Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pediatric Neurology PC

Pediatric Neurology PC was paid $2.12M by Medicaid between Feb 2018 and Nov 2024, across 22 billing codes. Its largest line is 95813, — 38% of everything it billed.

33Billing provider infoPEDIATRIC NEUROLOGY PC
HARTSDALE, NY 10530
33aNPI1124573522assigned 08/16/2016
28Total paid$2.12M
24GClaims15,650
24DCodes billed22
24AFirst – last monthFeb 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#6 of 57
Median peer was paid$23K
This provider vs. median90×

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$50K$100K2018201920202021202220232024
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
2018185$24K
20191,056$138K
20201,429$189K
20213,138$287K
20223,023$411K
20233,415$508K
2024incomplete3,404$560K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95813 38% 2,360 2,357 $808K
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 16% 3,256 3,205 $345K
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 16% 2,321 2,317 $343K
95957 10% 1,561 1,382 $219K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.4% 1,191 1,178 $94K
95708 3.2% 580 222 $68K
95700 2.9% 327 325 $61K
95812 2.3% 189 188 $49K
95723 1.3% 138 138 $27K
92546 <1% 209 208 $20K
92540 <1% 209 208 $18K
95819 <1% 56 56 $18K
10 more codes
95816 <1% 50 $16K
T1013 Sign language or oral interpretive services, per 15 minutes <1% 829 $10K
92537 <1% 209 $6K
99205 Prolong outpt/office vis <1% 27 $5K
99441 <1% 165 $5K
99215 Doctor's office visit, returning patient (complex) <1% 22 $3K
95992 <1% 115 $1K
92547 <1% 209 $1K
92548 <1% 88 $754.53
99072 <1% 1,539 $22.50

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 officialILIC, MAJA (MD)
Same official

Other billing entities under ILIC, MAJA

Full network →
ProviderLocationPaid
Adult and Child Neurology PCAstoria, NY$438K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.