Clinic
Pelham Physical Medicine INC
Pelham Physical Medicine INC was paid $5.06M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 40% of everything it billed.
33Billing provider infoPELHAM PHYSICAL MEDICINE INC
BRONX, NY 10461
BRONX, NY 10461
33aNPI1952465338assigned 12/20/2006
33bProvider typeRehabilitation Clinic/Center
28Total paid$5.06M
24GClaims166,959
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rehabilitation Clinic/Center providers in New York
Rank by total paid#3 of 15
Median peer was paid$968K
This provider vs. median5.2×
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 | 8,316 | $293K | |
| 2019 | 18,847 | $607K | |
| 2020 | 17,094 | $549K | |
| 2021 | 27,232 | $852K | |
| 2022 | 34,452 | $1.10M | |
| 2023 | 28,197 | $834K | |
| 2024incomplete | 32,821 | $821K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 40% | 63,150 | 10,390 | $2.02M |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 34% | 50,063 | 9,970 | $1.71M |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 11% | 35,863 | 7,894 | $577K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 9.0% | 11,275 | 2,492 | $458K |
| 97161 | 1.7% | 1,517 | 1,497 | $85K | |
| 97162 | 1.5% | 1,625 | 1,598 | $77K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 1,102 | 1,083 | $62K |
| 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 | <1% | 599 | 578 | $48K |
| 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 | <1% | 89 | 89 | $10K |
| 97163 | <1% | 112 | 111 | $6K | |
| 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% | 64 | 63 | $5K |
| 99242 | <1% | 28 | 28 | $2K |
9 more codes
| 97014 | <1% | 147 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 29 | $1K |
| 97164 | <1% | 39 | $907.40 | |
| G8982 | Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 114 | $0.00 |
| G8981 | Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 130 | $0.00 |
| G8984 | Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 108 | $0.00 |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 394 | $0.00 |
| G8979 | Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 398 | $0.00 |
| G8985 | Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 113 | $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 officialPERLMUTTER, ALLAN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Pelham Physical Medicine,inc | Bronx, NY | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.