0% 1,137 $0.00
2001F 0% 642 $0.00
3049F 0% 26 $0.00
0513F 0% 96 $0.00
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 0% 84 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 0% 101 $0.00
1123F 0% 670 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 0% 117 $0.00
1157F 0% 26 $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 officialBELLIARD ESTEVEZ, CHRISTIAN (PRESIDENT)