Clinic
Metropolis Medical PC
Metropolis Medical PC was paid $14K by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is 99396, Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years — 31% of everything it billed.
33Billing provider infoMETROPOLIS MEDICAL PC
BRONX, NY 10468
BRONX, NY 10468
33aNPI1891160776assigned 12/03/2015
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$14K
24GClaims38,900
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in New York
Rank by total paid#96 of 118
Median peer was paid$372K
This provider vs. median0.0×
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 | 2,922 | $3K | |
| 2019 | 1,383 | $2K | |
| 2020 | 505 | $661.37 | |
| 2021 | 5,812 | $2K | |
| 2022 | 10,036 | $487.04 | |
| 2023 | 10,917 | $5K | |
| 2024incomplete | 7,325 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 31% | 392 | 391 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 651 | 603 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 2,657 | 2,377 | $2K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 7.7% | 1,391 | 1,363 | $1K |
| H0001 | Alcohol and/or drug assessment | 7.6% | 1,156 | 1,128 | $1K |
| 3074F | 5.1% | 2,057 | 1,798 | $720.00 | |
| 3078F | 4.7% | 2,142 | 1,860 | $662.50 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 4.6% | 1,166 | 1,136 | $653.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 2.4% | 91 | 83 | $344.64 |
| 97802 | 1.2% | 765 | 756 | $168.06 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,828 | 1,747 | $117.69 |
| 3079F | <1% | 123 | 114 | $72.50 |
33 more codes
| 3077F | <1% | 72 | $57.50 | |
| 1160F | <1% | 2,932 | $50.00 | |
| 1159F | <1% | 2,934 | $50.00 | |
| 3075F | <1% | 83 | $40.00 | |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | <1% | 44 | $36.00 |
| 1126F | <1% | 12 | $21.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 135 | $10.00 |
| 94760 | <1% | 621 | $2.18 | |
| 3008F | <1% | 585 | $0.05 | |
| 2000F | 0% | 3,220 | $0.00 | |
| 2001F | 0% | 3,310 | $0.00 | |
| 2010F | 0% | 3,607 | $0.00 | |
| 1000F | 0% | 788 | $0.00 | |
| 3044F | 0% | 248 | $0.00 | |
| 3061F | 0% | 328 | $0.00 | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 578 | $0.00 |
| 1036F | 0% | 736 | $0.00 | |
| G0432 | Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening | 0% | 625 | $0.00 |
| 4293F | 0% | 376 | $0.00 | |
| 3011F | 0% | 314 | $0.00 | |
| 0001F | 0% | 193 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 132 | $0.00 |
| 99402 | 0% | 12 | $0.00 | |
| 3017F | 0% | 32 | $0.00 | |
| 3048F | 0% | 13 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 15 | $0.00 |
| 3016F | 0% | 803 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 139 | $0.00 |
| 3015F | 0% | 27 | $0.00 | |
| 2028F | 0% | 663 | $0.00 | |
| 3725F | 0% | 823 | $0.00 | |
| 99401 | 0% | 36 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 45 | $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 officialDE LOS SANTOS, SHARIFF (ADMINISTRATOR)