East Elmhurst Primary Medical Care, PLLC

East Elmhurst Primary Medical Care, PLLC was paid $55K by Medicaid between Jan 2018 and Jun 2023, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.

33Billing provider infoEAST ELMHURST PRIMARY MEDICAL CARE, PLLC
FAR ROCKAWAY, NY 11691

33aNPI1851347900assigned 05/26/2006

33bProvider typeFamily Medicine Physician

28Total paid$55K

24GClaims1,022

24DCodes billed8

24AFirst – last monthJan 2018 – Jun 2023

Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#721 of 2,605

Median peer was paid$10K

This provider vs. median5.4×

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	182	$10K
2019	163	$6K
2020	35	$1K
2021	495	$28K
2022	53	$4K
2023	94	$6K

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	73%	644	549	$40K
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	24%	138	118	$13K
95924		1.4%	12	12	$758.30
95923		1.4%	12	12	$743.54
93040		<1%	12	12	$62.10
36415	Collection of venous blood by venipuncture	<1%	168	158	$49.62
99401		0%	12	12	$0.00
93923		0%	24	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 officialJONES, ERIC (CREDENTIALING SPECIALIST)