Physician
Harlem Medical Associates PC
Harlem Medical Associates PC was paid $8.11M by Medicaid between Jan 2018 and Jun 2024, across 99 billing codes. Its largest line is 99284, emergency room visit (serious) — 38% of everything it billed.
33Billing provider infoHARLEM MEDICAL ASSOCIATES PC
NEW YORK, NY 10037
NEW YORK, NY 10037
33aNPI1487957692assigned 12/09/2010
33bProvider typeGeneral Practice Physician
28Total paid$8.11M
24GClaims200,604
24DCodes billed99
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other General Practice Physician providers in New York
Rank by total paid#5 of 178
Median peer was paid$27K
This provider vs. median302×
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 | |
|---|---|---|---|
| 2018 | 17,973 | $499K | |
| 2019 | 24,277 | $698K | |
| 2020 | 22,785 | $724K | |
| 2021 | 31,856 | $1.21M | |
| 2022 | 38,176 | $1.54M | |
| 2023 | 45,780 | $2.47M | |
| 2024incomplete | 19,757 | $970K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 38% | 34,948 | 34,495 | $3.11M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 22% | 37,811 | 37,351 | $1.78M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.7% | 10,158 | 4,796 | $466K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.5% | 8,441 | 8,105 | $286K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 3.3% | 9,300 | 9,184 | $268K |
| 70450 | Computed tomography, head or brain; without contrast material | 2.7% | 8,029 | 7,798 | $220K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.6% | 31,991 | 27,683 | $212K |
| 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 | 2.5% | 4,066 | 3,980 | $203K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 2.0% | 2,594 | 2,568 | $162K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.7% | 1,106 | 1,087 | $135K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.6% | 1,637 | 1,613 | $131K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.3% | 790 | 351 | $107K |
87 more codes
| 71046 | Radiologic examination, chest; 2 views | 1.2% | 11,848 | $97K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.1% | 2,482 | $92K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.1% | 2,063 | $91K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 1,676 | $86K |
| 71045 | Radiologic examination, chest; single view | <1% | 12,223 | $79K |
| 99443 | <1% | 574 | $53K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 988 | $50K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 981 | $47K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,621 | $45K |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 1,073 | $35K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 487 | $33K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 684 | $23K |
| 99221 | <1% | 431 | $23K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,136 | $21K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 660 | $17K |
| 99218 | <1% | 195 | $15K | |
| 88307 | <1% | 168 | $14K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 553 | $14K |
| 76641 | <1% | 466 | $14K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 226 | $13K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 721 | $13K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 474 | $12K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 202 | $12K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 325 | $10K |
| 59425 | <1% | 134 | $9K | |
| 70486 | <1% | 294 | $8K | |
| 76830 | Ultrasound, transvaginal | <1% | 351 | $8K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 128 | $7K |
| 93970 | <1% | 276 | $7K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 83 | $6K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 307 | $6K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 202 | $5K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 252 | $5K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 46 | $5K |
| 99442 | <1% | 166 | $5K | |
| 88312 | <1% | 249 | $5K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 53 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 65 | $4K |
| 73630 | <1% | 625 | $3K | |
| 99223 | Prolong inpt eval add15 m | <1% | 28 | $3K |
| 73610 | <1% | 476 | $3K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 74 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 28 | $3K |
| 20552 | <1% | 108 | $2K | |
| 73130 | <1% | 313 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 344 | $2K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 54 | $2K |
| 88304 | <1% | 133 | $2K | |
| 99441 | <1% | 114 | $1K | |
| 99252 | <1% | 14 | $1K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 28 | $1K |
| 99217 | <1% | 18 | $1K | |
| 92250 | <1% | 84 | $1K | |
| 99384 | <1% | 13 | $1K | |
| 99253 | <1% | 13 | $1K | |
| 77066 | Tomosynthesis, mammo | <1% | 26 | $985.08 |
| 99152 | <1% | 129 | $931.96 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $845.46 |
| 71271 | <1% | 24 | $845.30 | |
| 72170 | <1% | 144 | $840.29 | |
| 76770 | <1% | 29 | $663.12 | |
| 73590 | <1% | 113 | $606.44 | |
| 73030 | <1% | 80 | $515.75 | |
| 94729 | <1% | 84 | $513.67 | |
| 76801 | <1% | 13 | $505.36 | |
| 94727 | <1% | 59 | $488.17 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 12 | $468.92 |
| 99224 | <1% | 14 | $398.99 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 21 | $385.81 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 27 | $371.25 |
| 94010 | <1% | 47 | $311.70 | |
| 76818 | <1% | 21 | $310.56 | |
| 73562 | <1% | 39 | $306.14 | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 12 | $233.59 |
| 73560 | <1% | 13 | $127.57 | |
| 73110 | <1% | 14 | $78.95 | |
| 73090 | <1% | 13 | $74.47 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 13 | $15.60 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 821 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 18 | $0.00 |
| 99080 | 0% | 454 | $0.00 | |
| 81025 | 0% | 27 | $0.00 | |
| 0502F | 0% | 16 | $0.00 | |
| 99051 | 0% | 14 | $0.00 | |
| 82962 | 0% | 13 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 27 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 53 | $0.00 |
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 officialPENTYALA, SUDHA (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Coney Island Medical Practice Plan, P.C. | Brooklyn, NY | $7.04M |
| Metropolitan Medical Practice Plan PC | New York, NY | $4.54M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.