Physician
Premium Medical Care, P.C.
Premium Medical Care, P.C. was paid $15.74M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 23% of everything it billed.
33Billing provider infoPREMIUM MEDICAL CARE, P.C.
FLUSHING, NY 11355
FLUSHING, NY 11355
33aNPI1730399163assigned 05/23/2007
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$15.74M
24GClaims297,598
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in New York
Rank by total paid#1 of 465
Median peer was paid$12K
This provider vs. median1,284×
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 | 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 | |
| 2024incomplete | 51,334 | $2.39M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 23% | 90,831 | 44,294 | $3.68M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 33,336 | 30,186 | $2.74M |
| 95886 | 15% | 11,364 | 9,296 | $2.33M | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 10% | 36,020 | 20,230 | $1.58M |
| 95912 | 8.4% | 5,465 | 5,460 | $1.33M | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 6.7% | 49,697 | 26,758 | $1.06M |
| 95910 | 6.3% | 5,607 | 5,605 | $991K | |
| 97161 | 3.6% | 7,619 | 7,586 | $560K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.4% | 4,932 | 4,930 | $528K |
| 97032 | 1.8% | 23,050 | 12,061 | $283K | |
| 97162 | 1.2% | 2,699 | 2,683 | $193K | |
| 97164 | 1.1% | 3,213 | 3,185 | $169K |
35 more codes
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | <1% | 5,339 | $58K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,088 | $57K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 345 | $42K |
| 99441 | <1% | 1,039 | $38K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 240 | $26K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 120 | $16K |
| 95911 | <1% | 53 | $13K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 234 | $10K |
| 97802 | <1% | 760 | $9K | |
| 20610 | <1% | 153 | $8K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 39 | $5K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 380 | $4K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 324 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 28 | $3K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 699 | $2K |
| 90686 | <1% | 1,041 | $2K | |
| 96127 | <1% | 230 | $1K | |
| J1020 | Injection, methylprednisolone acetate, 20 mg | <1% | 174 | $798.23 |
| 97810 | <1% | 66 | $597.41 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 25 | $368.33 |
| 97811 | <1% | 33 | $263.68 | |
| 90461 | <1% | 41 | $212.70 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 92 | $177.50 |
| G9275 | Documentation that patient is a current non-tobacco user | <1% | 2,554 | $22.00 |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 645 | $10.00 |
| 1000F | 0% | 1,411 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 2,259 | $0.00 |
| 3008F | 0% | 599 | $0.00 | |
| 1036F | 0% | 1,199 | $0.00 | |
| H0001 | Alcohol and/or drug assessment | 0% | 30 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 348 | $0.00 |
| 90685 | 0% | 63 | $0.00 | |
| 3016F | 0% | 37 | $0.00 | |
| 90734 | 0% | 40 | $0.00 | |
| 3725F | 0% | 37 | $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 officialSUN, HELEN (BILLER)