Physician
Advanced Pediatrics, PC
Advanced Pediatrics, PC was paid $1.78M by Medicaid between Jan 2018 and Nov 2024, across 105 billing codes. Its largest line is G0447, Face-to-face behavioral counseling for obesity, 15 minutes — 28% of everything it billed.
33Billing provider infoADVANCED PEDIATRICS, PC
ELMHURST, NY 11373
ELMHURST, NY 11373
33aNPI1083815385assigned 05/31/2007
33bProvider typePediatrics Physician
28Total paid$1.78M
24GClaims669,715
24DCodes billed105
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#190 of 1,983
Median peer was paid$17K
This provider vs. median105×
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 | 59,779 | $312K | |
| 2019 | 94,209 | $296K | |
| 2020 | 111,789 | $219K | |
| 2021 | 122,262 | $233K | |
| 2022 | 105,746 | $186K | |
| 2023 | 100,983 | $269K | |
| 2024incomplete | 74,947 | $265K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 28% | 66,038 | 59,796 | $501K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 26% | 29,937 | 29,624 | $455K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 43,180 | 38,206 | $217K |
| 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 | 6.2% | 20,533 | 17,635 | $110K |
| 92587 | 3.7% | 6,350 | 6,316 | $66K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.5% | 10,744 | 10,731 | $62K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.9% | 8,562 | 8,532 | $52K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.6% | 7,448 | 7,437 | $46K |
| 87110 | 2.0% | 6,749 | 6,689 | $36K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 5,302 | 5,235 | $35K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 3,243 | 3,240 | $27K |
| D1206 | Topical application of fluoride varnish | 1.2% | 769 | 769 | $22K |
93 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 7,814 | $20K |
| 0071A | <1% | 425 | $16K | |
| 0072A | <1% | 354 | $12K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,512 | $11K |
| 0001A | <1% | 357 | $9K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 20,909 | $9K |
| 92081 | <1% | 4,152 | $8K | |
| 92551 | <1% | 4,254 | $7K | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 24,985 | $6K |
| 97802 | <1% | 54,372 | $5K | |
| 99173 | <1% | 11,163 | $4K | |
| 0002A | <1% | 169 | $4K | |
| 92552 | <1% | 6,844 | $4K | |
| H0001 | Alcohol and/or drug assessment | <1% | 16,985 | $3K |
| 90461 | <1% | 5,754 | $3K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 402 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,614 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 941 | $3K |
| 96127 | <1% | 25,408 | $2K | |
| 83655 | <1% | 325 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 9,376 | $2K |
| 90686 | <1% | 7,089 | $2K | |
| 99441 | <1% | 219 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 83 | $1K |
| 90670 | <1% | 2,337 | $1K | |
| 36406 | <1% | 541 | $1K | |
| 99401 | <1% | 622 | $935.00 | |
| 86328 | <1% | 512 | $917.58 | |
| 92560 | <1% | 4,049 | $806.52 | |
| 90688 | <1% | 821 | $499.52 | |
| 90648 | <1% | 1,045 | $464.10 | |
| 90723 | <1% | 1,004 | $464.10 | |
| 90633 | <1% | 1,665 | $458.56 | |
| 90680 | <1% | 1,094 | $446.25 | |
| 90698 | <1% | 1,138 | $410.55 | |
| 96161 | <1% | 2,157 | $394.27 | |
| 99381 | <1% | 13 | $394.24 | |
| 90710 | <1% | 1,429 | $374.85 | |
| 96160 | <1% | 1,186 | $340.70 | |
| 90685 | <1% | 247 | $271.81 | |
| 90620 | <1% | 949 | $244.09 | |
| 90672 | <1% | 2,444 | $241.93 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 15,188 | $231.25 |
| 81005 | <1% | 128 | $205.08 | |
| 90651 | <1% | 720 | $160.65 | |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | <1% | 1,363 | $133.25 |
| 90734 | <1% | 1,086 | $107.10 | |
| 86413 | <1% | 153 | $100.75 | |
| 99072 | <1% | 5,679 | $46.00 | |
| G0310 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 467 | $45.00 |
| 99188 | <1% | 241 | $44.72 | |
| 91307 | <1% | 512 | $38.05 | |
| 90674 | <1% | 686 | $32.31 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 28 | $16.00 |
| 99429 | <1% | 1,555 | $10.25 | |
| 3078F | <1% | 6,045 | $5.00 | |
| 3074F | <1% | 6,044 | $5.00 | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 1,205 | $2.05 |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 858 | $2.05 |
| G9275 | Documentation that patient is a current non-tobacco user | <1% | 13,528 | $1.75 |
| S9449 | Weight management classes, non-physician provider, per session | <1% | 763 | $1.70 |
| 90715 | <1% | 467 | $1.01 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 147 | $0.20 |
| G9416 | Patient had one tetanus, diphtheria toxoids and acellular pertussis vaccine (tdap) on or between the patient's 10th and 13th birthdays | <1% | 208 | $0.20 |
| 90671 | <1% | 329 | $0.06 | |
| 3008F | <1% | 56,046 | $0.02 | |
| 3016F | 0% | 11,924 | $0.00 | |
| 3725F | 0% | 17,640 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 5,273 | $0.00 |
| 1160F | 0% | 360 | $0.00 | |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 0% | 165 | $0.00 |
| 3210F | 0% | 186 | $0.00 | |
| 99499 | 0% | 63 | $0.00 | |
| 90649 | 0% | 358 | $0.00 | |
| 90621 | 0% | 12 | $0.00 | |
| 91300 | 0% | 388 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 471 | $0.00 |
| G9414 | Patient had one dose of meningococcal vaccine (serogroups a, c, w, y or a, c, w, y, b) on or between the patient's 10th and 13th birthdays | 0% | 134 | $0.00 |
| 1159F | 0% | 285 | $0.00 | |
| S9443 | Lactation classes, non-physician provider, per session | 0% | 33 | $0.00 |
| 90661 | 0% | 12 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 41,708 | $0.00 |
| 1036F | 0% | 10,832 | $0.00 | |
| 1000F | 0% | 10,413 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 2,724 | $0.00 |
| 4293F | 0% | 3,136 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 10,855 | $0.00 |
| 94760 | 0% | 603 | $0.00 | |
| 90696 | 0% | 342 | $0.00 | |
| 99000 | 0% | 684 | $0.00 | |
| 99383 | 0% | 13 | $0.00 | |
| 87071 | 0% | 28 | $0.00 | |
| 87081 | 0% | 13 | $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 officialLAO, WILFREDO (PARTNER)