Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › NEW YORK › AUDUBON PRIMARY CARE MEDICINE PLLC

AUDUBON PRIMARY CARE MEDICINE PLLC

NPI: 1851736441 · NEW YORK, NY 10033 · Internal Medicine Physician · NPI assigned 05/08/2013

$1.85M
Total Medicaid Paid
550,609
Total Claims
485,003
Beneficiaries
124
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCALDERON, CECILIA (PRESIDENT)
NPI Enumeration Date05/08/2013

Related Entities

Other providers sharing the same authorized official: CALDERON, CECILIA

ProviderCityStateTotal Paid
181ST STREET MEDICAL P.C. NEW YORK NY $4.04M
CCN GENERAL MEDICINE PLLC BRONX NY $1.07M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 44,195 $144K
2019 83,406 $239K
2020 93,210 $308K
2021 100,083 $400K
2022 94,301 $317K
2023 77,047 $265K
2024 58,367 $177K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32,922 28,267 $848K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 6,321 5,733 $168K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,756 4,067 $137K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 5,352 5,257 $100K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 26,739 23,479 $73K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 2,022 1,980 $64K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,496 2,239 $55K
93000 7,083 7,023 $41K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 8,448 8,020 $36K
G0444 Annual depression screening, 5 to 15 minutes 8,636 8,189 $34K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,206 1,084 $31K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,302 1,209 $26K
99397 1,258 1,127 $22K
3078F 18,391 16,176 $22K
90688 2,049 2,045 $21K
H0001 Alcohol and/or drug assessment 18,996 16,480 $21K
3074F 14,572 12,873 $18K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 302 297 $10K
80053 Comprehensive metabolic panel 5,213 5,198 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,302 3,236 $8K
1111F 2,337 1,864 $8K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 331 283 $8K
99442 749 635 $7K
3079F 4,331 4,052 $6K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 212 208 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 584 576 $5K
99441 594 564 $5K
3075F 3,232 3,033 $4K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 3,371 3,262 $4K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 45,268 38,433 $4K
3077F 2,215 2,033 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 224 215 $4K
1126F 22,197 19,399 $4K
3080F 2,826 2,658 $4K
3016F 12,196 10,532 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 45 45 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 89 88 $3K
99051 1,054 963 $2K
1159F 28,564 24,462 $2K
1000F 12,247 10,568 $2K
99443 57 51 $2K
1160F 28,515 24,405 $2K
81002 2,552 2,495 $1K
90673 43 43 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 501 489 $1K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 1,920 1,799 $1K
1125F 9,798 9,224 $1K
90686 324 321 $1K
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg 13,268 11,805 $1K
82962 6,147 5,356 $914.13
80061 Lipid panel 462 404 $711.55
81025 873 854 $676.16
99496 89 89 $631.78
86580 94 92 $620.10
0521F 3,387 3,226 $510.00
1170F 670 620 $471.25
82270 1,465 1,462 $458.99
82042 442 387 $428.94
3725F 12,763 11,025 $395.00
2010F 32,797 27,830 $360.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 29 28 $333.90
36415 Collection of venous blood by venipuncture 782 775 $285.12
3048F 2,102 1,897 $252.50
G8477 Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg 3,357 3,111 $195.50
94010 12 12 $165.63
90649 82 82 $132.75
3044F 2,279 2,150 $116.50
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 229 225 $114.43
3008F 32,722 27,756 $101.41
83014 29 29 $95.29
82272 1,637 1,632 $78.53
3046F 295 258 $76.52
99408 16 15 $74.34
G8420 Bmi is documented within normal parameters and no follow-up plan is required 13,943 11,950 $49.00
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 24 24 $38.16
82948 520 444 $38.07
90633 52 52 $37.09
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 10,420 9,012 $35.00
3049F 1,007 934 $28.50
81005 13 13 $27.56
97803 509 495 $26.69
3050F 897 835 $25.50
2001F 32,773 27,800 $20.00
81000 472 463 $16.00
84478 13 13 $11.43
83718 13 13 $11.43
83036 Hemoglobin; glycosylated (A1C) 231 216 $9.68
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 1,188 1,134 $3.50
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) 63 56 $3.50
G9820 Documentation of a chlamydia screening test with proper follow-up 1,807 1,797 $1.26
J1885 Injection, ketorolac tromethamine, per 15 mg 13 12 $1.16
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 1,536 1,449 $0.03
3061F 837 798 $0.02
91300 25 25 $0.01
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) 904 831 $0.00
90733 69 69 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 971 861 $0.00
1005F 245 219 $0.00
86804 114 110 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 286 268 $0.00
91301 55 52 $0.00
3011F 256 256 $0.00
92228 22 22 $0.00
1036F 99 90 $0.00
0011A 18 18 $0.00
0012A 34 33 $0.00
97802 76 70 $0.00
99402 14 14 $0.00
99000 15 15 $0.00
1158F 715 661 $0.00
0518F 733 676 $0.00
2028F 199 181 $0.00
G8404 Lower extremity neurological exam performed and documented 3,317 2,949 $0.00
99483 Prolong outpt/office vis 16 16 $0.00
82274 769 768 $0.00
3288F 597 551 $0.00
90734 131 130 $0.00
99001 13 13 $0.00
3051F 29 26 $0.00
G8482 Influenza immunization administered or previously received 533 528 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 212 201 $0.00
90710 12 12 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 15 15 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 14 14 $0.00