Physician
Stony Brook Children's Service, University Faculty Practice Corporatio
Stony Brook Children's Service, University Faculty Practice Corporatio was paid $24.18M by Medicaid between Jan 2018 and Dec 2024, across 101 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoSTONY BROOK CHILDREN'S SERVICE, UNIVERSITY FACULTY PRACTICE CORPORATIO
STONY BROOK, NY 11794
STONY BROOK, NY 11794
33aNPI1083660575assigned 05/26/2006
33bProvider typePediatrics Physician
28Total paid$24.18M
24GClaims605,417
24DCodes billed101
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#5 of 1,983
Median peer was paid$17K
This provider vs. median1,425×
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 | 49,060 | $2.43M | |
| 2019 | 77,271 | $3.08M | |
| 2020 | 92,899 | $2.98M | |
| 2021 | 109,227 | $3.91M | |
| 2022 | 73,338 | $3.34M | |
| 2023 | 104,498 | $4.58M | |
| 2024incomplete | 99,124 | $3.86M |
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 | 24% | 73,748 | 71,390 | $5.89M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 107,959 | 104,672 | $4.67M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 10% | 29,793 | 29,693 | $2.47M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.0% | 82,293 | 78,962 | $1.93M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 5.2% | 8,824 | 8,786 | $1.26M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.4% | 28,937 | 27,185 | $1.06M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.7% | 23,406 | 23,393 | $892K |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 3.1% | 1,612 | 655 | $755K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.4% | 15,866 | 15,851 | $588K |
| 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 | 2.3% | 3,216 | 3,214 | $555K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.2% | 5,911 | 5,888 | $523K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.6% | 2,474 | 2,292 | $384K |
89 more codes
| 99480 | Subsequent intensive care, per day, low birth weight infant | 1.5% | 2,586 | $357K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.4% | 6,740 | $331K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 6,811 | $310K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.1% | 11,108 | $255K |
| 99460 | 1.0% | 2,273 | $251K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 2,180 | $198K |
| 90461 | <1% | 22,432 | $192K | |
| 99285 | Emergency room visit (most serious) | <1% | 797 | $166K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,063 | $133K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 908 | $132K |
| 99223 | Prolong inpt eval add15 m | <1% | 473 | $105K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 10,638 | $97K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 8,848 | $69K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 394 | $50K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 7,290 | $45K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 6,082 | $43K |
| 96127 | <1% | 29,136 | $35K | |
| 99173 | <1% | 11,128 | $30K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 4,746 | $27K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 672 | $26K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 216 | $26K |
| 99205 | Prolong outpt/office vis | <1% | 120 | $23K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 257 | $23K |
| 92552 | <1% | 6,145 | $22K | |
| 90474 | <1% | 2,023 | $22K | |
| 94010 | <1% | 805 | $18K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 796 | $15K |
| 97803 | <1% | 304 | $14K | |
| 90677 | <1% | 1,091 | $14K | |
| 93325 | <1% | 2,159 | $12K | |
| 90686 | <1% | 20,434 | $11K | |
| 99468 | <1% | 13 | $10K | |
| 0071A | <1% | 219 | $9K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 519 | $9K |
| 99174 | <1% | 5,726 | $9K | |
| 0072A | <1% | 183 | $8K | |
| 92587 | <1% | 904 | $8K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 56 | $7K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 307 | $7K |
| 99462 | <1% | 154 | $7K | |
| 90619 | <1% | 452 | $6K | |
| 90671 | <1% | 158 | $6K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 65 | $5K |
| 92567 | <1% | 325 | $5K | |
| 54150 | <1% | 38 | $5K | |
| 81003 | <1% | 3,443 | $4K | |
| 0002A | <1% | 90 | $4K | |
| 93304 | <1% | 89 | $4K | |
| 0001A | <1% | 91 | $4K | |
| 83655 | <1% | 1,403 | $3K | |
| 99236 | Prolong inpt eval add15 m | <1% | 13 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 63 | $2K |
| 96160 | <1% | 6,652 | $2K | |
| 99000 | <1% | 6,329 | $2K | |
| 93320 | <1% | 64 | $1K | |
| 93321 | <1% | 131 | $1K | |
| 90656 | <1% | 1,785 | $996.43 | |
| 93000 | <1% | 52 | $944.73 | |
| 85018 | <1% | 1,698 | $904.21 | |
| 81002 | <1% | 500 | $858.92 | |
| 92558 | <1% | 274 | $816.03 | |
| 0031A | <1% | 24 | $762.12 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 180 | $671.02 |
| 99072 | <1% | 1,855 | $654.00 | |
| 90651 | <1% | 510 | $587.77 | |
| 96161 | <1% | 1,906 | $570.29 | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 14 | $474.14 |
| 93356 | <1% | 24 | $440.31 | |
| 99441 | <1% | 13 | $400.29 | |
| 90670 | <1% | 5,434 | $361.19 | |
| 92551 | <1% | 53 | $292.42 | |
| 90633 | <1% | 737 | $285.30 | |
| 90698 | <1% | 3,411 | $284.31 | |
| 90620 | <1% | 27 | $253.44 | |
| 90715 | <1% | 201 | $212.63 | |
| 90680 | <1% | 2,160 | $162.00 | |
| A4617 | Mouth piece | <1% | 188 | $81.61 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | $32.39 |
| 90734 | <1% | 247 | $15.00 | |
| 36416 | <1% | 359 | $3.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 90685 | 0% | 503 | $0.00 | |
| 90707 | 0% | 25 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90744 | 0% | 943 | $0.00 | |
| 90381 | 0% | 12 | $0.00 | |
| 94760 | 0% | 12 | $0.00 | |
| 90716 | 0% | 25 | $0.00 | |
| 90696 | 0% | 24 | $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 officialMCGOVERN, MARGARET (CHAIR PERSON)
| Provider | Location | Paid |
|---|---|---|
| Yale University | New Haven, CT | $137.03M |
| Art Therapy of Hamden LLC | North Haven, CT | $1.09M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.