Clinic
Bronx Community Medicine, PLLC
Bronx Community Medicine, PLLC was paid $396K by Medicaid between Jan 2018 and Nov 2024, across 103 billing codes. Its largest line is G0444, Annual depression screening, 5 to 15 minutes — 27% of everything it billed.
33Billing provider infoBRONX COMMUNITY MEDICINE, PLLC
BRONX, NY 10458
BRONX, NY 10458
33aNPI1942645247assigned 05/01/2013
33bProvider typePrimary Care Clinic/Center
28Total paid$396K
24GClaims179,875
24DCodes billed103
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New York
Rank by total paid#83 of 242
Median peer was paid$172K
This provider vs. median2.3×
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 | 21,767 | $85K | |
| 2019 | 23,683 | $65K | |
| 2020 | 18,046 | $46K | |
| 2021 | 21,816 | $52K | |
| 2022 | 29,364 | $26K | |
| 2023 | 30,081 | $57K | |
| 2024incomplete | 35,118 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0444 | Annual depression screening, 5 to 15 minutes | 27% | 10,691 | 10,171 | $106K |
| 93000 | 13% | 4,624 | 4,610 | $50K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 3,454 | 3,380 | $43K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 9.1% | 4,155 | 3,937 | $36K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.6% | 7,673 | 6,962 | $30K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.3% | 1,855 | 1,849 | $21K |
| 99401 | 5.1% | 5,658 | 5,354 | $20K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.1% | 1,651 | 1,646 | $16K |
| H0001 | Alcohol and/or drug assessment | 2.4% | 8,278 | 8,082 | $9K |
| 99443 | 2.0% | 510 | 508 | $8K | |
| 76830 | Ultrasound, transvaginal | 1.6% | 56 | 55 | $6K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 1.5% | 156 | 154 | $6K |
91 more codes
| 99203 | Doctor's office visit, new patient (routine) | 1.3% | 62 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 405 | $4K |
| 99385 | 1.0% | 209 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 9,858 | $4K |
| 96160 | <1% | 9,285 | $3K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 7,931 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 243 | $2K |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 395 | $2K |
| 99497 | <1% | 70 | $2K | |
| 99442 | <1% | 203 | $2K | |
| 99498 | <1% | 70 | $2K | |
| 99386 | <1% | 14 | $2K | |
| 0011A | <1% | 39 | $1K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 69 | $934.65 |
| 96127 | <1% | 176 | $898.81 | |
| 57150 | <1% | 13 | $833.91 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 163 | $798.24 |
| 3074F | <1% | 1,215 | $690.50 | |
| 99441 | <1% | 95 | $619.25 | |
| 0012A | <1% | 14 | $523.06 | |
| 90674 | <1% | 101 | $461.19 | |
| 3079F | <1% | 851 | $448.50 | |
| 0064A | <1% | 13 | $440.00 | |
| 3078F | <1% | 975 | $433.00 | |
| S0610 | Annual gynecological examination, new patient | <1% | 42 | $312.50 |
| 90658 | <1% | 91 | $302.64 | |
| 90756 | <1% | 156 | $247.22 | |
| 81528 | Oncology (colorectal) screening, quantitative real-time target and signal amplification | <1% | 498 | $225.00 |
| 1126F | <1% | 1,676 | $212.46 | |
| 81002 | <1% | 90 | $186.93 | |
| 82270 | <1% | 796 | $153.33 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | <1% | 250 | $145.00 |
| G0102 | Prostate cancer screening; digital rectal examination | <1% | 177 | $114.63 |
| 3077F | <1% | 204 | $107.50 | |
| 3075F | <1% | 327 | $105.00 | |
| 83014 | <1% | 12 | $73.76 | |
| 1125F | <1% | 918 | $63.20 | |
| S0613 | Annual gynecological examination; clinical breast examination without pelvic evaluation | <1% | 82 | $22.50 |
| 3061F | <1% | 484 | $16.00 | |
| 1170F | <1% | 43 | $15.00 | |
| 1160F | <1% | 669 | $15.00 | |
| 1159F | <1% | 669 | $15.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $14.38 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 2,458 | $13.32 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 7,950 | $12.65 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 2,228 | $11.52 |
| G0432 | Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening | <1% | 562 | $7.04 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | <1% | 1,087 | $3.60 |
| G9507 | Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs) | <1% | 1,179 | $3.60 |
| 82948 | <1% | 15 | $0.91 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 6,903 | $0.53 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | <1% | 228 | $0.33 |
| 4010F | <1% | 990 | $0.03 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 65 | $0.01 |
| 1000F | 0% | 7,669 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 39 | $0.00 |
| 2001F | 0% | 7,326 | $0.00 | |
| 1036F | 0% | 7,723 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 3,506 | $0.00 |
| 3008F | 0% | 9,528 | $0.00 | |
| 3080F | 0% | 53 | $0.00 | |
| 2010F | 0% | 6,783 | $0.00 | |
| G8473 | Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed | 0% | 746 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 50 | $0.00 |
| 3044F | 0% | 126 | $0.00 | |
| 3014F | 0% | 575 | $0.00 | |
| 3011F | 0% | 77 | $0.00 | |
| 3048F | 0% | 317 | $0.00 | |
| 91301 | 0% | 79 | $0.00 | |
| G0472 | Hepatitis c antibody screening, for individual at high risk and other covered indication(s) | 0% | 308 | $0.00 |
| 3049F | 0% | 87 | $0.00 | |
| 97802 | 0% | 77 | $0.00 | |
| 1157F | 0% | 43 | $0.00 | |
| 2016F | 0% | 13 | $0.00 | |
| 99000 | 0% | 19 | $0.00 | |
| 0521F | 0% | 1,256 | $0.00 | |
| 3725F | 0% | 9,036 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 13 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,981 | $0.00 |
| 3016F | 0% | 7,762 | $0.00 | |
| 3015F | 0% | 240 | $0.00 | |
| 4013F | 0% | 53 | $0.00 | |
| 1158F | 0% | 43 | $0.00 | |
| 0556F | 0% | 69 | $0.00 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 541 | $0.00 |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 342 | $0.00 |
| 5250F | 0% | 138 | $0.00 | |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | 0% | 75 | $0.00 |
| G8399 | Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | 0% | 13 | $0.00 |
| 3050F | 0% | 64 | $0.00 | |
| G9621 | Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling | 0% | 13 | $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 officialOLIVO MERCEDES, YOHANNA (MD)