Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

181ST STREET MEDICAL P.C.

NPI: 1922345768 · NEW YORK, NY 10033 · Family Medicine Physician · NPI assigned 01/14/2013

$4.04M
Total Medicaid Paid
370,411
Total Claims
339,790
Beneficiaries
83
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCALDERON, CECILIA (CHIEF MEDICAL OFFICER)
NPI Enumeration Date01/14/2013

Related Entities

Other providers sharing the same authorized official: CALDERON, CECILIA

ProviderCityStateTotal Paid
AUDUBON PRIMARY CARE MEDICINE PLLC NEW YORK NY $1.85M
CCN GENERAL MEDICINE PLLC BRONX NY $1.07M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 18,759 $256K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24,736 22,625 $2.59M
S9083 Global fee urgent care centers 9,176 7,887 $1.08M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,119 2,118 $214K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 651 631 $63K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 244 237 $30K
H0001 Alcohol and/or drug assessment 10,637 9,520 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 441 425 $6K
3016F 10,222 9,152 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 62 61 $5K
0002A 123 123 $5K
0001A 91 91 $3K
1000F 10,217 9,145 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 45 44 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 267 262 $2K
99051 3,002 2,897 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 491 480 $2K
0004A 50 50 $2K
99442 517 491 $2K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 32,152 29,539 $1K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 4,340 3,789 $947.55
99443 101 98 $866.16
93000 902 897 $860.19
99441 353 330 $841.28
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,335 1,323 $713.34
97802 435 419 $711.62
G0444 Annual depression screening, 5 to 15 minutes 1,103 977 $674.37
G0442 Annual alcohol misuse screening, 5 to 15 minutes 1,099 974 $655.98
3725F 10,714 9,609 $640.00
3078F 11,208 10,281 $600.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 548 539 $576.69
3074F 9,705 8,909 $562.50
81002 1,160 1,133 $549.76
2010F 31,374 28,746 $541.61
1126F 17,987 16,602 $491.07
1125F 18,051 17,156 $339.00
3008F 31,382 28,769 $332.97
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg 2,919 2,593 $249.40
81025 299 294 $234.52
90686 41 41 $200.00
0521F 5,108 4,962 $197.00
82962 546 492 $144.50
G8420 Bmi is documented within normal parameters and no follow-up plan is required 6,777 6,148 $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 599 575 $73.07
36415 Collection of venous blood by venipuncture 425 422 $68.89
3079F 1,160 1,101 $62.50
99408 144 140 $54.55
90688 34 34 $54.10
G8477 Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg 507 458 $51.60
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 4,757 4,322 $37.00
3048F 75 64 $30.00
2001F 31,382 28,767 $21.61
80053 Comprehensive metabolic panel 484 481 $21.47
3044F 79 76 $20.00
3075F 699 675 $20.00
3077F 557 517 $20.00
1159F 30,505 27,953 $13.61
1160F 30,535 27,978 $13.61
3011F 221 218 $10.00
82270 14 14 $3.40
82272 26 25 $1.52
G9820 Documentation of a chlamydia screening test with proper follow-up 313 308 $1.20
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 1,489 1,449 $0.07
91301 12 12 $0.06
91300 16 16 $0.03
1111F 528 425 $0.02
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 1,773 1,743 $0.02
99000 13 13 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 123 112 $0.00
99447 90 87 $0.00
86804 12 12 $0.00
1036F 21 21 $0.00
99429 44 38 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 39 39 $0.00
3080F 390 378 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 22 22 $0.00
99402 13 13 $0.00
81000 17 17 $0.00
99080 185 64 $0.00
99446 48 48 $0.00
G8404 Lower extremity neurological exam performed and documented 278 245 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 24 24 $0.00
3050F 16 13 $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) 12 12 $0.00