Physician
Academy Medical Care PC
Academy Medical Care PC was paid $283K by Medicaid between Jan 2018 and Dec 2024, across 89 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoACADEMY MEDICAL CARE PC
NEW YORK, NY 10034
NEW YORK, NY 10034
33aNPI1790809184assigned 03/19/2007
33bProvider typeInternal Medicine Physician
28Total paid$283K
24GClaims245,761
24DCodes billed89
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#686 of 6,049
Median peer was paid$11K
This provider vs. median25×
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 | 35,531 | $135K | |
| 2019 | 37,758 | $53K | |
| 2020 | 29,001 | $30K | |
| 2021 | 31,848 | $28K | |
| 2022 | 33,363 | $14K | |
| 2023 | 43,023 | $16K | |
| 2024incomplete | 35,237 | $7K |
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 | 24% | 6,506 | 6,329 | $67K |
| 93000 | 18% | 4,096 | 4,084 | $52K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 12% | 3,427 | 3,421 | $34K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 9.9% | 4,922 | 4,913 | $28K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 8.1% | 338 | 315 | $23K |
| H0001 | Alcohol and/or drug assessment | 3.1% | 13,990 | 13,395 | $9K |
| 3074F | 3.0% | 8,083 | 7,729 | $8K | |
| 3078F | 3.0% | 8,191 | 7,823 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.9% | 926 | 924 | $8K |
| 99441 | 2.8% | 2,278 | 2,174 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 1,347 | 1,318 | $7K |
| 90658 | 1.9% | 760 | 759 | $5K |
77 more codes
| 99442 | 1.2% | 1,267 | $3K | |
| 0012A | 1.1% | 82 | $3K | |
| 0011A | 1.1% | 83 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 10,380 | $2K |
| 90688 | <1% | 116 | $2K | |
| 1159F | <1% | 6,499 | $1K | |
| 1160F | <1% | 6,532 | $1K | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 181 | $1K |
| 1126F | <1% | 5,653 | $1K | |
| 1170F | <1% | 3,051 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,959 | $976.14 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 98 | $799.67 |
| 82948 | <1% | 3,624 | $786.31 | |
| 99397 | <1% | 113 | $770.19 | |
| 99406 | <1% | 127 | $656.44 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 11,364 | $616.73 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 13 | $254.64 |
| 3079F | <1% | 497 | $180.00 | |
| 99386 | <1% | 32 | $117.11 | |
| 1125F | <1% | 696 | $115.00 | |
| 3077F | <1% | 47 | $87.50 | |
| 99496 | <1% | 26 | $65.86 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 6,233 | $9.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 12,299 | $8.38 |
| 3075F | <1% | 473 | $7.50 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | <1% | 4,619 | $2.16 |
| 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) | <1% | 4,525 | $1.66 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 5,830 | $0.35 |
| S0257 | Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) | <1% | 5,066 | $0.28 |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | <1% | 251 | $0.21 |
| 3008F | <1% | 9,007 | $0.17 | |
| G9621 | Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling | <1% | 34 | $0.16 |
| 4010F | <1% | 2,601 | $0.13 | |
| 3044F | <1% | 2,255 | $0.12 | |
| 3061F | <1% | 1,065 | $0.12 | |
| 2022F | <1% | 496 | $0.08 | |
| 3048F | <1% | 1,054 | $0.06 | |
| 3050F | <1% | 641 | $0.03 | |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | <1% | 698 | $0.02 |
| 3049F | <1% | 945 | $0.02 | |
| 3725F | 0% | 8,954 | $0.00 | |
| 3016F | 0% | 8,935 | $0.00 | |
| 4013F | 0% | 2,846 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 1,100 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 4,132 | $0.00 |
| 2028F | 0% | 1,117 | $0.00 | |
| 0518F | 0% | 2,512 | $0.00 | |
| 3288F | 0% | 2,502 | $0.00 | |
| 1090F | 0% | 92 | $0.00 | |
| 1158F | 0% | 163 | $0.00 | |
| 3015F | 0% | 233 | $0.00 | |
| G8404 | Lower extremity neurological exam performed and documented | 0% | 15 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 88 | $0.00 |
| G9276 | Documentation that patient is a current tobacco user | 0% | 85 | $0.00 |
| 1494F | 0% | 92 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 72 | $0.00 |
| 3051F | 0% | 14 | $0.00 | |
| 2000F | 0% | 528 | $0.00 | |
| 1157F | 0% | 2,933 | $0.00 | |
| 1000F | 0% | 8,930 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 12,368 | $0.00 |
| 3014F | 0% | 1,027 | $0.00 | |
| 2010F | 0% | 8,487 | $0.00 | |
| 3017F | 0% | 1,022 | $0.00 | |
| 4293F | 0% | 8,945 | $0.00 | |
| 1101F | 0% | 357 | $0.00 | |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 0% | 1,348 | $0.00 |
| 0001F | 0% | 517 | $0.00 | |
| G0202 | Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed | 0% | 260 | $0.00 |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 180 | $0.00 |
| 1111F | 0% | 13 | $0.00 | |
| 91301 | 0% | 172 | $0.00 | |
| G0123 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision | 0% | 184 | $0.00 |
| 2023F | 0% | 35 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 13 | $0.00 |
| 1005F | 0% | 80 | $0.00 | |
| 1034F | 0% | 14 | $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 officialTALLAJ, RAMON (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| A.W Medical Office, P.C | Bronx, NY | $223K |
| Balance Medical Professional Primary Services PLLC | Bronx, NY | $99K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.