Physician
Jamestown Pediatric Associates, LLP
Jamestown Pediatric Associates, LLP was paid $8.64M by Medicaid between Jan 2018 and Dec 2024, across 67 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoJAMESTOWN PEDIATRIC ASSOCIATES, LLP
JAMESTOWN, NY 14701
JAMESTOWN, NY 14701
33aNPI1164486627assigned 04/13/2006
33bProvider typePediatrics Physician
28Total paid$8.64M
24GClaims240,913
24DCodes billed67
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#28 of 1,983
Median peer was paid$17K
This provider vs. median509×
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 | 25,133 | $842K | |
| 2019 | 33,453 | $1.11M | |
| 2020 | 33,005 | $1.23M | |
| 2021 | 43,439 | $1.41M | |
| 2022 | 40,873 | $1.34M | |
| 2023 | 33,300 | $1.35M | |
| 2024incomplete | 31,710 | $1.36M |
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 | 37% | 49,924 | 47,295 | $3.24M |
| 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 | 22% | 21,470 | 20,383 | $1.94M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.6% | 9,102 | 9,097 | $743K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.1% | 8,522 | 8,506 | $696K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.9% | 29,169 | 28,992 | $687K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.3% | 6,002 | 5,761 | $459K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.5% | 4,463 | 4,459 | $393K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.2% | 6,836 | 6,754 | $107K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,229 | 3,101 | $36K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 3,906 | 3,663 | $35K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 12,242 | 12,046 | $29K |
| 99441 | <1% | 1,090 | 921 | $27K |
55 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 849 | $24K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 548 | $24K |
| 96127 | <1% | 6,548 | $23K | |
| 99051 | <1% | 3,878 | $22K | |
| 99442 | <1% | 473 | $20K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,554 | $17K |
| 99401 | <1% | 2,886 | $16K | |
| D1206 | Topical application of fluoride varnish | <1% | 460 | $13K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 99 | $13K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,582 | $13K |
| 99188 | <1% | 1,125 | $11K | |
| 99495 | <1% | 485 | $9K | |
| 87807 | <1% | 915 | $9K | |
| 69210 | <1% | 160 | $6K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 113 | $4K |
| 90686 | <1% | 5,132 | $3K | |
| 83655 | <1% | 324 | $3K | |
| 96160 | <1% | 4,802 | $3K | |
| 90621 | <1% | 68 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 24 | $2K |
| 96161 | <1% | 1,684 | $2K | |
| 90651 | <1% | 775 | $2K | |
| 97802 | <1% | 2,095 | $2K | |
| 99050 | <1% | 237 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 559 | $1K |
| 90677 | <1% | 661 | $1K | |
| 87088 | <1% | 130 | $792.79 | |
| 81002 | <1% | 369 | $524.08 | |
| 99173 | <1% | 4,557 | $435.93 | |
| 90656 | <1% | 529 | $305.89 | |
| 90716 | <1% | 149 | $170.00 | |
| 99421 | <1% | 12 | $121.14 | |
| 99408 | <1% | 358 | $103.45 | |
| 86308 | <1% | 25 | $100.31 | |
| 90707 | <1% | 196 | $93.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 15 | $92.55 |
| 90744 | <1% | 125 | $28.31 | |
| 97803 | <1% | 44 | $22.22 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 927 | $14.89 |
| 94760 | <1% | 287 | $10.07 | |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 12 | $8.28 |
| 36416 | <1% | 9,808 | $4.06 | |
| 99072 | <1% | 20,566 | $0.79 | |
| 90671 | 0% | 554 | $0.00 | |
| 90670 | 0% | 2,063 | $0.00 | |
| 90685 | 0% | 304 | $0.00 | |
| 90633 | 0% | 186 | $0.00 | |
| 90734 | 0% | 92 | $0.00 | |
| 90715 | 0% | 15 | $0.00 | |
| 90698 | 0% | 2,468 | $0.00 | |
| 90680 | 0% | 724 | $0.00 | |
| 91307 | 0% | 164 | $0.00 | |
| 99058 | 0% | 149 | $0.00 | |
| 90619 | 0% | 80 | $0.00 | |
| J7609 | Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg | 0% | 14 | $0.00 |
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 officialMARSH, MARLENE (BILLING MANAGER)