Physician
Audubon Primary Care Medicine PLLC
Audubon Primary Care Medicine PLLC was paid $1.85M by Medicaid between Jan 2018 and Dec 2024, across 124 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoAUDUBON PRIMARY CARE MEDICINE PLLC
NEW YORK, NY 10033
NEW YORK, NY 10033
33aNPI1851736441assigned 05/08/2013
33bProvider typeInternal Medicine Physician
28Total paid$1.85M
24GClaims550,609
24DCodes billed124
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#148 of 6,049
Median peer was paid$11K
This provider vs. median163×
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 | 44,195 | $144K | |
| 2019 | 83,406 | $239K | |
| 2020 | 93,210 | $308K | |
| 2021 | 100,083 | $400K | |
| 2022 | 94,301 | $317K | |
| 2023 | 77,047 | $265K | |
| 2024incomplete | 58,367 | $177K |
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 | 46% | 32,922 | 28,267 | $848K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 9.1% | 6,321 | 5,733 | $168K |
| 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 | 7.4% | 4,756 | 4,067 | $137K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 5.4% | 5,352 | 5,257 | $100K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 4.0% | 26,739 | 23,479 | $73K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 3.5% | 2,022 | 1,980 | $64K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.0% | 2,496 | 2,239 | $55K |
| 93000 | 2.2% | 7,083 | 7,023 | $41K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 2.0% | 8,448 | 8,020 | $36K |
| G0444 | Annual depression screening, 5 to 15 minutes | 1.8% | 8,636 | 8,189 | $34K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 1,206 | 1,084 | $31K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 1,302 | 1,209 | $26K |
112 more codes
| 99397 | 1.2% | 1,258 | $22K | |
| 3078F | 1.2% | 18,391 | $22K | |
| 90688 | 1.2% | 2,049 | $21K | |
| H0001 | Alcohol and/or drug assessment | 1.1% | 18,996 | $21K |
| 3074F | <1% | 14,572 | $18K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 302 | $10K |
| 80053 | Comprehensive metabolic panel | <1% | 5,213 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,302 | $8K |
| 1111F | <1% | 2,337 | $8K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 331 | $8K |
| 99442 | <1% | 749 | $7K | |
| 3079F | <1% | 4,331 | $6K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 212 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 584 | $5K |
| 99441 | <1% | 594 | $5K | |
| 3075F | <1% | 3,232 | $4K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 3,371 | $4K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 45,268 | $4K |
| 3077F | <1% | 2,215 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 224 | $4K |
| 1126F | <1% | 22,197 | $4K | |
| 3080F | <1% | 2,826 | $4K | |
| 3016F | <1% | 12,196 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 45 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 89 | $3K |
| 99051 | <1% | 1,054 | $2K | |
| 1159F | <1% | 28,564 | $2K | |
| 1000F | <1% | 12,247 | $2K | |
| 99443 | <1% | 57 | $2K | |
| 1160F | <1% | 28,515 | $2K | |
| 81002 | <1% | 2,552 | $1K | |
| 90673 | <1% | 43 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 501 | $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% | 1,920 | $1K |
| 1125F | <1% | 9,798 | $1K | |
| 90686 | <1% | 324 | $1K | |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | <1% | 13,268 | $1K |
| 82962 | <1% | 6,147 | $914.13 | |
| 80061 | Lipid panel | <1% | 462 | $711.55 |
| 81025 | <1% | 873 | $676.16 | |
| 99496 | <1% | 89 | $631.78 | |
| 86580 | <1% | 94 | $620.10 | |
| 0521F | <1% | 3,387 | $510.00 | |
| 1170F | <1% | 670 | $471.25 | |
| 82270 | <1% | 1,465 | $458.99 | |
| 82042 | <1% | 442 | $428.94 | |
| 3725F | <1% | 12,763 | $395.00 | |
| 2010F | <1% | 32,797 | $360.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 29 | $333.90 |
| 36415 | Collection of venous blood by venipuncture | <1% | 782 | $285.12 |
| 3048F | <1% | 2,102 | $252.50 | |
| G8477 | Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg | <1% | 3,357 | $195.50 |
| 94010 | <1% | 12 | $165.63 | |
| 90649 | <1% | 82 | $132.75 | |
| 3044F | <1% | 2,279 | $116.50 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 229 | $114.43 |
| 3008F | <1% | 32,722 | $101.41 | |
| 83014 | <1% | 29 | $95.29 | |
| 82272 | <1% | 1,637 | $78.53 | |
| 3046F | <1% | 295 | $76.52 | |
| 99408 | <1% | 16 | $74.34 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 13,943 | $49.00 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 24 | $38.16 |
| 82948 | <1% | 520 | $38.07 | |
| 90633 | <1% | 52 | $37.09 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 10,420 | $35.00 |
| 3049F | <1% | 1,007 | $28.50 | |
| 81005 | <1% | 13 | $27.56 | |
| 97803 | <1% | 509 | $26.69 | |
| 3050F | <1% | 897 | $25.50 | |
| 2001F | <1% | 32,773 | $20.00 | |
| 81000 | <1% | 472 | $16.00 | |
| 84478 | <1% | 13 | $11.43 | |
| 83718 | <1% | 13 | $11.43 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 231 | $9.68 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | <1% | 1,188 | $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) | <1% | 63 | $3.50 |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | <1% | 1,807 | $1.26 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 13 | $1.16 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | <1% | 1,536 | $0.03 |
| 3061F | <1% | 837 | $0.02 | |
| 91300 | <1% | 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) | 0% | 904 | $0.00 |
| 90733 | 0% | 69 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 971 | $0.00 |
| 1005F | 0% | 245 | $0.00 | |
| 86804 | 0% | 114 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 286 | $0.00 |
| 91301 | 0% | 55 | $0.00 | |
| 3011F | 0% | 256 | $0.00 | |
| 92228 | 0% | 22 | $0.00 | |
| 1036F | 0% | 99 | $0.00 | |
| 0011A | 0% | 18 | $0.00 | |
| 0012A | 0% | 34 | $0.00 | |
| 97802 | 0% | 76 | $0.00 | |
| 99402 | 0% | 14 | $0.00 | |
| 99000 | 0% | 15 | $0.00 | |
| 1158F | 0% | 715 | $0.00 | |
| 0518F | 0% | 733 | $0.00 | |
| 2028F | 0% | 199 | $0.00 | |
| G8404 | Lower extremity neurological exam performed and documented | 0% | 3,317 | $0.00 |
| 99483 | Prolong outpt/office vis | 0% | 16 | $0.00 |
| 82274 | 0% | 769 | $0.00 | |
| 3288F | 0% | 597 | $0.00 | |
| 90734 | 0% | 131 | $0.00 | |
| 99001 | 0% | 13 | $0.00 | |
| 3051F | 0% | 29 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 533 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 212 | $0.00 |
| 90710 | 0% | 12 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 15 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 14 | $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 officialCALDERON, CECILIA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| 181ST Street Medical P.C. | New York, NY | $4.04M |
| CCN General Medicine PLLC | Bronx, NY | $1.07M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.