Physician
Elpenord, Claire
Elpenord, Claire was paid $153K by Medicaid between Jan 2018 and Feb 2023, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 79% of everything it billed.
33Billing provider infoELPENORD, CLAIRE
VALHALLA, NY 10595
VALHALLA, NY 10595
33aNPI1114211349assigned 06/06/2011
33bProvider typePediatrics Physician
28Total paid$153K
24GClaims3,105
24DCodes billed7
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#628 of 1,983
Median peer was paid$17K
This provider vs. median9.0×
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
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 | 589 | $29K | |
| 2019 | 784 | $31K | |
| 2020 | 515 | $22K | |
| 2021 | 603 | $33K | |
| 2022 | 564 | $36K | |
| 2023 | 50 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 79% | 1,848 | 1,610 | $121K |
| 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 | 11% | 166 | 158 | $17K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.2% | 509 | 426 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 121 | 60 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | 12 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 271 | 254 | $1K |
| 87070 | <1% | 178 | 171 | $1K |
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.