Monroe Plan for Medical Care

Monroe Plan for Medical Care was paid $126K by Medicaid between Jan 2019 and Jul 2022, across 4 billing codes. Its largest line is T1001, Nursing assessment / evaluation — 92% of everything it billed.

33Billing provider infoMONROE PLAN FOR MEDICAL CARE
PITTSFORD, NY 14534

33aNPI1780935502assigned 09/20/2012

33bProvider typeCase Management Agency

28Total paid$126K

24GClaims680

24DCodes billed4

24AFirst – last monthJan 2019 – Jul 2022

Compared with peers

Next to other Case Management Agency providers in New York

Rank by total paid#140 of 180

Median peer was paid$1.76M

This provider vs. median0.1×

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
2019	404	$81K
2020	176	$35K
2022	100	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1001	Nursing assessment / evaluation	92%	580	580	$116K
99344		6.9%	52	52	$9K
92250		<1%	18	18	$844.74
83037		<1%	30	30	$87.30

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 officialGRAZIANO, DENNIS (CEO)