Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PREMIUM MEDICAL CARE, P.C.

NPI: 1730399163 · FLUSHING, NY 11355 · Physical Medicine & Rehabilitation Physician · NPI assigned 05/23/2007

$15.74M
Total Medicaid Paid
297,598
Total Claims
193,041
Beneficiaries
47
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSUN, HELEN (BILLER)
NPI Enumeration Date05/23/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 34,482 $1.49M
2019 44,649 $2.23M
2020 27,688 $1.59M
2021 33,411 $2.12M
2022 51,134 $2.97M
2023 54,900 $2.94M
2024 51,334 $2.39M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 90,831 44,294 $3.68M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33,336 30,186 $2.74M
95886 11,364 9,296 $2.33M
97530 Therapeutic activities, direct patient contact, each 15 minutes 36,020 20,230 $1.58M
95912 5,465 5,460 $1.33M
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 49,697 26,758 $1.06M
95910 5,607 5,605 $991K
97161 7,619 7,586 $560K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,932 4,930 $528K
97032 23,050 12,061 $283K
97162 2,699 2,683 $193K
97164 3,213 3,185 $169K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 5,339 3,057 $58K
90460 Immunization administration through 18 years of age via any route, first or only component 3,088 2,882 $57K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 345 345 $42K
99441 1,039 972 $38K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 240 240 $26K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 120 120 $16K
95911 53 53 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 234 225 $10K
97802 760 755 $9K
20610 153 132 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 39 39 $5K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 380 380 $4K
J1030 Injection, methylprednisolone acetate, 40 mg 324 307 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 28 25 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 699 681 $2K
90686 1,041 1,040 $2K
96127 230 230 $1K
J1020 Injection, methylprednisolone acetate, 20 mg 174 167 $798.23
97810 66 27 $597.41
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 25 25 $368.33
97811 33 15 $263.68
90461 41 41 $212.70
36415 Collection of venous blood by venipuncture 92 92 $177.50
G9275 Documentation that patient is a current non-tobacco user 2,554 2,553 $22.00
S9451 Exercise classes, non-physician provider, per session 645 640 $10.00
1000F 1,411 1,411 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 2,259 2,018 $0.00
3008F 599 541 $0.00
1036F 1,199 1,199 $0.00
H0001 Alcohol and/or drug assessment 30 30 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 348 348 $0.00
90685 63 63 $0.00
3016F 37 37 $0.00
90734 40 40 $0.00
3725F 37 37 $0.00