Pediatrics & Adolescent Medicine Group
Pediatrics & Adolescent Medicine Group was paid $291K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 34% of everything it billed.
ROCHESTER, NY 14642
Next to other Clinical Child & Adolescent Psychologist providers in New York
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 87 | $8K | |
| 2019 | 179 | $16K | |
| 2020 | 655 | $58K | |
| 2021 | 506 | $49K | |
| 2022 | 448 | $37K | |
| 2023 | 883 | $91K | |
| 2024incomplete | 235 | $31K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 34% | 766 | 603 | $100K |
| 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 | 31% | 911 | 883 | $90K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 8.8% | 293 | 280 | $26K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 7.1% | 176 | 176 | $21K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.8% | 189 | 189 | $17K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.5% | 191 | 189 | $13K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.0% | 211 | 201 | $12K |
| 99417 | Prolong home eval add 15m | 2.0% | 132 | 108 | $6K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.4% | 61 | 55 | $4K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 63 | 55 | $2K |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.