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PELHAM PKWY MEDICAL OF NEW YORK LLC
PELHAM PKWY MEDICAL OF NEW YORK LLC
NPI: 1285156067
· BRONX, NY 10462
· Vascular Surgery Physician
· NPI assigned 07/12/2017
$6.97M
Total Medicaid Paid
Provider Details
| Authorized Official | ALMEDA, AMI (CREDENTIALING MANAGER) |
| NPI Enumeration Date | 07/12/2017 |
Related Entities
Other providers sharing the same authorized official: ALMEDA, AMI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
64 |
$23K |
| 2020 |
457 |
$98K |
| 2021 |
730 |
$353K |
| 2022 |
3,754 |
$1.91M |
| 2023 |
4,476 |
$2.16M |
| 2024 |
4,874 |
$2.43M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 36465 |
|
2,541 |
1,690 |
$3.42M |
| 36478 |
|
1,385 |
971 |
$1.68M |
| 93970 |
|
3,527 |
3,512 |
$628K |
| 36475 |
|
432 |
289 |
$537K |
| 93971 |
|
4,271 |
3,365 |
$510K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,211 |
1,205 |
$108K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
443 |
443 |
$52K |
| 36470 |
|
150 |
139 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
200 |
200 |
$10K |
| 76942 |
|
128 |
102 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
67 |
67 |
$5K |