Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PEDIATRIC FAMILY MDPC

NPI: 1104975796 · JACKSON HEIGHTS, NY 11372 · Pediatrics Physician · NPI assigned 01/10/2007

$45K
Total Medicaid Paid
34,270
Total Claims
33,457
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialVALENCIA, HECTOR (OWNER)
NPI Enumeration Date01/10/2007

Related Entities

Other providers sharing the same authorized official: VALENCIA, HECTOR

ProviderCityStateTotal Paid
ST. NICHOLAS PEDIATRICS, PC BRONX NY $29K
ST. NICHOLAS PEDIATRICS, PC NEW YORK NY $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,272 $11K
2019 3,601 $12K
2020 930 $2K
2021 2,285 $1K
2022 8,454 $12K
2023 6,854 $4K
2024 8,874 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 899 891 $18K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 961 949 $8K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 620 601 $5K
87110 215 215 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,172 2,051 $2K
90472 Immunization administration, each additional vaccine (list separately) 53 52 $1K
36425 2,551 2,439 $1K
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 750 744 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 359 339 $925.44
90460 Immunization administration through 18 years of age via any route, first or only component 51 51 $857.10
G9820 Documentation of a chlamydia screening test with proper follow-up 817 810 $575.00
92553 1,388 1,386 $518.64
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 778 745 $467.40
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 987 958 $402.36
G8510 Screening for depression is documented as negative, a follow-up plan is not required 758 746 $390.00
H0001 Alcohol and/or drug assessment 453 447 $270.00
H0049 Alcohol and/or drug screening 455 449 $260.00
3078F 518 517 $70.00
3074F 584 583 $70.00
90686 519 519 $19.03
80061 Lipid panel 37 37 $16.53
3044F 404 404 $0.03
99173 975 975 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 386 375 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 250 244 $0.00
3725F 919 911 $0.00
S9470 Nutritional counseling, dietitian visit 966 966 $0.00
3016F 754 750 $0.00
S9449 Weight management classes, non-physician provider, per session 959 959 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 87 83 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 49 48 $0.00
86480 17 17 $0.00
G9275 Documentation that patient is a current non-tobacco user 775 767 $0.00
S9451 Exercise classes, non-physician provider, per session 1,043 1,043 $0.00
S9452 Nutrition classes, non-physician provider, per session 958 958 $0.00
3048F 81 81 $0.00
1000F 715 710 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 631 613 $0.00
99000 2,611 2,447 $0.00
3008F 2,477 2,374 $0.00
97802 1,666 1,602 $0.00
96127 843 830 $0.00
1036F 715 710 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 64 61 $0.00