Physician
Jerome Medical Office, PC
Jerome Medical Office, PC was paid $251K by Medicaid between Jan 2018 and Dec 2024, across 76 billing codes. Its largest line is 99396, Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years — 24% of everything it billed.
33Billing provider infoJEROME MEDICAL OFFICE, PC
BRONX, NY 10453
BRONX, NY 10453
33aNPI1982811832assigned 05/17/2007
33bProvider typeInternal Medicine Physician
28Total paid$251K
24GClaims96,896
24DCodes billed76
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#743 of 6,049
Median peer was paid$11K
This provider vs. median22×
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 | 12,418 | $90K | |
| 2019 | 16,258 | $62K | |
| 2020 | 11,714 | $14K | |
| 2021 | 17,279 | $30K | |
| 2022 | 15,187 | $20K | |
| 2023 | 13,754 | $14K | |
| 2024incomplete | 10,286 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 24% | 3,091 | 3,073 | $60K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 5,606 | 5,392 | $46K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 16% | 2,286 | 2,192 | $40K |
| 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 | 6.6% | 312 | 309 | $16K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 5.2% | 1,346 | 1,346 | $13K |
| G0444 | Annual depression screening, 5 to 15 minutes | 3.9% | 1,837 | 1,830 | $10K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.6% | 332 | 331 | $9K |
| 99442 | 2.7% | 1,127 | 1,062 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.6% | 800 | 791 | $6K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 2.4% | 1,078 | 1,060 | $6K |
| H0049 | Alcohol and/or drug screening | 2.3% | 3,372 | 3,359 | $6K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.9% | 3,055 | 3,036 | $5K |
64 more codes
| 93923 | 1.1% | 27 | $3K | |
| 99401 | <1% | 1,537 | $2K | |
| 90658 | <1% | 276 | $2K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 1,897 | $2K |
| 11104 | <1% | 14 | $2K | |
| 90688 | <1% | 104 | $1K | |
| 90686 | <1% | 105 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 24 | $1K |
| 97802 | <1% | 1,105 | $1K | |
| 90756 | <1% | 128 | $1K | |
| 1125F | <1% | 4,902 | $1K | |
| 3074F | <1% | 1,591 | $1K | |
| 90674 | <1% | 85 | $1K | |
| 99443 | <1% | 454 | $1K | |
| 3078F | <1% | 1,597 | $961.19 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,566 | $930.88 |
| 93922 | <1% | 15 | $890.47 | |
| 87110 | <1% | 148 | $813.86 | |
| 99441 | <1% | 61 | $445.25 | |
| 3079F | <1% | 731 | $353.05 | |
| 3077F | <1% | 168 | $308.50 | |
| 82962 | <1% | 1,298 | $193.56 | |
| 99397 | <1% | 154 | $148.30 | |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | <1% | 278 | $116.82 |
| 1160F | <1% | 2,848 | $113.01 | |
| 94016 | <1% | 57 | $72.81 | |
| 3075F | <1% | 430 | $52.52 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 16 | $45.00 |
| 3080F | <1% | 12 | $45.00 | |
| 3008F | <1% | 3,802 | $0.50 | |
| 1159F | <1% | 903 | $0.01 | |
| 3725F | 0% | 3,239 | $0.00 | |
| G0473 | Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes | 0% | 829 | $0.00 |
| 3016F | 0% | 2,026 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 3,975 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,730 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 2,881 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 519 | $0.00 |
| 99408 | 0% | 114 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 5,144 | $0.00 |
| 1033F | 0% | 1,289 | $0.00 | |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 0% | 78 | $0.00 |
| 97803 | 0% | 81 | $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% | 27 | $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% | 13 | $0.00 |
| H0001 | Alcohol and/or drug assessment | 0% | 1,026 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 2,318 | $0.00 |
| 1036F | 0% | 1,540 | $0.00 | |
| 1126F | 0% | 843 | $0.00 | |
| 1000F | 0% | 2,522 | $0.00 | |
| 2000F | 0% | 3,508 | $0.00 | |
| 2001F | 0% | 2,005 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 3,471 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 2,813 | $0.00 |
| 1170F | 0% | 402 | $0.00 | |
| 1031F | 0% | 1,156 | $0.00 | |
| 4450F | 0% | 185 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 78 | $0.00 |
| 4050F | 0% | 143 | $0.00 | |
| 2010F | 0% | 307 | $0.00 | |
| 82270 | 0% | 12 | $0.00 | |
| 99402 | 0% | 14 | $0.00 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 0% | 17 | $0.00 |
| 91301 | 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 officialRAMIREZ, JULIO (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Julio A. Ramirez, M.D., P.C. | Chestertown, MD | $2.20M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.