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PELHAM PKWY PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
PELHAM PKWY PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
NPI: 1063926962
· BRONX, NY 10462
· Vascular Surgery Physician
· NPI assigned 11/30/2017
$1.40M
Total Medicaid Paid
Provider Details
| Authorized Official | ALMEDA, AMI (CREDENTIALING MANAGER) |
| NPI Enumeration Date | 11/30/2017 |
Related Entities
Other providers sharing the same authorized official: ALMEDA, AMI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
57 |
$7K |
| 2021 |
405 |
$168K |
| 2022 |
724 |
$261K |
| 2023 |
1,460 |
$563K |
| 2024 |
1,552 |
$398K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 36478 |
|
671 |
488 |
$561K |
| 36465 |
|
444 |
333 |
$496K |
| 93970 |
|
1,038 |
1,035 |
$160K |
| 93971 |
|
544 |
493 |
$54K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
415 |
415 |
$45K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
414 |
414 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
331 |
331 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
192 |
191 |
$14K |
| 36247 |
|
20 |
12 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
87 |
87 |
$8K |
| 76942 |
|
42 |
36 |
$3K |