Ghumman Medical Care PLLC

Ghumman Medical Care PLLC was paid $132K by Medicaid between Jan 2018 and Sep 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 87% of everything it billed.

33Billing provider infoGHUMMAN MEDICAL CARE PLLC
QUEENS VILLAGE, NY 11427

33aNPI1649605932assigned 09/05/2013

33bProvider typePreferred Provider Organization

28Total paid$132K

24GClaims1,574

24DCodes billed6

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Preferred Provider Organization providers in New York

Rank by total paid#10 of 27

Median peer was paid$60K

This provider vs. median2.2×

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	107	$6K
2019	68	$5K
2020	288	$21K
2021	375	$34K
2022	321	$32K
2023	342	$31K
2024incomplete	73	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	87%	1,119	913	$115K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.8%	129	111	$9K
94060		3.5%	123	116	$5K
94729		1.3%	67	66	$2K
94726		1.3%	67	66	$2K
94760		0%	69	68	$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 officialGHUMMAN, CHAUDHRY (MANAGING MEMBER)