Pyma Medical PLLC

Pyma Medical PLLC was paid $912K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.

33Billing provider infoPYMA MEDICAL PLLC
LONDON, KY 40741

33aNPI1932391976assigned 08/14/2007

33bProvider typeNurse Practitioner

28Total paid$912K

24GClaims35,658

24DCodes billed19

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Nurse Practitioner providers in Kentucky

Rank by total paid#43 of 260

Median peer was paid$89K

This provider vs. median10×

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	4,140	$119K
2019	4,344	$109K
2020	3,482	$86K
2021	5,437	$119K
2022	6,198	$161K
2023	6,720	$169K
2024incomplete	5,337	$148K

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	68%	26,996	19,249	$618K
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	13%	1,832	1,610	$118K
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	12%	2,897	2,409	$108K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	2.3%	350	285	$21K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.4%	1,137	871	$13K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	316	272	$9K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	532	438	$8K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	102	85	$5K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	106	89	$5K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	391	244	$3K
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	89	58	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	112	93	$1K

7 more codes

G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	85	$734.87
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	18	$560.15
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	204	$447.29
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	384	$161.35
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	44	$55.35
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	49	$0.00
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	0%	14	$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 officialPHILPOT, CHELSEY (OWNER)