Physician
Pcma Palliative Division LLC
Pcma Palliative Division LLC was paid $608K by Medicaid between Oct 2020 and Dec 2024, across 12 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 93% of everything it billed.
33Billing provider infoPCMA PALLIATIVE DIVISION LLC
PITTSBURGH, PA 15275
PITTSBURGH, PA 15275
33aNPI1629585054assigned 01/08/2018
33bProvider typeHospice and Palliative Medicine (Family Medicine) Physician
28Total paid$608K
24GClaims77,222
24DCodes billed12
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Hospice and Palliative Medicine (Family Medicine) Physician providers in Pennsylvania
Rank by total paid#3 of 9
Median peer was paid$291K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2020 | 404 | $4K | |
| 2021 | 5,612 | $58K | |
| 2022 | 14,139 | $127K | |
| 2023 | 24,781 | $204K | |
| 2024incomplete | 32,286 | $214K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 93% | 47,816 | 35,616 | $564K |
| 99306 | Prolong nursin fac eval 15m | 3.4% | 3,060 | 2,588 | $21K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.0% | 3,584 | 2,600 | $18K |
| 99310 | Prolong nursin fac eval 15m | <1% | 794 | 636 | $4K |
| 99305 | <1% | 311 | 252 | $676.75 | |
| 99497 | <1% | 6,100 | 5,011 | $239.17 | |
| 99307 | <1% | 71 | 57 | $69.87 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 13,202 | 9,099 | $0.02 |
| 1123F | 0% | 1,777 | 1,516 | $0.00 | |
| G0040 | Patient already receiving physical/occupational/speech/recreational therapy during the measurement period | 0% | 19 | 14 | $0.00 |
| G2121 | Depression, anxiety, apathy, and psychosis assessed | 0% | 20 | 15 | $0.00 |
| G9920 | Screening performed and negative | 0% | 468 | 366 | $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 officialTHIMONS, DAVID (DO)
| Provider | Location | Paid |
|---|---|---|
| Personal Care Medical Associates LLC | Pittsburgh, PA | $1.25M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.