Physician
181ST Street Medical P.C.
181ST Street Medical P.C. was paid $4.04M by Medicaid between Jan 2018 and Dec 2024, across 83 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.
33Billing provider info181ST STREET MEDICAL P.C.
NEW YORK, NY 10033
NEW YORK, NY 10033
33aNPI1922345768assigned 01/14/2013
33bProvider typeFamily Medicine Physician
28Total paid$4.04M
24GClaims370,411
24DCodes billed83
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#40 of 2,605
Median peer was paid$10K
This provider vs. median400×
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 | 111,426 | $979K | |
| 2019 | 83,980 | $669K | |
| 2020 | 44,913 | $607K | |
| 2021 | 52,589 | $746K | |
| 2022 | 32,382 | $425K | |
| 2023 | 26,362 | $360K | |
| 2024incomplete | 18,759 | $256K |
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 | 64% | 24,736 | 22,625 | $2.59M |
| S9083 | Global fee urgent care centers | 27% | 9,176 | 7,887 | $1.08M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.3% | 2,119 | 2,118 | $214K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 651 | 631 | $63K |
| 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 | <1% | 244 | 237 | $30K |
| H0001 | Alcohol and/or drug assessment | <1% | 10,637 | 9,520 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 441 | 425 | $6K |
| 3016F | <1% | 10,222 | 9,152 | $5K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 62 | 61 | $5K |
| 0002A | <1% | 123 | 123 | $5K | |
| 0001A | <1% | 91 | 91 | $3K | |
| 1000F | <1% | 10,217 | 9,145 | $3K |
71 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 45 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 267 | $2K |
| 99051 | <1% | 3,002 | $2K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 491 | $2K |
| 0004A | <1% | 50 | $2K | |
| 99442 | <1% | 517 | $2K | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 32,152 | $1K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 4,340 | $947.55 |
| 99443 | <1% | 101 | $866.16 | |
| 93000 | <1% | 902 | $860.19 | |
| 99441 | <1% | 353 | $841.28 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,335 | $713.34 |
| 97802 | <1% | 435 | $711.62 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,103 | $674.37 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 1,099 | $655.98 |
| 3725F | <1% | 10,714 | $640.00 | |
| 3078F | <1% | 11,208 | $600.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 548 | $576.69 |
| 3074F | <1% | 9,705 | $562.50 | |
| 81002 | <1% | 1,160 | $549.76 | |
| 2010F | <1% | 31,374 | $541.61 | |
| 1126F | <1% | 17,987 | $491.07 | |
| 1125F | <1% | 18,051 | $339.00 | |
| 3008F | <1% | 31,382 | $332.97 | |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | <1% | 2,919 | $249.40 |
| 81025 | <1% | 299 | $234.52 | |
| 90686 | <1% | 41 | $200.00 | |
| 0521F | <1% | 5,108 | $197.00 | |
| 82962 | <1% | 546 | $144.50 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 6,777 | $114.50 |
| 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% | 599 | $73.07 |
| 36415 | Collection of venous blood by venipuncture | <1% | 425 | $68.89 |
| 3079F | <1% | 1,160 | $62.50 | |
| 99408 | <1% | 144 | $54.55 | |
| 90688 | <1% | 34 | $54.10 | |
| G8477 | Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg | <1% | 507 | $51.60 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 4,757 | $37.00 |
| 3048F | <1% | 75 | $30.00 | |
| 2001F | <1% | 31,382 | $21.61 | |
| 80053 | Comprehensive metabolic panel | <1% | 484 | $21.47 |
| 3044F | <1% | 79 | $20.00 | |
| 3075F | <1% | 699 | $20.00 | |
| 3077F | <1% | 557 | $20.00 | |
| 1159F | <1% | 30,505 | $13.61 | |
| 1160F | <1% | 30,535 | $13.61 | |
| 3011F | <1% | 221 | $10.00 | |
| 82270 | <1% | 14 | $3.40 | |
| 82272 | <1% | 26 | $1.52 | |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | <1% | 313 | $1.20 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | <1% | 1,489 | $0.07 |
| 91301 | <1% | 12 | $0.06 | |
| 91300 | <1% | 16 | $0.03 | |
| 1111F | <1% | 528 | $0.02 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | <1% | 1,773 | $0.02 |
| 99000 | 0% | 13 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 123 | $0.00 |
| 99447 | 0% | 90 | $0.00 | |
| 86804 | 0% | 12 | $0.00 | |
| 1036F | 0% | 21 | $0.00 | |
| 99429 | 0% | 44 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 39 | $0.00 |
| 3080F | 0% | 390 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 22 | $0.00 |
| 99402 | 0% | 13 | $0.00 | |
| 81000 | 0% | 17 | $0.00 | |
| 99080 | 0% | 185 | $0.00 | |
| 99446 | 0% | 48 | $0.00 | |
| G8404 | Lower extremity neurological exam performed and documented | 0% | 278 | $0.00 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 24 | $0.00 |
| 3050F | 0% | 16 | $0.00 | |
| 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) | 0% | 12 | $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 (CHIEF MEDICAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Audubon Primary Care Medicine PLLC | New York, NY | $1.85M |
| CCN General Medicine PLLC | Bronx, NY | $1.07M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.