Clinic
Ap Medical Care PC
Ap Medical Care PC was paid $575K by Medicaid between Sep 2020 and Nov 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.
33Billing provider infoAP MEDICAL CARE PC
JACKSON HEIGHTS, NY 11372
JACKSON HEIGHTS, NY 11372
33aNPI1972159333assigned 08/12/2019
33bProvider typePrimary Care Clinic/Center
28Total paid$575K
24GClaims14,382
24DCodes billed26
24AFirst – last monthSep 2020 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New York
Rank by total paid#63 of 242
Median peer was paid$172K
This provider vs. median3.3×
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 | |
|---|---|---|---|
| 2020 | 400 | $15K | |
| 2021 | 4,334 | $136K | |
| 2022 | 4,051 | $153K | |
| 2023 | 3,657 | $155K | |
| 2024incomplete | 1,940 | $116K |
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% | 5,074 | 4,417 | $365K |
| 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 | 32% | 1,776 | 1,735 | $182K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.7% | 160 | 160 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 193 | 179 | $8K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 30 | 30 | $3K |
| 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% | 60 | 60 | $769.87 |
| 36415 | Collection of venous blood by venipuncture | <1% | 252 | 250 | $525.00 |
| 4013F | 0% | 465 | 464 | $0.00 | |
| 1159F | 0% | 28 | 28 | $0.00 | |
| G0476 | Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test | 0% | 35 | 35 | $0.00 |
| 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) | 0% | 405 | 405 | $0.00 |
| 1160F | 0% | 228 | 228 | $0.00 |
14 more codes
| 3078F | 0% | 186 | $0.00 | |
| S9470 | Nutritional counseling, dietitian visit | 0% | 125 | $0.00 |
| 3725F | 0% | 30 | $0.00 | |
| 3342F | 0% | 13 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 686 | $0.00 |
| 3074F | 0% | 236 | $0.00 | |
| 3008F | 0% | 3,908 | $0.00 | |
| 3061F | 0% | 44 | $0.00 | |
| 4010F | 0% | 135 | $0.00 | |
| 3048F | 0% | 241 | $0.00 | |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 0% | 28 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 17 | $0.00 |
| 3341F | 0% | 15 | $0.00 | |
| 3044F | 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 officialPERVIN, AFROZ (OWNER)