Perry Ave Family Medical Center INC

Perry Ave Family Medical Center INC was paid $11.73M by Medicaid between Jan 2018 and Dec 2024, across 160 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.

33Billing provider infoPERRY AVE FAMILY MEDICAL CENTER INC
BRONX, NY 10467

33aNPI1619973518assigned 06/24/2005

33bProvider typeAllergy Physician

28Total paid$11.73M

24GClaims399,706

24DCodes billed160

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Allergy Physician providers in New York

Rank by total paid#1 of 54

Median peer was paid$33K

This provider vs. median357×

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	22,053	$513K
2019	41,107	$767K
2020	56,775	$1.38M
2021	70,153	$2.34M
2022	62,842	$2.13M
2023	83,273	$2.57M
2024incomplete	63,503	$2.03M

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	42%	67,356	40,330	$4.95M
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	8.4%	11,762	10,662	$979K
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	4.3%	4,518	3,973	$510K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	3.0%	6,803	4,233	$346K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	2.6%	3,584	3,465	$303K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	2.6%	3,700	3,530	$300K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	2.3%	7,538	2,430	$274K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	2.2%	1,138	983	$256K
95117		2.1%	12,844	7,401	$251K
H0001	Alcohol and/or drug assessment	2.1%	2,636	2,628	$247K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	2.1%	5,057	5,020	$241K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.0%	2,416	2,304	$240K

148 more codes

G0442	Annual alcohol misuse screening, 5 to 15 minutes	1.8%	8,763	$212K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.4%	1,985	$166K
97032		1.4%	11,338	$164K
94060		1.3%	988	$151K
99000		1.3%	8,134	$150K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.3%	1,732	$148K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.1%	1,135	$129K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	1.1%	6,481	$125K
99441		<1%	886	$98K
97035		<1%	7,131	$87K
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	<1%	1,573	$84K
99401		<1%	2,048	$73K
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	3,698	$65K
95024		<1%	377	$59K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	2,048	$59K
T1013	Sign language or oral interpretive services, per 15 minutes	<1%	5,042	$54K
97162		<1%	527	$52K
36415	Collection of venous blood by venipuncture	<1%	18,669	$50K
99385		<1%	536	$48K
99204	Doctor's office visit, new patient (more involved)	<1%	358	$46K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	443	$42K
97597		<1%	118	$41K
99442		<1%	350	$40K
90686		<1%	1,699	$37K
11900		<1%	118	$34K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	<1%	268	$32K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	123	$32K
97802		<1%	2,958	$30K
99173		<1%	839	$26K
97602		<1%	45	$26K
G0444	Annual depression screening, 5 to 15 minutes	<1%	738	$23K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	3,781	$22K
92587		<1%	321	$22K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	50	$21K
99443		<1%	161	$20K
93970		<1%	37	$19K
92250		<1%	214	$19K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	<1%	1,412	$18K
G0445	High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes	<1%	272	$16K
11056		<1%	66	$16K
17110		<1%	60	$15K
11721		<1%	267	$14K
97535	Self-care/home management training, each 15 minutes	<1%	694	$13K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	200	$13K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	621	$12K
92060		<1%	153	$11K
90672		<1%	626	$9K
76830	Ultrasound, transvaginal	<1%	93	$8K
97010		<1%	1,621	$8K
99406		<1%	206	$8K
90656		<1%	738	$8K
11102		<1%	13	$7K
3078F		<1%	8,408	$7K
76700	Ultrasound, abdominal, real time with image documentation; complete	<1%	12	$7K
90836		<1%	66	$7K
92285		<1%	110	$6K
90461		<1%	1,272	$6K
G0008	Administration of influenza virus vaccine	<1%	646	$6K
99386		<1%	52	$6K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	1,224	$5K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	<1%	62	$5K
76942		<1%	26	$5K
90473		<1%	579	$5K
92552		<1%	72	$4K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	<1%	37	$4K
93000		<1%	1,438	$4K
10040		<1%	16	$4K
20550		<1%	15	$4K
90651		<1%	320	$4K
90685		<1%	278	$4K
92201		<1%	39	$3K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	50	$3K
92020		<1%	42	$3K
90734		<1%	251	$2K
99383		<1%	25	$2K
H0049	Alcohol and/or drug screening	<1%	112	$2K
90792	Psychiatric diagnostic evaluation with medical services	<1%	12	$2K
92002		<1%	26	$2K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	163	$2K
S9451	Exercise classes, non-physician provider, per session	<1%	4,949	$2K
90660		<1%	120	$2K
90619		<1%	82	$2K
99397		<1%	36	$2K
90649		<1%	53	$1K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	<1%	386	$1K
90838		<1%	13	$1K
99384		<1%	12	$1K
90715		<1%	84	$1K
88325		<1%	35	$1K
99188		<1%	24	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	259	$993.23
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	11,052	$975.16
92499		<1%	23	$951.07
92015	Determination of refractive state	<1%	77	$919.10
90620		<1%	69	$871.85
90670		<1%	26	$773.50
0071A		<1%	31	$719.88
90658		<1%	64	$697.45
90633		<1%	41	$677.15
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	99	$640.79
0013A		<1%	17	$592.32
86703		<1%	24	$318.57
90744		<1%	13	$301.20
0072A		<1%	14	$285.00
90674		<1%	23	$276.11
36410		<1%	15	$246.40
3074F		<1%	8,499	$242.82
G8938	Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible	<1%	2,681	$154.50
G8752	Most recent systolic blood pressure < 140 mmhg	<1%	19,177	$128.48
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	<1%	111	$124.43
G8754	Most recent diastolic blood pressure < 90 mmhg	<1%	19,595	$121.36
90688		<1%	86	$91.06
87070		<1%	458	$83.23
1126F		<1%	9,520	$76.56
97124		<1%	34	$72.71
94760		<1%	69	$45.66
G8731	Pain assessment using a standardized tool is documented as negative, no follow-up plan required	<1%	5,401	$24.90
96127		<1%	19	$21.92
G8753	Most recent systolic blood pressure >= 140 mmhg	<1%	1,879	$14.08
G8755	Most recent diastolic blood pressure >= 90 mmhg	<1%	1,393	$10.00
G8730	Pain assessment documented as positive using a standardized tool and a follow-up plan is documented	<1%	701	$4.50
3075F		<1%	1,586	$2.13
3077F		<1%	1,104	$1.35
3008F		<1%	14,551	$1.18
91301		<1%	35	$1.00
2010F		<1%	12,612	$0.59
1160F		<1%	11,055	$0.57
1159F		<1%	11,511	$0.56
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	65	$0.12
99408		<1%	41	$0.06
3725F		0%	1,964	$0.00
3016F		0%	217	$0.00
87400		0%	27	$0.00
81002		0%	19	$0.00
99071		0%	36	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	1,481	$0.00
3080F		0%	317	$0.00
3079F		0%	3,232	$0.00
2000F		0%	128	$0.00
1125F		0%	1,714	$0.00
1036F		0%	806	$0.00
1000F		0%	1,261	$0.00
84480		0%	19	$0.00
0513F		0%	1,088	$0.00
J2001	Injection, lidocaine hcl for intravenous infusion, 10 mg	0%	70	$0.00
84703		0%	15	$0.00
36406		0%	16	$0.00
1220F		0%	13	$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 officialKHAN, SHAMA (OPERATIONS MANAGER)