Physician
Jhonsua Alberto Jimenez Arias Medical PLLC
Jhonsua Alberto Jimenez Arias Medical PLLC was paid $96K by Medicaid between Dec 2022 and Dec 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoJHONSUA ALBERTO JIMENEZ ARIAS MEDICAL PLLC
NEW YORK, NY 10031
NEW YORK, NY 10031
33aNPI1760124036assigned 04/08/2022
33bProvider typeFamily Medicine Physician
28Total paid$96K
24GClaims30,476
24DCodes billed56
24AFirst – last monthDec 2022 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#588 of 2,605
Median peer was paid$10K
This provider vs. median9.5×
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 | |
|---|---|---|---|
| 2022 | 574 | $381.77 | |
| 2023 | 16,649 | $41K | |
| 2024incomplete | 13,253 | $55K |
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 | 32% | 2,858 | 2,734 | $31K |
| 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 | 30% | 736 | 730 | $29K |
| G0444 | Annual depression screening, 5 to 15 minutes | 14% | 1,372 | 1,367 | $14K |
| 99385 | 8.4% | 320 | 320 | $8K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 7.5% | 489 | 489 | $7K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.9% | 238 | 238 | $4K |
| 93000 | 1.0% | 547 | 546 | $995.99 | |
| 99386 | <1% | 101 | 101 | $590.37 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,237 | 2,222 | $261.88 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 355 | 355 | $198.51 |
| 99497 | <1% | 27 | 26 | $179.14 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 167 | 167 | $140.00 |
44 more codes
| 80061 | Lipid panel | <1% | 255 | $132.45 |
| 3074F | <1% | 2,116 | $110.00 | |
| 99397 | <1% | 62 | $105.07 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $90.46 |
| 3078F | <1% | 1,190 | $60.00 | |
| 81002 | <1% | 674 | $57.44 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 12 | $48.17 |
| 3079F | <1% | 1,297 | $40.00 | |
| 87270 | <1% | 216 | $12.16 | |
| 84132 | <1% | 439 | $10.71 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 439 | $10.00 |
| 82565 | <1% | 442 | $7.62 | |
| A4556 | Electrodes, (e.g., apnea monitor), per pair | <1% | 358 | $6.19 |
| H0001 | Alcohol and/or drug assessment | <1% | 225 | $4.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 219 | $2.40 |
| 3511F | 0% | 313 | $0.00 | |
| 1160F | 0% | 730 | $0.00 | |
| 3725F | 0% | 1,067 | $0.00 | |
| 1159F | 0% | 744 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 463 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,012 | $0.00 |
| 0521F | 0% | 1,413 | $0.00 | |
| 4013F | 0% | 59 | $0.00 | |
| 3077F | 0% | 73 | $0.00 | |
| 99401 | 0% | 515 | $0.00 | |
| 3015F | 0% | 19 | $0.00 | |
| G9507 | Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs) | 0% | 16 | $0.00 |
| 1158F | 0% | 14 | $0.00 | |
| 1000F | 0% | 682 | $0.00 | |
| G8473 | Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed | 0% | 229 | $0.00 |
| 3351F | 0% | 102 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,119 | $0.00 |
| 3008F | 0% | 2,468 | $0.00 | |
| 1125F | 0% | 1,166 | $0.00 | |
| 3075F | 0% | 195 | $0.00 | |
| 82270 | 0% | 81 | $0.00 | |
| 1123F | 0% | 13 | $0.00 | |
| 1126F | 0% | 137 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 62 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 69 | $0.00 |
| 4010F | 0% | 226 | $0.00 | |
| 3014F | 0% | 12 | $0.00 | |
| 3017F | 0% | 59 | $0.00 | |
| 1170F | 0% | 13 | $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 officialJIMENEZ ARIAS, JHONSUA (OWNER/AUTHORIZED OFFICIAL)