Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Elmhurst › NPI 1104031137
Clinic

Pediatrics Specialties of Queens

Pediatrics Specialties of Queens was paid $166K by Medicaid between Jan 2018 and Nov 2024, across 48 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 20% of everything it billed.

33Billing provider infoPEDIATRICS SPECIALTIES OF QUEENS
ELMHURST, NY 11373
33aNPI1104031137assigned 05/12/2007
28Total paid$166K
24GClaims125,918
24DCodes billed48
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Primary Care Clinic/Center providers in New York

Rank by total paid#126 of 242
Median peer was paid$172K
This provider vs. median1.0×

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
201813,957$15K
201920,649$18K
202024,724$36K
202118,971$19K
202217,402$15K
202318,621$44K
2024incomplete11,594$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90460 Immunization administration through 18 years of age via any route, first or only component 20% 9,004 8,974 $34K
90656 19% 4,801 4,800 $31K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 8,177 7,761 $30K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 8.7% 3,526 3,494 $14K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7.9% 3,628 3,627 $13K
92587 6.7% 10,638 10,602 $11K
90660 6.3% 481 481 $10K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.5% 1,981 1,978 $4K
99401 2.1% 8,723 8,688 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.6% 187 186 $3K
90472 Immunization administration, each additional vaccine (list separately) 1.4% 2,504 2,504 $2K
H0001 Alcohol and/or drug assessment 1.2% 4,822 4,787 $2K
36 more codes
90461 <1% 2,352 $2K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 3,211 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 4,898 $875.57
90655 <1% 70 $855.34
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method <1% 3,344 $806.00
99173 <1% 5,321 $750.41
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 170 $387.81
36415 Collection of venous blood by venipuncture <1% 11,497 $382.67
97802 <1% 2,777 $341.97
90473 <1% 111 $326.23
90619 <1% 46 $320.00
90651 <1% 801 $250.00
90734 <1% 542 $150.00
90633 <1% 177 $48.00
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 73 $47.28
81025 <1% 35 $17.22
3008F <1% 12,804 $0.01
1000F 0% 3,475 $0.00
3074F 0% 958 $0.00
1036F 0% 3,388 $0.00
2010F 0% 173 $0.00
90647 0% 53 $0.00
G0009 Administration of pneumococcal vaccine 0% 41 $0.00
90716 0% 12 $0.00
90680 0% 40 $0.00
90696 0% 13 $0.00
90670 0% 276 $0.00
3016F 0% 3,413 $0.00
3725F 0% 3,389 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 3,404 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 0% 168 $0.00
3078F 0% 87 $0.00
90621 0% 46 $0.00
90715 0% 65 $0.00
G9820 Documentation of a chlamydia screening test with proper follow-up 0% 202 $0.00
90710 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.

From NPPES

Who's on the registration

Authorized officialPERALTA, VICTOR (PRESIDENT)
Same official

Other billing entities under PERALTA, VICTOR

Full network →
ProviderLocationPaid
International Pediatrics PlusJackson Heights, NY$235K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.