KRISTINE MAY B PARCON, D.P.T.

NPI 1760895122, individual, Forest Hills, NY, Physical Therapist, Orthopedic

Evidence tier

documented action, then payment

Listed on the Medicare revocation list since September 6, 2023.
Medicaid still paid claims in 5 later months, $31,675 in total.

score 95 of 100, rank 220, $32K at stake

Public list actions

Medicare revocation effective September 6, 2023, barred from re-enrolling until September 6, 2033

424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion), Practitioner - Physical Therapist In Private Practice, NY

OIG exclusion October 20, 2024 under section 1128a3

Ind- Lic HC Serv Pro, Physical Therapy, Jamaica, NY

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

list	identity check	action date	window closed	months paid after	first	last	paid after	12 months before
Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)	Exact NPI, name verified	Sep 6, 2023	Sep 6, 2033	5	Oct 2023	Feb 2024	$32K	$400K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	KRISTINE MAY B PARCON, D.P.T.
Type	Individual
Status	Active
NPI issued	June 3, 2014, last updated September 26, 2023
Practice location	9614 METROPOLITAN AVE STE B, Forest Hills, NY 11375-6675, 718-424-9531
Mailing address	8831 179TH PL, Jamaica, NY 11432-4735
Specialties	Physical Therapist (225100000X, license 027811 NY) Physical Therapist, Geriatrics (2251G0304X, license 027811 NY) Physical Therapist, Orthopedic (2251X0800X, primary, license 027811 NY)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes

code	what it is	paid	share	per patient-month	typical	rank among providers
97530	Therapy procedure using functional activities	$416K	50%	$228	$124 (top 5% from $387)	74th percentile
97110	Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$171K	21%	$78	$76 (top 5% from $314)	52nd percentile
97112	Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	$76K	9%	$48	$59 (top 5% from $187)	36th percentile
97140	Therapy procedure using manual technique, each 15 minutes	$73K	9%	$34	$47 (top 5% from $120)	29th percentile
97162	Evaluation for physical therapy, typically 30 minutes	$37K	4%	$45	$48 (top 5% from $145)	44th percentile
97163	Evaluation for physical therapy, typically 45 minutes	$27K	3%	$48	$51 (top 5% from $152)	45th percentile
97164	Re-evaluation for physical therapy, typically 20 minutes	$16K	2%	$33	$36 (top 5% from $102)	43rd percentile
97161	Evaluation for physical therapy, typically 20 minutes	$8K	1%	$35	$51 (top 5% from $132)	23rd percentile

In this area

77 providers in Queens County, NY carry an indicator in the public record, with $134.4M at stake between them. The most common is more hours than a day holds, on 59 of them, followed by named in an enforcement record on 8. 8 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	JAEWOOK CHOI Bayside, NY, ranked 170	$63K	Listed on the Medicare revocation list since March 31, 2023. Medicaid still paid claims in 7 later months, $63,142 in total.
1	JAEKWAN LEE Flushing, NY, ranked 198	$45K	Adjudicated (pleaded guilty) per a Department of Justice release dated May 12, 2026. Medicaid paid $44,912 in the last 12 observed months.
1	JUAN A MEDINA MEDICAL OFFICE PC Far Rockaway, NY, ranked 246	$19K	Listed on the NY Medicaid exclusion list since December 8, 2014. Medicaid still paid claims in 4 later months, $19,325 in total.
1	ELIZABETH YUABOV Rego Park, NY, ranked 304	$7K	Listed on the NY Medicaid exclusion list since February 12, 2020. Medicaid still paid claims in 7 later months, $7,470 in total.
1	BROOKLYN DOC MEDICAL P.C. Forest Hills, NY, ranked 332	$4K	Listed on the Medicare revocation list since November 4, 2022. Medicaid still paid claims in 5 later months, $4,091 in total.
1	JWC PT PC Bayside, NY, ranked 336	$4K	Listed on the Medicare revocation list since March 31, 2023. Medicaid still paid claims in 2 later months, $3,915 in total.
1	GLOBAL REHABILITATION MEDICAL PC Rego Park, NY, ranked 390	$1K	Listed on the NY Medicaid exclusion list since October 21, 2020. Medicaid still paid claims in 1 later month, $1,131 in total.
1	ALEXANDER BALDONADO Woodside, NY, ranked 576	$0	Adjudicated (sentenced, convicted, indicted) per a Department of Justice release dated February 21, 2024. No Medicaid payments in the last 12 observed months.

All 77 in NY

Recent enforcement in NY

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJIndictedAug 20, 2026

Four Members Of The “War Room” Charged In Connection With $12 Million Medicaid Fraud Scheme

Members of a Bronx-based racketeering organization known as the "War Room" fabricated ride data for methadone clinic transportation using a GPS spoofing application, paid Medicaid patients kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in claims to Medicaid, and laundered the proceeds.

DOJIndictedAug 20, 2026

Four Members of the “War Room” Charged in Connection with $12M Medicaid Fraud Scheme

Four members of a Bronx racketeering organization known as the "War Room" fabricated medical transportation ride data using a ride-tracking app and GPS spoofing, paid Medicaid patients at methadone clinics kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in Medicaid claims, and laundered the proceeds.

DOJCivil settlementAug 17, 2026

Safire nursing homes agree to pay $9 million to resolve fraudulent Medicare and Medicaid billing allegations

The United States alleged that Safire submitted false claims to Medicare and Medicaid for skilled rehabilitative therapy services that were not reasonable or necessary, not supported by medical records, not documented as provided, or not provided at all, including by scheduling therapy based on insurer reimbursement policies, pressuring therapists and residents, and manufacturing or altering therapy referrals and medical records.

DOJSentencedJul 21, 2026

Owner of Long Island Ambulette Services Company Sentenced to Prison for Multimillion Dollar Healthcare Fraud Scheme

Arshad and co-conspirators paid kickbacks to Medicaid beneficiaries to order transportation through his companies and billed Medicaid over $19 million for medical transportation rides that were not provided, including for individuals who were deceased, hospitalized or incarcerated, and inflated reimbursements with false pickup addresses and distant treatment centers.

DOJIndictedJul 2, 2026

Two Defendants Charged with Multi-Million Dollar Health Care Fraud Scheme

The defendants, who owned and operated Tri-Hamlet Taxi Inc., allegedly paid kickbacks to Medicaid beneficiaries and submitted more than $35 million in claims to Medicaid for ambulette trips that were not provided or whose costs were inflated by using false pickup or drop-off addresses.

Referral packet

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