Physician
Pma Medical Specialists, LLC
Pma Medical Specialists, LLC was paid $153K by Medicaid between Apr 2020 and Jan 2022, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoPMA MEDICAL SPECIALISTS, LLC
PHOENIXVILLE, PA 19460
PHOENIXVILLE, PA 19460
33aNPI1750438842assigned 01/04/2007
33bProvider typeFamily Medicine Physician
28Total paid$153K
24GClaims3,704
24DCodes billed8
24AFirst – last monthApr 2020 – Jan 2022
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#467 of 2,756
Median peer was paid$19K
This provider vs. median8.0×
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 | |
|---|---|---|---|
| 2020 | 526 | $20K | |
| 2021 | 3,020 | $123K | |
| 2022 | 158 | $9K |
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 | 49% | 1,340 | 1,273 | $75K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 45% | 1,609 | 1,542 | $69K |
| 3008F | 2.7% | 428 | 425 | $4K | |
| 90688 | 2.6% | 240 | 240 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 28 | 28 | $735.00 |
| 90687 | <1% | 28 | 28 | $367.64 | |
| 90686 | <1% | 16 | 16 | $211.65 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 15 | 15 | $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 officialCLAY, JULIE (BILLING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Pma Medical Specialists Endocrinology | Limerick, PA | $9K |
| Pma Nursing Facility Service LLC | Limerick, PA | $2K |
| Pma Medical Specialists Rheumatology | Phoenixville, PA | $525.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.