Physician
Pediatric Allergy of Pulmonary
Pediatric Allergy of Pulmonary was paid $731K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.
33Billing provider infoPEDIATRIC ALLERGY OF PULMONARY
ROCHESTER, NY 14642
ROCHESTER, NY 14642
33aNPI1013952688assigned 06/18/2006
33bProvider typePediatric Pulmonology Physician
28Total paid$731K
24GClaims9,627
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Pulmonology Physician providers in New York
Rank by total paid#1 of 26
Median peer was paid$3K
This provider vs. median252×
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 | 1,486 | $106K | |
| 2019 | 1,590 | $120K | |
| 2020 | 1,370 | $109K | |
| 2021 | 1,160 | $94K | |
| 2022 | 1,144 | $93K | |
| 2023 | 1,477 | $117K | |
| 2024incomplete | 1,400 | $92K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 71% | 5,548 | 5,502 | $519K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.4% | 520 | 226 | $47K |
| 99222 | Initial hospital care, per day, moderate complexity | 6.0% | 359 | 355 | $44K |
| 94060 | 3.0% | 2,026 | 2,002 | $22K | |
| 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% | 142 | 142 | $21K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.6% | 99 | 50 | $19K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.6% | 301 | 169 | $19K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 269 | 269 | $16K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 1.5% | 29 | 12 | $11K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 59 | 58 | $8K |
| 99205 | Prolong outpt/office vis | <1% | 15 | 15 | $3K |
| 94010 | <1% | 233 | 231 | $2K |
2 more codes
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 officialHAIBACH, MARTIN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Neonatal | Rochester, NY | $2.41M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.