Clinic
CCN General Medicine PLLC
CCN General Medicine PLLC was paid $1.07M by Medicaid between Jan 2018 and Dec 2024, across 157 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoCCN GENERAL MEDICINE PLLC
BRONX, NY 10456
BRONX, NY 10456
33aNPI1902120025assigned 03/18/2010
33bProvider typePrimary Care Clinic/Center
28Total paid$1.07M
24GClaims738,347
24DCodes billed157
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New York
Rank by total paid#41 of 242
Median peer was paid$172K
This provider vs. median6.3×
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 | 80,859 | $245K | |
| 2019 | 103,088 | $155K | |
| 2020 | 106,915 | $198K | |
| 2021 | 114,288 | $188K | |
| 2022 | 121,262 | $80K | |
| 2023 | 118,413 | $127K | |
| 2024incomplete | 93,522 | $81K |
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 | 26% | 40,508 | 35,719 | $282K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 11% | 11,050 | 10,868 | $121K |
| 94010 | 8.2% | 4,086 | 4,072 | $88K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 6.0% | 11,492 | 11,107 | $65K |
| 93000 | 5.9% | 7,663 | 7,594 | $64K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 5.7% | 5,620 | 5,517 | $61K |
| G0444 | Annual depression screening, 5 to 15 minutes | 4.6% | 11,581 | 11,174 | $49K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 3.7% | 35,711 | 32,452 | $40K |
| 99442 | 3.3% | 1,702 | 1,517 | $35K | |
| H0001 | Alcohol and/or drug assessment | 3.0% | 35,230 | 32,145 | $32K |
| 99441 | 2.4% | 5,663 | 5,220 | $26K | |
| 99443 | 1.5% | 618 | 556 | $16K |
145 more codes
| 3074F | 1.4% | 17,482 | $15K | |
| 3078F | 1.3% | 19,440 | $14K | |
| 99385 | 1.2% | 1,119 | $13K | |
| 97803 | 1.0% | 6,874 | $11K | |
| 99406 | <1% | 1,377 | $10K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,777 | $10K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 9,387 | $10K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 6,053 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,639 | $9K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,314 | $8K |
| 36415 | Collection of venous blood by venipuncture | <1% | 25,341 | $7K |
| 99397 | <1% | 1,097 | $7K | |
| 99496 | <1% | 278 | $5K | |
| 3079F | <1% | 5,505 | $4K | |
| S9083 | Global fee urgent care centers | <1% | 46 | $4K |
| 99386 | <1% | 358 | $4K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 195 | $4K |
| 3075F | <1% | 5,003 | $4K | |
| 90688 | <1% | 1,033 | $4K | |
| 86580 | <1% | 524 | $3K | |
| 3077F | <1% | 1,353 | $3K | |
| 1111F | <1% | 1,284 | $3K | |
| 1126F | <1% | 24,230 | $3K | |
| 3080F | <1% | 2,179 | $3K | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 44,115 | $2K |
| 97802 | <1% | 1,328 | $2K | |
| 80053 | Comprehensive metabolic panel | <1% | 10,386 | $2K |
| 3016F | <1% | 17,627 | $2K | |
| 82962 | <1% | 8,958 | $1K | |
| 1159F | <1% | 29,115 | $1K | |
| 1000F | <1% | 24,247 | $1K | |
| 99051 | <1% | 656 | $1K | |
| 1160F | <1% | 29,859 | $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% | 9,305 | $1K |
| 99495 | <1% | 168 | $1K | |
| 1125F | <1% | 7,273 | $935.01 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 1,066 | $810.70 |
| 90673 | <1% | 14 | $751.48 | |
| 82272 | <1% | 3,045 | $630.85 | |
| 0034A | <1% | 16 | $600.00 | |
| 0013A | <1% | 16 | $600.00 | |
| 0004A | <1% | 17 | $600.00 | |
| 83014 | <1% | 131 | $566.26 | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 31 | $498.74 |
| 0011A | <1% | 26 | $485.96 | |
| 82270 | <1% | 2,017 | $345.94 | |
| 3725F | <1% | 24,705 | $242.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 30 | $214.48 |
| 2010F | <1% | 31,555 | $214.00 | |
| 3048F | <1% | 2,282 | $206.00 | |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | <1% | 7,157 | $203.50 |
| 3044F | <1% | 1,472 | $186.00 | |
| 3050F | <1% | 1,224 | $160.00 | |
| 3049F | <1% | 1,870 | $144.00 | |
| 1170F | <1% | 324 | $130.03 | |
| 0521F | <1% | 544 | $96.00 | |
| 3008F | <1% | 31,527 | $74.76 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $71.12 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 17,069 | $67.80 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 85 | $57.91 |
| 0001A | <1% | 15 | $47.25 | |
| 3011F | <1% | 1,655 | $40.00 | |
| 92250 | <1% | 20 | $30.00 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 19 | $30.00 |
