Clinic
Peninsula Medical Care PLLC
Peninsula Medical Care PLLC was paid $1.16M by Medicaid between Jan 2018 and Sep 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoPENINSULA MEDICAL CARE PLLC
ROCKAWAY PARK, NY 11694
ROCKAWAY PARK, NY 11694
33aNPI1851663926assigned 02/03/2012
33bProvider typeUrgent Care Clinic/Center
28Total paid$1.16M
24GClaims20,153
24DCodes billed10
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in New York
Rank by total paid#52 of 138
Median peer was paid$576K
This provider vs. median2.0×
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 | 2,131 | $119K | |
| 2019 | 2,629 | $144K | |
| 2020 | 3,310 | $180K | |
| 2021 | 4,100 | $236K | |
| 2022 | 3,446 | $206K | |
| 2023 | 2,906 | $173K | |
| 2024incomplete | 1,631 | $100K |
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 | 56% | 11,704 | 9,592 | $648K |
| S9083 | Global fee urgent care centers | 35% | 4,188 | 3,630 | $405K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.8% | 776 | 775 | $44K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 3.5% | 1,955 | 1,711 | $41K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.5% | 467 | 415 | $17K |
| 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 | <1% | 30 | 27 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 32 | 30 | $278.00 |
| 90688 | <1% | 14 | 14 | $253.63 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | 14 | $224.60 |
| 36415 | Collection of venous blood by venipuncture | <1% | 972 | 922 | $120.53 |
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 officialGUPTA, SADHANA (MEDICAL DIRECTOR)