Physician
Kalafatic, Maria
Kalafatic, Maria was paid $700K by Medicaid between Jan 2018 and Dec 2023, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoKALAFATIC, MARIA
BRONX, NY 10472
BRONX, NY 10472
33aNPI1043304959assigned 10/03/2006
33bProvider typePediatrics Physician
28Total paid$700K
24GClaims43,566
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#350 of 1,983
Median peer was paid$17K
This provider vs. median41×
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 | 9,444 | $189K | |
| 2019 | 8,338 | $151K | |
| 2020 | 7,632 | $95K | |
| 2021 | 7,592 | $102K | |
| 2022 | 5,650 | $89K | |
| 2023 | 4,910 | $74K |
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 | 38% | 4,651 | 4,241 | $264K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 16% | 3,174 | 2,976 | $115K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.1% | 805 | 804 | $64K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.6% | 2,435 | 2,412 | $60K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.5% | 808 | 807 | $59K |
| 92552 | 7.9% | 2,559 | 2,550 | $55K | |
| H0049 | Alcohol and/or drug screening | 3.0% | 1,242 | 1,238 | $21K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.6% | 144 | 143 | $11K |
| 96127 | 1.2% | 3,202 | 3,191 | $9K | |
| 90461 | 1.1% | 197 | 197 | $8K | |
| 97802 | <1% | 488 | 487 | $6K | |
| 99442 | <1% | 156 | 147 | $5K |
34 more codes
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 228 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 961 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,763 | $3K |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 282 | $2K |
| 90686 | <1% | 832 | $2K | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 304 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 24 | $1K |
| 99173 | <1% | 1,508 | $1K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 878 | $1K |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | <1% | 986 | $896.50 |
| 99401 | <1% | 33 | $704.76 | |
| H0001 | Alcohol and/or drug assessment | <1% | 43 | $577.30 |
| 99441 | <1% | 42 | $505.30 | |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 664 | $408.10 |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | <1% | 12 | $213.90 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 15 | $178.00 |
| 86580 | <1% | 15 | $92.92 | |
| 4293F | 0% | 548 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,332 | $0.00 |
| 1036F | 0% | 385 | $0.00 | |
| 96161 | 0% | 1,675 | $0.00 | |
| 1000F | 0% | 418 | $0.00 | |
| 3008F | 0% | 2,196 | $0.00 | |
| 90651 | 0% | 28 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 13 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 1,006 | $0.00 |
| 96160 | 0% | 3,111 | $0.00 | |
| 1159F | 0% | 543 | $0.00 | |
| 3725F | 0% | 993 | $0.00 | |
| 3016F | 0% | 991 | $0.00 | |
| 1160F | 0% | 544 | $0.00 | |
| 83655 | 0% | 277 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 41 | $0.00 |
| 90734 | 0% | 14 | $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.