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
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
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 | 500 | $30K | |
| 2021 | 10,663 | $1.02M | |
| 2022 | 38,887 | $2.69M | |
| 2023 | 40,363 | $2.93M | |
| 2024incomplete | 30,571 | $2.17M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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
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)