Physician
Five Star Medical Office PC
Five Star Medical Office PC was paid $6K by Medicaid between Apr 2023 and Oct 2024, across 13 billing codes. Its largest line is 99349, — 29% of everything it billed.
33Billing provider infoFIVE STAR MEDICAL OFFICE PC
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
33aNPI1760731459assigned 09/10/2012
33bProvider typeInternal Medicine Physician
28Total paid$6K
24GClaims764
24DCodes billed13
24AFirst – last monthApr 2023 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#3,588 of 6,049
Median peer was paid$11K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2023 | 148 | $2K | |
| 2024incomplete | 616 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99349 | 29% | 134 | 128 | $2K | |
| 99490 | Ccm add 20min | 20% | 124 | 124 | $1K |
| 99489 | Ccm add 20min | 17% | 32 | 32 | $1K |
| 99487 | Ccm add 20min | 13% | 32 | 32 | $783.23 |
| 99439 | 11% | 59 | 59 | $651.98 | |
| 1159F | 2.9% | 98 | 95 | $171.66 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 2.6% | 14 | 14 | $158.91 |
| G8432 | Depression screening not documented, reason not given | 1.9% | 47 | 45 | $113.70 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 1.4% | 16 | 15 | $84.21 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 105 | 104 | $55.54 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 25 | 25 | $31.44 |
| 1160F | <1% | 51 | 50 | $13.92 |
1 more codes
| 3078F | <1% | 27 | $8.90 |
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 officialDAYE, CELESTE (VP REVENUE MANAGEMENT)