Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Utica Pediatrics PC

Utica Pediatrics PC was paid $247K by Medicaid between Mar 2019 and Nov 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.

33Billing provider infoUTICA PEDIATRICS PC
NEW HARTFORD, NY 13413
33aNPI1033200456assigned 09/28/2006
33bProvider typePediatrics Physician
28Total paid$247K
24GClaims4,049
24DCodes billed17
24AFirst – last monthMar 2019 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#547 of 1,983
Median peer was paid$17K
This provider vs. median15×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2019397$22K
2020690$31K
2021973$51K
2022900$74K
2023468$31K
2024incomplete621$38K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 43% 1,125 1,073 $107K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22% 773 741 $54K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 11% 195 189 $28K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8.3% 221 221 $21K
90460 Immunization administration through 18 years of age via any route, first or only component 4.7% 631 629 $12K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.9% 94 94 $10K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2.9% 230 220 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.1% 70 69 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.1% 206 205 $3K
0072A <1% 33 33 $1K
0071A <1% 32 32 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 41 27 $824.12
5 more codes
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 44 $672.76
96127 <1% 99 $509.59
96160 <1% 38 $66.56
90686 0% 205 $0.00
90656 0% 12 $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 officialBARO, DAWN (OWNER)