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

Pelham Pkwy Medical of New York LLC

Pelham Pkwy Medical of New York LLC was paid $6.97M by Medicaid between Oct 2019 and Dec 2024, across 11 billing codes. Its largest line is 36465, — 49% of everything it billed.

33Billing provider infoPELHAM PKWY MEDICAL OF NEW YORK LLC
BRONX, NY 10462
33aNPI1285156067assigned 07/12/2017
28Total paid$6.97M
24GClaims14,355
24DCodes billed11
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers

Next to other Vascular Surgery Physician providers in New York

Rank by total paid#2 of 203
Median peer was paid$9K
This provider vs. median792×

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$200K$400K2018201920202021202220232024
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
201964$23K
2020457$98K
2021730$353K
20223,754$1.91M
20234,476$2.16M
2024incomplete4,874$2.43M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
36465 49% 2,541 1,690 $3.42M
36478 24% 1,385 971 $1.68M
93970 9.0% 3,527 3,512 $628K
36475 7.7% 432 289 $537K
93971 7.3% 4,271 3,365 $510K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.6% 1,211 1,205 $108K
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% 443 443 $52K
36470 <1% 150 139 $20K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 200 200 $10K
76942 <1% 128 102 $8K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 67 67 $5K

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.