| G8477 | Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg | <1% | 3,575 | $23.50 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 18,019 | $21.50 |
| 81025 | <1% | 164 | $16.89 | |
| 82948 | <1% | 4,581 | $15.40 | |
| G2061 | Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 5-10 minutes | <1% | 17 | $11.72 |
| G9276 | Documentation that patient is a current tobacco user | <1% | 1,134 | $10.00 |
| 99453 | <1% | 64 | $4.59 | |
| 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% | 3,308 | $4.50 |
| 2001F | <1% | 31,535 | $4.00 | |
| 81002 | <1% | 191 | $3.78 | |
| 82274 | <1% | 969 | $3.40 | |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | <1% | 3,346 | $1.24 |
| 4010F | <1% | 3,041 | $0.16 | |
| 91300 | <1% | 19 | $0.16 | |
| 3061F | <1% | 1,378 | $0.13 | |
| 91301 | <1% | 124 | $0.07 | |
| 3045F | <1% | 145 | $0.01 | |
| 3014F | 0% | 2,207 | $0.00 | |
| 3017F | 0% | 3,414 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 1,619 | $0.00 |
| 1157F | 0% | 623 | $0.00 | |
| 1005F | 0% | 787 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,574 | $0.00 |
| G8473 | Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed | 0% | 2,505 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 22 | $0.00 |
| 0012A | 0% | 43 | $0.00 | |
| G8816 | Statin medication prescribed at discharge | 0% | 1,723 | $0.00 |
| 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% | 51 | $0.00 |
| 1036F | 0% | 5,523 | $0.00 | |
| 4000F | 0% | 211 | $0.00 | |
| G8542 | Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required | 0% | 879 | $0.00 |
| 99000 | 0% | 122 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 4,817 | $0.00 |
| G2062 | Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 11-20 minutes | 0% | 97 | $0.00 |
| 88150 | 0% | 94 | $0.00 | |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 81 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 49 | $0.00 |
| 82043 | 0% | 29 | $0.00 | |
| 91303 | 0% | 15 | $0.00 | |
| 99457 | 0% | 27 | $0.00 | |
| G9228 | Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings) | 0% | 13 | $0.00 |
| 84478 | 0% | 12 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 86 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 30 | $0.00 |
| 83718 | 0% | 12 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,652 | $0.00 |
| G8404 | Lower extremity neurological exam performed and documented | 0% | 2,657 | $0.00 |
| 2026F | 0% | 146 | $0.00 | |
| 4013F | 0% | 1,837 | $0.00 | |
| 1175F | 0% | 310 | $0.00 | |
| 2022F | 0% | 232 | $0.00 | |
| 2014F | 0% | 280 | $0.00 | |
| 4040F | 0% | 180 | $0.00 | |
| 3015F | 0% | 400 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 2,413 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 5,138 | $0.00 |
| 1124F | 0% | 906 | $0.00 | |
| 3288F | 0% | 375 | $0.00 | |
| 1158F | 0% | 380 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 643 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 613 | $0.00 |
| 3051F | 0% | 289 | $0.00 | |
| 3046F | 0% | 208 | $0.00 | |
| 99499 | 0% | 32 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 946 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 163 | $0.00 |
| G2104 | Eye imaging validated to match diagnosis from seven standard field stereoscopic photos results documented and reviewed | 0% | 68 | $0.00 |
| 0518F | 0% | 157 | $0.00 | |
| 4004F | 0% | 187 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 799 | $0.00 |
| 90655 | 0% | 14 | $0.00 | |
| 1100F | 0% | 41 | $0.00 | |
| G2089 | Most recent hemoglobin a1c (hba1c) level 7.0 to 9.0% | 0% | 13 | $0.00 |
| 77295 | 0% | 45 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 12 | $0.00 |
| G2102 | Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed | 0% | 17 | $0.00 |
| 0002A | 0% | 14 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 47 | $0.00 |
| 80061 | Lipid panel | 0% | 14 | $0.00 |
| 3023F | 0% | 27 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 23 | $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 (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| 181ST Street Medical P.C. | New York, NY | $4.04M |
| Audubon Primary Care Medicine PLLC | New York, NY | $1.85M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.