Clinic
Andrade Medical PLLC
Andrade Medical PLLC was paid $913K by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.
33Billing provider infoANDRADE MEDICAL PLLC
BRONX, NY 10472
BRONX, NY 10472
33aNPI1801123617assigned 11/16/2009
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$913K
24GClaims37,161
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in New York
Rank by total paid#45 of 118
Median peer was paid$372K
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2018 | 5,197 | $160K | |
| 2019 | 6,041 | $184K | |
| 2020 | 3,278 | $121K | |
| 2021 | 3,035 | $113K | |
| 2022 | 3,516 | $144K | |
| 2023 | 4,831 | $102K | |
| 2024incomplete | 11,263 | $89K |
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 | 82% | 11,592 | 9,813 | $744K |
| 92587 | 4.5% | 1,623 | 1,611 | $41K | |
| 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 | 3.5% | 379 | 355 | $32K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.5% | 881 | 868 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 104 | 104 | $9K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,065 | 1,063 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 184 | 173 | $7K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 68 | 68 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 61 | 61 | $6K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 56 | 55 | $6K |
| H0049 | Alcohol and/or drug screening | <1% | 1,271 | 1,269 | $5K |
| H0001 | Alcohol and/or drug assessment | <1% | 930 | 929 | $5K |
45 more codes
| 90658 | <1% | 485 | $4K | |
| 99408 | <1% | 575 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,006 | $4K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 419 | $4K |
| 86580 | <1% | 394 | $2K | |
| 90461 | <1% | 96 | $2K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 165 | $2K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,165 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 286 | $1K |
| 3074F | <1% | 953 | $977.32 | |
| 3078F | <1% | 823 | $831.04 | |
| 99442 | <1% | 13 | $771.53 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 17 | $761.16 |
| 0071A | <1% | 13 | $330.54 | |
| 3079F | <1% | 219 | $324.36 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 24 | $275.00 |
| 94760 | <1% | 408 | $236.76 | |
| 99173 | <1% | 83 | $225.12 | |
| 3077F | <1% | 89 | $154.76 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 30 | $115.32 |
| 99000 | <1% | 381 | $41.58 | |
| 3080F | <1% | 25 | $31.80 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | <1% | 269 | $7.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 1,806 | $5.60 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 1,669 | $0.70 |
| G9275 | Documentation that patient is a current non-tobacco user | <1% | 51 | $0.01 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 54 | $0.00 |
| 1159F | 0% | 1,203 | $0.00 | |
| 1160F | 0% | 50 | $0.00 | |
| 3725F | 0% | 518 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 85 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 86 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 21 | $0.00 |
| 90649 | 0% | 12 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 98 | $0.00 |
| 90688 | 0% | 140 | $0.00 | |
| 3008F | 0% | 1,310 | $0.00 | |
| 1125F | 0% | 84 | $0.00 | |
| 1036F | 0% | 407 | $0.00 | |
| 1126F | 0% | 786 | $0.00 | |
| 0513F | 0% | 328 | $0.00 | |
| 2010F | 0% | 1,201 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 47 | $0.00 |
| 91307 | 0% | 20 | $0.00 | |
| 1000F | 0% | 33 | $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 officialJACOB, DAVID (CRED MANAGER)