Medicaid Provider Spending

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

FDLC PEDIATRICS MEDICINE.PLLC

NPI: 1124297460 · NEW YORK, NY 10033 · Pediatric Adolescent Medicine Physician · NPI assigned 02/20/2008

$26K
Total Medicaid Paid
11,684
Total Claims
11,012
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNEGRON, MIGDALIA (MANAGER)
NPI Enumeration Date02/20/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 612 $2K
2019 1,531 $5K
2020 2,086 $7K
2021 1,719 $2K
2022 2,247 $3K
2023 1,705 $5K
2024 1,784 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90460 Immunization administration through 18 years of age via any route, first or only component 453 452 $12K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 380 354 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 145 142 $2K
97802 2,697 2,478 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 933 842 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 98 96 $825.34
92551 1,743 1,705 $478.18
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 15 15 $370.01
90658 166 165 $225.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13 13 $112.07
99173 1,612 1,575 $95.60
3008F 2,524 2,307 $0.03
G9820 Documentation of a chlamydia screening test with proper follow-up 259 253 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 73 68 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 573 547 $0.00