Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pelham Pkwy Professional Medical Services of New York LLC

Pelham Pkwy Professional Medical Services of New York LLC was paid $1.40M by Medicaid between Oct 2020 and Nov 2024, across 11 billing codes. Its largest line is 36478, — 40% of everything it billed.

33Billing provider infoPELHAM PKWY PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
BRONX, NY 10462
33aNPI1063926962assigned 11/30/2017
28Total paid$1.40M
24GClaims4,198
24DCodes billed11
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers

Next to other Vascular Surgery Physician providers in New York

Rank by total paid#10 of 203
Median peer was paid$9K
This provider vs. median159×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
202057$7K
2021405$168K
2022724$261K
20231,460$563K
2024incomplete1,552$398K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
36478 40% 671 488 $561K
36465 36% 444 333 $496K
93970 11% 1,038 1,035 $160K
93971 3.9% 544 493 $54K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3.2% 415 415 $45K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2.0% 414 414 $28K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.2% 331 331 $16K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.0% 192 191 $14K
36247 <1% 20 12 $11K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 87 87 $8K
76942 <1% 42 36 $3K

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 officialALMEDA, AMI (CREDENTIALING MANAGER)
Same official

Other billing entities under ALMEDA, AMI

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.