Physician
Heights Physicians Group, P.C.
Heights Physicians Group, P.C. was paid $1.13M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoHEIGHTS PHYSICIANS GROUP, P.C.
NEW YORK, NY 10040
NEW YORK, NY 10040
33aNPI1770633497assigned 01/12/2007
33bProvider typeInternal Medicine Physician
28Total paid$1.13M
24GClaims75,223
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#257 of 6,049
Median peer was paid$11K
This provider vs. median100×
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 | 6,943 | $146K | |
| 2019 | 6,833 | $149K | |
| 2020 | 7,872 | $168K | |
| 2021 | 10,289 | $201K | |
| 2022 | 11,679 | $176K | |
| 2023 | 17,340 | $175K | |
| 2024incomplete | 14,267 | $117K |
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 | 30% | 10,312 | 10,124 | $345K |
| 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 | 25% | 6,521 | 6,512 | $286K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 14% | 2,919 | 2,919 | $158K |
| 99442 | 7.6% | 1,686 | 1,665 | $86K | |
| 93000 | 7.5% | 7,553 | 7,550 | $85K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.6% | 2,600 | 2,521 | $52K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.8% | 459 | 459 | $20K |
| 90674 | 1.7% | 1,496 | 1,493 | $19K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 522 | 522 | $16K |
| 94010 | 1.2% | 534 | 534 | $14K | |
| 92587 | <1% | 284 | 284 | $11K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 12,223 | 12,072 | $8K |
43 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,009 | $5K |
| G0008 | Administration of influenza virus vaccine | <1% | 1,361 | $5K |
| 99441 | <1% | 139 | $4K | |
| 99385 | <1% | 66 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 10,079 | $2K |
| 99401 | <1% | 254 | $2K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 141 | $2K |
| 99397 | <1% | 70 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 182 | $2K |
| 90661 | <1% | 31 | $998.83 | |
| 99386 | <1% | 89 | $991.89 | |
| 3078F | <1% | 2,183 | $857.54 | |
| 3074F | <1% | 1,773 | $615.04 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 82 | $566.13 |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | <1% | 31 | $531.10 |
| 96127 | <1% | 112 | $168.20 | |
| 90756 | <1% | 12 | $167.93 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 125 | $145.81 |
| 99497 | <1% | 37 | $102.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | <1% | 2,365 | $90.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 63 | $58.40 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 81 | $35.00 |
| 3008F | 0% | 273 | $0.00 | |
| 1000F | 0% | 1,451 | $0.00 | |
| 1101F | 0% | 186 | $0.00 | |
| 1036F | 0% | 1,523 | $0.00 | |
| 1126F | 0% | 114 | $0.00 | |
| 3048F | 0% | 57 | $0.00 | |
| 1157F | 0% | 192 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 37 | $0.00 |
| 1170F | 0% | 227 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 103 | $0.00 |
| 3079F | 0% | 64 | $0.00 | |
| 3075F | 0% | 70 | $0.00 | |
| 3044F | 0% | 12 | $0.00 | |
| 1158F | 0% | 205 | $0.00 | |
| 3725F | 0% | 2,311 | $0.00 | |
| 1160F | 0% | 256 | $0.00 | |
| 3077F | 0% | 91 | $0.00 | |
| 1100F | 0% | 184 | $0.00 | |
| 1159F | 0% | 270 | $0.00 | |
| 3288F | 0% | 187 | $0.00 | |
| 97803 | 0% | 16 | $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 officialALVARADO-RIVERA, JORGE (PRESIDENT)