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

Express Pediatrics

Express Pediatrics was paid $169K by Medicaid between Sep 2023 and Dec 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.

33Billing provider infoEXPRESS PEDIATRICS
POMONA, NY 10970
33aNPI1073227245assigned 01/11/2023
33bProvider typePediatrics Physician
28Total paid$169K
24GClaims3,776
24DCodes billed16
24AFirst – last monthSep 2023 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#606 of 1,983
Median peer was paid$17K
This provider vs. median10.0×

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$20K$30K2018201920202021202220232024
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
2023154$7K
2024incomplete3,622$162K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29% 646 565 $50K
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 22% 350 320 $37K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17% 294 294 $28K
87631 12% 242 226 $21K
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 5.7% 76 75 $10K
99442 5.5% 118 112 $9K
99051 2.5% 941 853 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1.7% 155 146 $3K
99441 1.4% 47 46 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 476 446 $2K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 115 114 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 12 12 $1K
4 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 15 $645.32
90461 <1% 24 $58.86
94760 0% 249 $0.00
90661 0% 16 $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 officialBLOBSTEIN, REUVEN (MD/OWNER)
Parent organizationEXPRESS PEDIATRICS