Physician
Pleasant Valley Medical Care PLLC
Pleasant Valley Medical Care PLLC was paid $32K by Medicaid between Apr 2023 and Dec 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 90% of everything it billed.
33Billing provider infoPLEASANT VALLEY MEDICAL CARE PLLC
PLEASANT VALLEY, NY 12569
PLEASANT VALLEY, NY 12569
33aNPI1306566633assigned 08/29/2022
33bProvider typeAdolescent Medicine (Internal Medicine) Physician
28Total paid$32K
24GClaims507
24DCodes billed2
24AFirst – last monthApr 2023 – Dec 2024
Compared with peers
Next to other Adolescent Medicine (Internal Medicine) Physician providers in New York
Rank by total paid#10 of 22
Median peer was paid$18K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2023 | 180 | $10K | |
| 2024incomplete | 327 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 90% | 476 | 306 | $29K |
| 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 | 9.9% | 31 | 30 | $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 officialKURTOVIC, EDMOND (MEDICAL DOCTOR)