Physician
Medikids Pediatrics Medicine II PLLC
Medikids Pediatrics Medicine II PLLC was paid $1.21M by Medicaid between Jan 2018 and Dec 2024, across 85 billing codes. Its largest line is 92587, — 19% of everything it billed.
33Billing provider infoMEDIKIDS PEDIATRICS MEDICINE II PLLC
BRONX, NY 10458
BRONX, NY 10458
33aNPI1164613857assigned 08/07/2007
33bProvider typePediatrics Physician
28Total paid$1.21M
24GClaims303,749
24DCodes billed85
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#254 of 1,983
Median peer was paid$17K
This provider vs. median71×
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 | 29,515 | $252K | |
| 2019 | 37,698 | $178K | |
| 2020 | 42,138 | $133K | |
| 2021 | 44,480 | $174K | |
| 2022 | 41,187 | $144K | |
| 2023 | 58,530 | $180K | |
| 2024incomplete | 50,201 | $146K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92587 | 19% | 12,504 | 12,486 | $229K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 16% | 13,912 | 13,846 | $189K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 12% | 5,338 | 5,331 | $142K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 12% | 12,142 | 12,136 | $141K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 8.4% | 7,260 | 7,243 | $101K |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 4.1% | 24,598 | 24,481 | $50K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 15,255 | 14,416 | $49K |
| D1206 | Topical application of fluoride varnish | 3.5% | 1,586 | 1,585 | $42K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.7% | 6,554 | 6,551 | $32K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 5,113 | 5,112 | $19K |
| 0002A | 1.4% | 424 | 424 | $17K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 5,288 | 5,272 | $17K |
73 more codes
| 99406 | 1.2% | 8,985 | $15K | |
| 0072A | 1.1% | 347 | $13K | |
| 90660 | 1.1% | 790 | $13K | |
| 0001A | 1.0% | 318 | $12K | |
| 0071A | 1.0% | 325 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 8,865 | $11K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 3,209 | $10K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 6,199 | $9K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 5,897 | $7K |
| 0124A | <1% | 205 | $7K | |
| 90670 | <1% | 2,087 | $6K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,462 | $6K |
| 86580 | <1% | 795 | $6K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 211 | $5K |
| H0001 | Alcohol and/or drug assessment | <1% | 7,240 | $5K |
| 99401 | <1% | 15,485 | $4K | |
| 0053A | <1% | 104 | $4K | |
| 91305 | <1% | 170 | $3K | |
| 0154A | <1% | 89 | $3K | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 15,214 | $3K |
| 99173 | <1% | 13,820 | $3K | |
| 91312 | <1% | 185 | $2K | |
| 90734 | <1% | 1,125 | $2K | |
| 90620 | <1% | 1,998 | $2K | |
| 91315 | <1% | 71 | $2K | |
| 36406 | <1% | 2,127 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 18,014 | $1K |
| 90633 | <1% | 2,320 | $987.00 | |
| 90686 | <1% | 5,343 | $949.48 | |
| 99408 | <1% | 6,775 | $892.66 | |
| 0081A | <1% | 24 | $840.00 | |
| 90656 | <1% | 789 | $754.14 | |
| 90647 | <1% | 1,449 | $730.00 | |
| 90723 | <1% | 702 | $700.00 | |
| 91308 | <1% | 57 | $540.27 | |
| 90716 | <1% | 682 | $414.00 | |
| 90707 | <1% | 386 | $340.00 | |
| 90685 | <1% | 3,813 | $308.56 | |
| 90715 | <1% | 885 | $293.58 | |
| 83655 | <1% | 721 | $235.95 | |
| 90651 | <1% | 2,375 | $200.00 | |
| 90680 | <1% | 1,621 | $165.00 | |
| 90710 | <1% | 906 | $150.00 | |
| 90671 | <1% | 816 | $150.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $130.62 |
| 90696 | <1% | 645 | $105.00 | |
| 97802 | <1% | 8,111 | $104.00 | |
| 91307 | <1% | 736 | $93.76 | |
| 99383 | <1% | 25 | $91.72 | |
| 90655 | <1% | 198 | $51.00 | |
| 94760 | <1% | 638 | $11.52 | |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | <1% | 46 | $0.30 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 44 | $0.29 |
| 91300 | <1% | 741 | $0.04 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 3,517 | $0.00 |
| 90681 | 0% | 260 | $0.00 | |
| 3725F | 0% | 4,957 | $0.00 | |
| 90672 | 0% | 679 | $0.00 | |
| 90700 | 0% | 411 | $0.00 | |
| 3016F | 0% | 32 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 45 | $0.00 |
| 90661 | 0% | 27 | $0.00 | |
| 1000F | 0% | 5,015 | $0.00 | |
| 1036F | 0% | 4,586 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 9,309 | $0.00 |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 6,212 | $0.00 |
| 90697 | 0% | 905 | $0.00 | |
| 90619 | 0% | 639 | $0.00 | |
| 3008F | 0% | 841 | $0.00 | |
| 90698 | 0% | 100 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 13 | $0.00 |
| 36416 | 0% | 12 | $0.00 | |
| 99381 | 0% | 18 | $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 officialJIMENEZ, MARCIAL (PEDIATRICIAN)