Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Rego Park › NPI 1104132778
Physician

Prokhorov's Pediatrics and Child Neurology PC

Prokhorov's Pediatrics and Child Neurology PC was paid $1.56M by Medicaid between Jan 2018 and Nov 2024, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.

33Billing provider infoPROKHOROV'S PEDIATRICS AND CHILD NEUROLOGY PC
REGO PARK, NY 11374
33aNPI1104132778assigned 08/20/2010
28Total paid$1.56M
24GClaims62,232
24DCodes billed46
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Neurology with Special Qualifications in Child Neurology Physician providers in New York

Rank by total paid#7 of 57
Median peer was paid$23K
This provider vs. median67×

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$20K$40K$60K2018201920202021202220232024
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
20183,939$131K
20194,869$134K
20207,585$160K
20219,228$243K
202212,361$338K
202312,808$304K
2024incomplete11,442$248K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 55% 8,291 6,841 $852K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7.7% 1,335 1,329 $120K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6.1% 1,142 1,104 $95K
99401 6.0% 6,404 5,682 $93K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4.5% 785 785 $69K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4.4% 2,150 1,888 $69K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.8% 664 561 $44K
90460 Immunization administration through 18 years of age via any route, first or only component 2.2% 4,556 4,042 $34K
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 2.2% 249 249 $34K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.7% 1,441 1,322 $27K
69210 1.5% 587 522 $23K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.4% 6,542 3,497 $21K
34 more codes
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.0% 168 $16K
99051 <1% 3,135 $14K
99050 <1% 2,725 $12K
92551 <1% 1,543 $9K
92567 <1% 629 $7K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 873 $6K
96161 <1% 1,337 $3K
81002 <1% 1,555 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 537 $2K
96127 <1% 392 $2K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 164 $1K
99402 <1% 581 $989.60
90686 <1% 943 $297.10
96160 <1% 70 $156.64
86580 <1% 14 $59.50
94760 <1% 3,965 $54.90
99173 <1% 2,289 $31.68
90656 <1% 98 $23.53
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 397 $7.90
36415 Collection of venous blood by venipuncture <1% 2,001 $2.40
36416 0% 928 $0.00
99000 0% 1,702 $0.00
90647 0% 103 $0.00
90716 0% 14 $0.00
90680 0% 75 $0.00
90723 0% 12 $0.00
90670 0% 355 $0.00
90461 0% 1,205 $0.00
90671 0% 100 $0.00
90707 0% 26 $0.00
90633 0% 50 $0.00
90687 0% 61 $0.00
90685 0% 26 $0.00
90681 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 officialPROKHOROVA, SVETLANA (PRESIDENT)