Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Janny A. Ozuna Mendez, MD, PLLC

Janny A. Ozuna Mendez, MD, PLLC was paid $23K by Medicaid between Apr 2018 and Nov 2022, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 95% of everything it billed.

33Billing provider infoJANNY A. OZUNA MENDEZ, MD, PLLC
NEW YORK, NY 10032
33aNPI1891087490assigned 05/14/2011
28Total paid$23K
24GClaims5,288
24DCodes billed35
24AFirst – last monthApr 2018 – Nov 2022
Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#2,334 of 6,049
Median peer was paid$11K
This provider vs. median2.1×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
2018572$0.67
2019893$5K
20201,738$8K
20211,858$10K
2022227$958.86
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 95% 401 354 $22K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 2.2% 29 27 $524.32
36415 Collection of venous blood by venipuncture <1% 64 64 $210.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 395 342 $171.60
G0444 Annual depression screening, 5 to 15 minutes <1% 24 24 $126.56
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes <1% 305 257 $63.83
H0001 Alcohol and/or drug assessment <1% 228 195 $1.59
3513F <1% 34 26 $0.34
H0002 Behavioral health screening to determine eligibility for admission to treatment program <1% 33 26 $0.33
3008F 0% 419 353 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 168 143 $0.00
1036F 0% 200 161 $0.00
23 more codes
2010F 0% 40 $0.00
1000F 0% 206 $0.00
1126F 0% 146 $0.00
3074F 0% 238 $0.00
3011F 0% 12 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 27 $0.00
G0475 Hiv antigen/antibody, combination assay, screening 0% 33 $0.00
3512F 0% 34 $0.00
3514F 0% 19 $0.00
1160F 0% 397 $0.00
1159F 0% 340 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 148 $0.00
3016F 0% 212 $0.00
3078F 0% 246 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 0% 212 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 167 $0.00
G9507 Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs) 0% 172 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 0% 96 $0.00
3725F 0% 131 $0.00
G9150 National committee for quality assurance - level 3 medical home 0% 72 $0.00
0556F 0% 12 $0.00
0521F 0% 14 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 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 officialOZUNA MENDEZ, JANNY (PRESIDENT)