Physician
464 Bay Ridge Medical PLLC
464 Bay Ridge Medical PLLC was paid $9K by Medicaid between Nov 2022 and Nov 2024, across 16 billing codes. Its largest line is 99457, — 34% of everything it billed.
33Billing provider info464 BAY RIDGE MEDICAL PLLC
BROOKLYN, NY 11220
BROOKLYN, NY 11220
33aNPI1912568981assigned 06/21/2019
33bProvider typeInternal Medicine Physician
28Total paid$9K
24GClaims7,222
24DCodes billed16
24AFirst – last monthNov 2022 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#3,264 of 6,049
Median peer was paid$11K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2022 | 137 | $412.35 | |
| 2023 | 3,496 | $4K | |
| 2024incomplete | 3,589 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99457 | 34% | 3,037 | 3,026 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 14% | 96 | 95 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.5% | 115 | 110 | $834.49 |
| 99490 | Ccm add 20min | 8.0% | 340 | 340 | $703.57 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.9% | 48 | 48 | $693.68 |
| 99439 | 7.4% | 112 | 112 | $652.95 | |
| 99454 | 6.2% | 1,842 | 1,813 | $550.36 | |
| 99205 | Prolong outpt/office vis | 3.9% | 28 | 28 | $342.79 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 2.6% | 127 | 127 | $226.66 |
| 99458 | 2.5% | 1,161 | 1,160 | $219.43 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 98 | 98 | $172.20 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.3% | 14 | 14 | $117.77 |
4 more codes
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 67 | $75.72 |
| 99453 | <1% | 74 | $23.79 | |
| G0019 | Community health integration services performed by certified or trained auxiliary personnel, including a community health worker, under the direction of a physician or other practitioner; 60 minutes per calendar month, in the following activities to address social determinants of health (sdoh) need(s) that are significantly limiting the ability to diagnose or treat problem(s) addressed in an initiating visit: person-centered assessment, performed to better understand the individualized context of the intersection between the sdoh need(s) and the problem(s) addressed in the initiating visit. ++ conducting a person-centered assessment to understand patient's life story, strengths, needs, goals, preferences and desired outcomes, including understanding cultural and linguistic factors and including unmet sdoh needs (that are not separately billed). ++ facilitating patient-driven goal-setting and establishing an action plan. ++ providing tailored support to the patient as needed to accomplish the practitioner's treatment plan. practitioner, home-, and community-based care coordination. ++ coordinating receipt of needed services from healthcare practitioners, providers, and facilities; and from home- and community-based service providers, social service providers, and caregiver (if applicable). ++ communication with practitioners, home- and community-based service providers, hospitals, and skilled nursing facilities (or other health care facilities) regarding the patient's psychosocial strengths and needs, functional deficits, goals, preferences, and desired outcomes, including cultural and linguistic factors. ++ coordination of care transitions between and among health care practitioners and settings, including transitions involving referral to other clinicians; follow-up after an emergency department visit; or follow-up after discharges from hospitals, skilled nursing facilities or other health care facilities. ++ facilitating access to community-based social services (e.g., housing, utilities, transportation, food assistance) to address the sdoh need(s). health education- helping the patient contextualize health education provided by the patient's treatment team with the patient's individual needs, goals, and preferences, in the context of the sdoh need(s), and educating the patient on how to best participate in medical decision-making. building patient self-advocacy skills, so that the patient can interact with members of the health care team and related community-based services addressing the sdoh need(s), in ways that are more likely to promote personalized and effective diagnosis or treatment. health care access / health system navigation. ++ helping the patient access healthcare, including identifying appropriate practitioners or providers for clinical care and helping secure appointments with them. facilitating behavioral change as necessary for meeting diagnosis and treatment goals, including promoting patient motivation to participate in care and reach person-centered diagnosis or treatment goals. facilitating and providing social and emotional support to help the patient cope with the problem(s) addressed in the initiating visit, the sdoh need(s), and adjust daily routines to better meet diagnosis and treatment goals. leveraging lived experience when applicable to provide support, mentorship, or inspiration to meet treatment goals | 0% | 47 | $0.00 |
| G0022 | Community health integration services, each additional 30 minutes per calendar month (list separately in addition to g0019) | 0% | 16 | $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 officialJOUDEH, RAMSEY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| R Joudeh Medical Pavilion, PLLC | Brooklyn, NY | $3.31M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.