Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Professional Medical Concierge Services, PLLC

Professional Medical Concierge Services, PLLC was paid $8.84M by Medicaid between Sep 2020 and Dec 2024, across 18 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 23% of everything it billed.

33Billing provider infoPROFESSIONAL MEDICAL CONCIERGE SERVICES, PLLC
SARATOGA SPRINGS, NY 12866
33aNPI1841812310assigned 05/07/2020
33bProvider typeCounselor
28Total paid$8.84M
24GClaims120,984
24DCodes billed18
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers

Next to other Counselor providers in New York

Rank by total paid#6 of 47
Median peer was paid$97K
This provider vs. median91×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
2020500$30K
202110,663$1.02M
202238,887$2.69M
202340,363$2.93M
2024incomplete30,571$2.17M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 23% 27,246 14,896 $2.00M
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 19% 20,040 16,430 $1.69M
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 18% 16,391 6,932 $1.57M
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 11% 7,039 7,026 $1.02M
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 11% 21,458 13,367 $1.00M
T2022 Case management, per month 6.6% 2,654 2,647 $582K
96130 4.3% 5,138 5,132 $380K
90792 Psychiatric diagnostic evaluation with medical services 2.9% 1,403 1,393 $259K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.6% 1,838 1,472 $227K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 1,099 966 $65K
96127 <1% 15,364 14,267 $27K
90847 Family psychotherapy with the patient present, 50 minutes <1% 36 26 $3K
6 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 75 $2K
G0444 Annual depression screening, 5 to 15 minutes <1% 120 $2K
99421 <1% 384 $2K
98970 <1% 145 $742.00
96146 <1% 468 $389.47
98971 <1% 86 $143.10

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 officialSGAMBATI, CARL (OWNER)