Physician
Pelham Bay Medical Care for Women PC
Pelham Bay Medical Care for Women PC was paid $156K by Medicaid between Jan 2018 and Mar 2020, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoPELHAM BAY MEDICAL CARE FOR WOMEN PC
BRONX, NY 10461
BRONX, NY 10461
33aNPI1891170726assigned 07/21/2015
33bProvider typeGynecology Physician
28Total paid$156K
24GClaims2,706
24DCodes billed8
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Gynecology Physician providers in New York
Rank by total paid#22 of 93
Median peer was paid$10K
This provider vs. median15×
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 | 1,103 | $65K | |
| 2019 | 1,313 | $75K | |
| 2020 | 290 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 1,025 | 889 | $62K |
| 76830 | Ultrasound, transvaginal | 26% | 560 | 556 | $41K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 24% | 590 | 584 | $38K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 3.7% | 263 | 263 | $6K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.9% | 38 | 38 | $5K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 1.9% | 177 | 176 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 41 | 38 | $2K |
| 99385 | <1% | 12 | 12 | $1K |
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 officialLAFONTANT, JENNIFER (CEO)