Physician
Pediatric Healthcare of Queens PC
Pediatric Healthcare of Queens PC was paid $925K by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoPEDIATRIC HEALTHCARE OF QUEENS PC
ASTORIA, NY 11102
ASTORIA, NY 11102
33aNPI1003952235assigned 01/29/2007
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$925K
24GClaims25,318
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in New York
Rank by total paid#37 of 161
Median peer was paid$100K
This provider vs. median9.2×
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 | 373 | $17K | |
| 2019 | 1,398 | $47K | |
| 2020 | 2,473 | $62K | |
| 2021 | 4,383 | $148K | |
| 2022 | 5,649 | $233K | |
| 2023 | 5,453 | $218K | |
| 2024incomplete | 5,589 | $200K |
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 | 45% | 5,857 | 4,466 | $415K |
| 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 | 26% | 2,343 | 2,123 | $241K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.6% | 2,039 | 1,693 | $79K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.7% | 604 | 604 | $52K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.2% | 2,317 | 2,247 | $29K |
| 92587 | 3.2% | 1,032 | 1,029 | $29K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 305 | 294 | $25K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.4% | 1,602 | 1,395 | $22K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 89 | 89 | $8K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 625 | 419 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,845 | 1,719 | $5K |
| 87634 | <1% | 236 | 225 | $4K |
25 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 39 | $4K |
| 87807 | <1% | 218 | $2K | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 384 | $768.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 25 | $744.96 |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 15 | $719.99 |
| 0071A | <1% | 14 | $475.76 | |
| 83655 | <1% | 45 | $436.29 | |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 314 | $248.54 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 19 | $230.47 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 29 | $225.61 |
| 83051 | <1% | 45 | $127.41 | |
| 94760 | <1% | 993 | $114.22 | |
| 99173 | <1% | 946 | $22.64 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,371 | $19.90 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 13 | $1.17 |
| 90707 | 0% | 12 | $0.00 | |
| 90670 | 0% | 142 | $0.00 | |
| 90633 | 0% | 13 | $0.00 | |
| 90680 | 0% | 51 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 74 | $0.00 |
| 90698 | 0% | 129 | $0.00 | |
| 36416 | 0% | 90 | $0.00 | |
| 99000 | 0% | 905 | $0.00 | |
| 90686 | 0% | 525 | $0.00 | |
| 91307 | 0% | 13 | $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 officialMARKOUIZOS, DEMETRIOS (PRESIDENT OWNER)