Clinic
Pleasant Valley Pediatric Medicine, PLLC
Pleasant Valley Pediatric Medicine, PLLC was paid $1K by Medicaid between Aug 2024 and Oct 2024, across 3 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 91% of everything it billed.
33Billing provider infoPLEASANT VALLEY PEDIATRIC MEDICINE, PLLC
PLEASANT VALLEY, NY 12569
PLEASANT VALLEY, NY 12569
33aNPI1639954464assigned 08/29/2023
33bProvider typePrimary Care Clinic/Center
28Total paid$1K
24GClaims82
24DCodes billed3
24AFirst – last monthAug 2024 – Oct 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New York
Rank by total paid#220 of 242
Median peer was paid$172K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 82 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 91% | 31 | 30 | $1K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 9.3% | 20 | 17 | $136.42 |
| 99173 | 0% | 31 | 31 | $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 officialSOBRIN, JACK (OWNER)