Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Merrick › NPI 1083790828
Physician

Banks, Pamela

Banks, Pamela was paid $304K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.

33Billing provider infoBANKS, PAMELA
MERRICK, NY 11566
33aNPI1083790828assigned 10/27/2006
28Total paid$304K
24GClaims6,700
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in New York

Rank by total paid#66 of 161
Median peer was paid$100K
This provider vs. median3.0×

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$5.0K$10K2018201920202021202220232024
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
2018610$21K
2019744$27K
2020723$30K
20211,059$40K
20221,428$63K
20231,176$66K
2024incomplete960$57K
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 60% 2,851 2,431 $183K
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% 757 704 $74K
90460 Immunization administration through 18 years of age via any route, first or only component 4.8% 735 728 $14K
92552 3.2% 300 300 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2.2% 911 840 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.9% 77 77 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.7% 63 63 $5K
92557 <1% 95 94 $2K
92081 <1% 32 32 $1K
99173 <1% 344 343 $786.03
81002 <1% 343 339 $638.86
92568 <1% 32 32 $293.76
5 more codes
92567 <1% 15 $181.68
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 24 $141.90
90461 <1% 39 $20.33
90686 0% 59 $0.00
90658 0% 23 $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.