Express Medical Care Management Corp

Express Medical Care Management Corp was paid $647K by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.

33Billing provider infoEXPRESS MEDICAL CARE MANAGEMENT CORP
LYNBROOK, NY 11563

33aNPI1851784318assigned 03/09/2015

33bProvider typeMulti-Specialty Clinic/Center

28Total paid$647K

24GClaims55,835

24DCodes billed47

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Multi-Specialty Clinic/Center providers in New York

Rank by total paid#49 of 118

Median peer was paid$372K

This provider vs. median1.7×

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	2,487	$79K
2019	7,752	$135K
2020	9,080	$140K
2021	7,090	$115K
2022	7,064	$91K
2023	13,076	$63K
2024incomplete	9,286	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	41%	4,599	4,138	$264K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	41%	8,383	7,466	$263K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	3.9%	531	531	$25K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	3.9%	484	484	$25K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	3.8%	1,757	1,520	$25K
94010		1.6%	394	393	$10K
99401		<1%	521	491	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	116	109	$4K
99173		<1%	1,598	1,593	$3K
36415	Collection of venous blood by venipuncture	<1%	1,065	1,051	$2K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	1,376	1,362	$2K
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	<1%	17	12	$2K

35 more codes

99385		<1%	37	$2K
3074F		<1%	4,162	$2K
92552		<1%	90	$2K
3078F		<1%	3,949	$2K
G8420	Bmi is documented within normal parameters and no follow-up plan is required	<1%	233	$1K
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	516	$1K
90686		<1%	59	$980.10
96127		<1%	846	$908.65
3079F		<1%	647	$627.50
0031A		<1%	14	$590.56
96161		<1%	212	$541.31
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	25	$516.42
93000		<1%	32	$411.22
97802		<1%	79	$362.09
94760		<1%	9,986	$361.90
82270		<1%	418	$319.77
0403T		<1%	26	$216.42
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	33	$203.18
99050		<1%	20	$167.83
3075F		<1%	292	$145.00
96160		<1%	51	$137.94
99051		<1%	36	$129.22
1160F		<1%	3,690	$105.00
1159F		<1%	3,702	$105.00
3077F		<1%	127	$80.00
3080F		<1%	70	$57.50
1126F		<1%	610	$50.00
1125F		<1%	86	$5.00
3511F		<1%	343	$0.37
3050F		0%	37	$0.00
3008F		0%	1,481	$0.00
99000		0%	907	$0.00
2000F		0%	1,526	$0.00
3048F		0%	77	$0.00
3044F		0%	575	$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 officialELKOULILY, LAMIAA (OWNER)