Physician
Harlem Medical Group, PC
Harlem Medical Group, PC was paid $5.06M by Medicaid between Jan 2018 and Nov 2024, across 96 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoHARLEM MEDICAL GROUP, PC
BRONX, NY 10469
BRONX, NY 10469
33aNPI1851650550assigned 05/15/2012
33bProvider typeFamily Medicine Physician
28Total paid$5.06M
24GClaims246,632
24DCodes billed96
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#31 of 2,605
Median peer was paid$10K
This provider vs. median501×
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 | 30,183 | $704K | |
| 2019 | 34,502 | $751K | |
| 2020 | 28,056 | $663K | |
| 2021 | 43,830 | $776K | |
| 2022 | 46,430 | $707K | |
| 2023 | 35,527 | $832K | |
| 2024incomplete | 28,104 | $623K |
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 | 43% | 35,209 | 29,179 | $2.17M |
| 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% | 13,866 | 13,080 | $1.21M |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 10% | 5,516 | 5,438 | $526K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 5.5% | 3,199 | 3,130 | $280K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 2.9% | 6,002 | 5,972 | $148K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 2,245 | 2,033 | $84K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 1.4% | 6,228 | 6,217 | $72K |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | 1.2% | 4,318 | 4,291 | $61K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 1.2% | 2,416 | 2,392 | $60K |
| G0444 | Annual depression screening, 5 to 15 minutes | 1.1% | 6,157 | 6,133 | $57K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,304 | 3,206 | $49K |
| 93000 | <1% | 2,966 | 2,940 | $44K |
84 more codes
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 2,794 | $39K |
| 90686 | <1% | 1,960 | $39K | |
| 99443 | <1% | 716 | $34K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 17,028 | $25K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 271 | $23K |
| 88142 | <1% | 2,149 | $18K | |
| 99385 | <1% | 183 | $17K | |
| 99442 | <1% | 472 | $14K | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 931 | $14K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 97 | $10K |
| 3074F | <1% | 6,763 | $8K | |
| 90746 | <1% | 121 | $8K | |
| 3078F | <1% | 6,319 | $7K | |
| 81025 | <1% | 1,930 | $7K | |
| 3079F | <1% | 3,299 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 28 | $3K |
| 76830 | Ultrasound, transvaginal | <1% | 34 | $3K |
| 90656 | <1% | 171 | $3K | |
| 0013A | <1% | 79 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 99 | $2K |
| 82947 | <1% | 629 | $2K | |
| 3075F | <1% | 1,450 | $1K | |
| 3077F | <1% | 1,647 | $1K | |
| S0613 | Annual gynecological examination; clinical breast examination without pelvic evaluation | <1% | 469 | $1K |
| 3044F | <1% | 4,585 | $520.32 | |
| 91322 | <1% | 12 | $519.88 | |
| G0250 | Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests | <1% | 66 | $494.10 |
| 90756 | <1% | 36 | $483.62 | |
| 94664 | <1% | 36 | $393.61 | |
| 99406 | <1% | 30 | $332.56 | |
| 1126F | <1% | 3,775 | $321.19 | |
| 3008F | <1% | 23,465 | $295.21 | |
| 3080F | <1% | 370 | $278.50 | |
| 90480 | <1% | 12 | $255.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | $245.67 |
| 98960 | <1% | 43 | $243.76 | |
| 1160F | <1% | 4,162 | $235.04 | |
| 1159F | <1% | 4,198 | $235.04 | |
| 1125F | <1% | 3,783 | $227.06 | |
| 1036F | <1% | 12,784 | $191.77 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 16 | $188.68 |
| 90658 | <1% | 13 | $156.50 | |
| 96127 | <1% | 25 | $141.11 | |
| S9441 | Asthma education, non-physician provider, per session | <1% | 67 | $140.88 |
| 3048F | <1% | 1,994 | $120.12 | |
| 1170F | <1% | 183 | $40.00 | |
| 82962 | <1% | 148 | $37.79 | |
| 99408 | <1% | 30 | $36.65 | |
| 3049F | <1% | 562 | $32.00 | |
| 3050F | <1% | 185 | $16.00 | |
| 91301 | <1% | 61 | $4.59 | |
| 3511F | <1% | 4,159 | $3.35 | |
| 3351F | <1% | 5,639 | $3.04 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 25 | $0.13 |
| 4010F | <1% | 531 | $0.02 | |
| 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% | 51 | $0.01 |
| 3015F | <1% | 6,415 | $0.01 | |
| 3014F | 0% | 1,899 | $0.00 | |
| 4037F | 0% | 3,936 | $0.00 | |
| 3017F | 0% | 3,008 | $0.00 | |
| 1034F | 0% | 375 | $0.00 | |
| 1123F | 0% | 378 | $0.00 | |
| G8599 | Aspirin or another antiplatelet therapy not used, reason not given | 0% | 55 | $0.00 |
| 4086F | 0% | 457 | $0.00 | |
| 1157F | 0% | 265 | $0.00 | |
| 3353F | 0% | 48 | $0.00 | |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 40 | $0.00 |
| 97802 | 0% | 18 | $0.00 | |
| 3016F | 0% | 9,618 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 187 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 1,170 | $0.00 |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 34 | $0.00 |
| G9383 | Patient received screening for hcv infection within the 12 month reporting period | 0% | 631 | $0.00 |
| 4013F | 0% | 1,027 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 578 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 1,651 | $0.00 |
| 1090F | 0% | 490 | $0.00 | |
| 4040F | 0% | 88 | $0.00 | |
| 1158F | 0% | 265 | $0.00 | |
| 4004F | 0% | 801 | $0.00 | |
| G9451 | Patient received one-time screening for hcv infection | 0% | 882 | $0.00 |
| 2022F | 0% | 109 | $0.00 | |
| 1091F | 0% | 60 | $0.00 | |
| 99001 | 0% | 23 | $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 officialPATEL, HEMANT (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Hemant Patel MD PC | New York, NY | $4.45M |
| Rebound Rehabilitative Services INC | St. Augustine, FL | $67K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.