Physician
P & C Medical Group, LLC
P & C Medical Group, LLC was paid $3.61M by Medicaid between Jan 2018 and Nov 2024, across 81 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoP & C MEDICAL GROUP, LLC
ELIZABETH, NJ 07208
ELIZABETH, NJ 07208
33aNPI1760785398assigned 12/21/2010
33bProvider typeFamily Medicine Physician
28Total paid$3.61M
24GClaims330,102
24DCodes billed81
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in New Jersey
Rank by total paid#11 of 414
Median peer was paid$28K
This provider vs. median128×
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 | 24,021 | $613K | |
| 2019 | 27,900 | $479K | |
| 2020 | 25,591 | $312K | |
| 2021 | 28,863 | $350K | |
| 2022 | 71,820 | $605K | |
| 2023 | 85,105 | $774K | |
| 2024incomplete | 66,802 | $479K |
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 | 32% | 19,888 | 18,062 | $1.16M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 21,183 | 19,244 | $979K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 11% | 4,921 | 4,763 | $414K |
| 99401 | 5.6% | 8,296 | 7,676 | $203K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.8% | 2,099 | 2,056 | $174K |
| 99490 | Ccm add 20min | 3.9% | 6,971 | 6,625 | $140K |
| 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 | 3.4% | 1,227 | 1,166 | $123K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.4% | 1,611 | 1,601 | $122K |
| 93000 | 3.2% | 11,245 | 10,781 | $115K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 1.3% | 1,753 | 1,634 | $47K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.1% | 768 | 214 | $41K |
| 99439 | <1% | 2,280 | 2,039 | $27K |
69 more codes
| 96127 | <1% | 4,948 | $15K | |
| 99397 | <1% | 280 | $10K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 102 | $8K |
| 82962 | <1% | 9,382 | $6K | |
| 93923 | <1% | 103 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 142 | $5K |
| 99406 | <1% | 391 | $4K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 38 | $3K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 277 | $2K |
| 99442 | <1% | 99 | $2K | |
| 99385 | <1% | 13 | $1K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 743 | $1K |
| 99223 | Prolong inpt eval add15 m | <1% | 12 | $986.66 |
| 3078F | <1% | 18,223 | $948.91 | |
| 1126F | <1% | 18,974 | $941.87 | |
| 3074F | <1% | 16,502 | $878.83 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 20 | $736.63 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 154 | $726.78 |
| 90686 | <1% | 52 | $711.05 | |
| 3008F | <1% | 6,969 | $650.50 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 49 | $542.07 |
| 1160F | <1% | 22,788 | $399.21 | |
| 1125F | <1% | 7,762 | $293.21 | |
| 90688 | <1% | 21 | $275.38 | |
| 3079F | <1% | 4,402 | $215.14 | |
| 3075F | <1% | 3,518 | $174.13 | |
| 3077F | <1% | 4,140 | $155.18 | |
| 3044F | <1% | 2,105 | $82.13 | |
| 1159F | <1% | 12,804 | $70.20 | |
| 3080F | <1% | 896 | $42.00 | |
| 4010F | <1% | 768 | $33.00 | |
| 36416 | <1% | 154 | $15.66 | |
| 1158F | <1% | 1,421 | $15.00 | |
| 3061F | <1% | 259 | $14.00 | |
| G9968 | Patient was referred to another clinician or specialist during the measurement period | <1% | 52 | $10.00 |
| 94760 | <1% | 131 | $9.54 | |
| 96160 | <1% | 24 | $5.97 | |
| 3051F | <1% | 135 | $4.01 | |
| 3046F | <1% | 21 | $3.00 | |
| 1170F | <1% | 1,500 | $2.00 | |
| 3045F | <1% | 28 | $2.00 | |
| 2010F | 0% | 26,136 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 17,649 | $0.00 |
| 2001F | 0% | 25,049 | $0.00 | |
| 2000F | 0% | 11,553 | $0.00 | |
| 3014F | 0% | 425 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 1,487 | $0.00 |
| 3049F | 0% | 163 | $0.00 | |
| 3319F | 0% | 167 | $0.00 | |
| 1036F | 0% | 1,529 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 383 | $0.00 |
| 1034F | 0% | 179 | $0.00 | |
| 4037F | 0% | 45 | $0.00 | |
| 3017F | 0% | 175 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,868 | $0.00 |
| G9459 | Currently a tobacco non-user | 0% | 329 | $0.00 |
| 3120F | 0% | 142 | $0.00 | |
| 3351F | 0% | 17 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 16,969 | $0.00 |
| 1124F | 0% | 496 | $0.00 | |
| 0518F | 0% | 206 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,731 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 58 | $0.00 |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | 0% | 302 | $0.00 |
| 3050F | 0% | 71 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 246 | $0.00 |
| 3015F | 0% | 48 | $0.00 | |
| 3288F | 0% | 23 | $0.00 | |
| 3725F | 0% | 12 | $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 officialCISNERO, MARIA (OWNER/PHYSICIAN)